ArticleClinical and experimental emergency medicine2022
Effect of fever or respiratory symptoms on leaving without being seen during the COVID-19 pandemic in South Korea.
Article in Clinical and experimental emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Leaving without being seen and against medical advice from the pediatric emergency department: a single-center retrospective cohort study in Türkiye.European journal of pediatrics · 2026Article
- Nationwide Age-Specific Changes in EMS-Transported Emergency Department Visits in Korea During the Pre-COVID-19 and Post-COVID-19 Periods.Journal of clinical medicine · 2026Article
- Left Without Being Seen: A Scoping Review of a Silent Crisis in Emergency Departments.Open access emergency medicine : OAEM · 2026Review
- Impact of the Early COVID-19 Pandemic on Emergency Department Visits of Adult Cancer Patients With Fever or Respiratory Symptoms: A Korean Nationwide Population-Based Study, 2016-2020.Journal of Korean medical science · 2024Article
- Epidemiologic trends of patients who visited nationwide emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.Clinical and experimental emergency medicine · 2023Article
- Characteristics of pediatric emergency department visits before and during the COVID-19 pandemic: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.Clinical and experimental emergency medicine · 2023Article
- Patient Anxiety and Communication Experience in the Emergency Department: A Mobile, Web-Based, Mixed-Methods Study on Patient Isolation During the COVID-19 Pandemic.Journal of Korean medical science · 2023Article
- The impact of the COVID-19 pandemic on in-hospital mortality in patients admitted through the emergency department.Clinical and experimental emergency medicine · 2023Article
- Impact of COVID-19 outbreak on acute gallbladder disease in the emergency department.Clinical and experimental emergency medicine · 2023Article
- Emergency Transport Refusal during the Early Stages of the COVID-19 Pandemic in Gyeonggi Province, South Korea.International journal of environmental research and public health · 2022Article
- The effect of COVID-19 pandemic on the length of stay and outcomes in the emergency department.Clinical and experimental emergency medicine · 2022Article
- Optimal diagnostic fever thresholds using non-contact infrared thermometers under COVID-19.Frontiers in public health · 2022Article
- Cause-specific mortality in Korea during the first year of the COVID-19 pandemic.Epidemiology and health · 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
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveCoronavirus disease 2019 (COVID-19) has notably altered the emergency department isolation protocol, imposing stricter requirements on probable infectious disease patients that enter the department. This has caused adverse effects, such as an increased rate of leave without being seen (LWBS). This study describes the effect of fever/respiratory symptoms as the main cause of isolation regarding LWBS after the COVID-19 pandemic.
methodsWe retrospectively analyzed emergency department visits before (March to July 2019) and after (March to July 2020) the COVID-19 pandemic. Patients were grouped based on existing fever or respiratory symptoms, with the LWBS rate as the primary outcome. Logistic regression analysis was used to identify the risk factors of LWBS. Logistic regression was performed using interaction terminology (fever/respiratory symptom patient [FRP] × post-COVID-19) to determine the interaction between patients with FRPs and the COVID-19 pandemic period.
resultsA total of 60,290 patients were included (34,492 in the pre-COVID-19, and 25,298 in the post-COVID-19 group). The proportion of FRPs decreased significantly after the pandemic (P < 0.001), while the LWBS rate in FRPs significantly increased from 2.8% to 19.2% (P < 0.001). Both FRPs (odds ratio, 1.76; 95% confidence interval, 1.59-1.84 (P < 0.001) and the COVID-19 period (odds ratio, 2.29; 95% confidence interval, 2.15-2.44; P < 0.001) were significantly associated with increased LWBS. Additionally, there was a significant interaction between the incidence of LWBS in FRPs and the COVID-19 pandemic period (P < 0.001).
conclusionThe LWBS rate has increased in FRPs after the COVID-19 pandemic; additionally, the effect observed was disproportionate compared with that of nonfever/respiratory symptom patients.
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