Observational studyYonsei medical journal2021
Analysis of the Impact of the Coronavirus Disease Epidemic on the Emergency Medical System in South Korea Using the Korean Triage and Acuity Scale.
Observational study in Yonsei medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Emergency medical system utilization among patients with end-stage kidney disease during the COVID-19 pandemic: a retrospective cohort study in South Korea.Frontiers in public health · 2026Article
- Article
- Trends of hospice utilization in Korea before and after the COVID- 19 pandemic in patients with cancer: an interrupted time series analysis using nationwide data.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Prediction of hospitalization and waiting time within 24 hours of emergency department patients with unstructured text data.Health care management science · 2024Article
- Impact of the COVID-19 Pandemic on Admission and Mortality Among Patients With Severe Emergency Diseases at Emergency Departments in Korea in 2020: Registry Data From the National Emergency Department Information System.Journal of Korean medical science · 2023Article
- Challenges in Care for Non-COVID-19 Patients with Severe Chronic Illnesses during COVID-19 Pandemic: A Qualitative Study of Healthcare Providers Working around Acute Care Hospitals in South Korea.Healthcare (Basel, Switzerland) · 2023Article
- Comparison of emergency department workloads before and during the COVID-19 pandemic as assessed using relative value units.Clinical and experimental emergency medicine · 2022Article
- Impact of COVID-19 on the End-of-Life Care of Cancer Patients Who Died in a Korean Tertiary Hospital: A Retrospective Study.Journal of hospice and palliative care · 2022Article
- Changes in Emergency Department Case Severity and Length of Stay before and after COVID-19 Outbreak in Korea.Healthcare (Basel, Switzerland) · 2022Article
- Effect of a Boarding Restriction Protocol on Emergency Department Crowding.Yonsei medical journal · 2022Article
- The impact of COVID-19 on cancer care in a tertiary hospital in Korea: possible collateral damage to emergency care.Epidemiology and health · 2022Article
- Impact of COVID-19 on Emergency Medical Services for Patients with Acute Stroke Presentation in Busan, South Korea.Journal of clinical medicine · 2021Article
- Incidence and outcome of patients with difficulty in hospital acceptance during COVID-19 pandemic in Osaka Prefecture, Japan: A population-based descriptive study.Acute medicine & surgeryArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSevere acute respiratory syndrome coronavirus 2, which causes coronavirus disease 2019 (COVID-19), has spread worldwide. Global health systems, including emergency medical systems, are suffering from a lack of medical resources. Using a method for classifying patients visiting the emergency department (ED), we aimed to investigate trends in emergency medical system usage during the COVID-19 epidemic in Korea. MATERIALS AND
methodsThis retrospective observational study included patients who visited emergency medical institutions registered with the National Emergency Department Information System database from January 1, 2017 to May 31, 2020. The primary outcome was identification of changes in the distribution of patients visiting the ED according to the type of emergency medical institution. The secondary outcome was a detailed comparison of Korean Triage and Acuity Scale (KTAS) levels and patient distributions before and during the infectious disaster crisis period.
resultsSevere patients visited regional emergency centers (RECs) and local emergency centers (LECs) more frequently during the COVID-19 period, and disposition status warranting admission to the intensive care unit or resulting in death was more common in RECs and LECs during the COVID-19 period [RECs, before COVID-19: 300686 (6.3%), during COVID-19: 33548 (8.0%) (
conclusionDuring the COVID-19 period, severe patients were shifted to advanced emergency medical institutions, and the KTAS better reflected severe patients. Patient distribution according to the stage of emergency medical institution improved, and validation of the KTAS triage increased more in RECs.
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