ArticleJournal of Korean medical science2021
Impact of the COVID-19 Outbreak on Emergency Care Utilization in Patients with Acute Myocardial Infarction: a Nationwide Population-based Study.
Article in Journal of Korean medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Utilization of Renal Replacement Therapy and Its Impact on the Emergency Department Length of Stay in South Korean Emergency Medical Centers.Medicina (Kaunas, Lithuania) · 2026Article
- Epidemiology of cardiac arrest and acute myocardial infarction in emergency departments in Korea, 2020-2024: a report using the National Emergency Department Information System (NEDIS) database.Clinical and experimental emergency medicine · 2026Article
- Impact of COVID-19 on testicular torsion: A single-center retrospective study from a children's hospital.Investigative and clinical urology · 2026Article
- The COVID-19 Pandemic and Acute Coronary Syndrome Admissions and Deaths in Allegheny County, Pennsylvania.Healthcare (Basel, Switzerland) · 2025Article
- Epidemiological trends in emergency department visits by age group: a report from the National Emergency Department Information System (NEDIS) of Korea, 2020-2024.Clinical and experimental emergency medicine · 2025Article
- Spatial Accessibility to Emergency Departments and Surgical Treatment for Patients with Acute Appendicitis in South Korea.Yonsei medical journal · 2025Article
- Article
- Hasn't Child Abuse Been Overlooked? An Evaluation of Abused Children Who Visited the Emergency Department with Sentinel Injuries.Children (Basel, Switzerland) · 2024Article
- Predictive validity of resource-adjusted Korean Triage and Acuity Scale in pediatric gastrointestinal tract foreign body patients.Scientific reports · 2024Article
- Impact of the early phase of the COVID-19 pandemic on emergency department-to-intensive care unit admissions in Korea: an interrupted time-series analysis.BMC emergency medicine · 2024Article
- Trends in emergency department visits for emergency care-sensitive conditions before and during the COVID-19 pandemic: a nationwide study in Korea, 2019-2021.Clinical and experimental emergency medicine · 2024Article
- Acute care pathway assessed through performance indicators during the COVID-19 pandemic in OECD countries (2020-2021): a scoping review.BMC emergency medicine · 2024Article
- Article
- Temporal Trends and Characteristics of Adult Patients in Emergency Department Related to Suicide Attempt or Self-Harm in Korea, 2016-2020.Journal of Korean medical science · 2023Article
- The impact of the COVID-19 pandemic on life expectancy by the level of area deprivation in South Korea.Frontiers in public health · 2023Article
- Collateral Effect of the Coronavirus Disease 2019 Pandemic on Emergency Department Visits in Korea.Medicina (Kaunas, Lithuania) · 2022Article
- Patient and hospital characteristics predict prolonged emergency department length of stay and in-hospital mortality: a nationwide analysis in Korea.BMC emergency medicine · 2022Article
- Maintenance of the critical care system during the pandemic in non-COVID-19 patients requiring continuous renal replacement therapy: a single center experience.BMC emergency medicine · 2022Article
- Emergency Department Utilization of Adult Cancer Patient in Korea: A Nationwide Population-Based Study, 2017-2019.Cancer research and treatment · 2022Article
- Treatment delay and outcomes of ST-segment elevation myocardial infarction treated by primary percutaneous coronary intervention during the COVID-19 era in South Korea.The Korean journal of internal medicine · 2022Article
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4 authors.
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Abstract
backgroundThe coronavirus disease 2019 (COVID-19) pandemic has impacted various aspects of daily living and has influenced the life of every individual in a unique way. Acute myocardial infarction (AMI) is associated with high morbidity and mortality; thus, timely treatment is crucial to prevent poor prognosis. Therefore, an immediate emergency department (ED) visit is required; however, no domestic studies have reported the effect of COVID-19 on ED visits by patients with AMI. Therefore, this study aimed to assess the changes in the pattern of ED visits by patients with AMI by comparing visits during the COVID-19 outbreak period to those during two control periods.
methodsThis nationwide, retrospective study used registry data of the National Emergency Department Information System. The 'outbreak period' was defined as the period between February 21, 2020 and April 1, 2020, while the 'control period' was defined as the same time period in the preceding two years (2018 and 2019). The primary outcome of our study was the number of patients admitted to the ED owing to AMI during the outbreak and control periods. Secondary outcomes were time from symptom onset to ED visit, length of ED stay, and 30-day mortality following admission.
resultsDuring the outbreak period, 401,378 patients visited the ED; this number was lower than that during the control periods (2018: 577,548; 2019: 598,514). The number of patients with AMI visiting the ED was lower during the outbreak period (2,221) than during 2018 (2,437) and 2019 (2,591).
conclusionThe COVID-19 pandemic has caused a reduction in ED visits by patients with AMI. We assume that this could likely be caused by misinterpretation of AMI symptoms as symptoms of respiratory infection, fear of contracting severe acute respiratory syndrome coronavirus 2, and restrictions in accessing emergency medical care owing to overburdened healthcare facilities. This study sheds light on the fact that healthcare and emergency medical staff members must work towards eliminating hurdles due to this pandemic for patients to receive timely emergency care, which in turn will help curb the growing burden of mortality.
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