Evidence map›Paper›PMID 36054422›Full record

Observational studyEmergency medicine Australasia : EMA2023

Impact of COVID-19 pandemic on emergency department patient volume and flow: Two countries, two hospitals.

Peter Del Mar, Min Joung Kim, Nathan J Brown, Joon Min Park, Kevin Chu, John Burke

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Emergency medicine Australasia : EMA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Peter Del MarEmergency and Trauma Centre, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.ORCID 0000-0001-7389-7339
Min Joung KimDepartment of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Nathan J BrownEmergency and Trauma Centre, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.ORCID 0000-0001-7149-8895
Joon Min ParkDepartment of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Republic of Korea.
Kevin ChuFaculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0002-1709-7174
John BurkeEmergency and Trauma Centre, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.ORCID 0000-0001-7450-3127
The University of Queensland · AUInje University Ilsan Paik Hospital · KRRoyal Brisbane and Women's Hospital · AUYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCOVID-19 greatly disrupted the provision of emergency care across the globe. ED service delivery was urgently redesigned as human and material resources were mobilised, and patients with respiratory symptoms were isolated. This study aimed to compare ED patient volume and flow metrics before and during the COVID-19 pandemic.

methodsAn observational study was conducted in two large urban EDs in Brisbane, Australia and Seoul, Republic of Korea. Patient volume and flow were quantified using ED presentation numbers and service times, respectively. Daily case numbers, waiting, treatment and admission delay times were compared between 2019 and 2020/2021 using time series plots. Outcomes were further classified by triage category and age group. Trends were examined alongside a timeline of health service and government policies.

resultsThere were reductions in daily presentations for the least urgent triage categories during the early phase of the pandemic. The caseloads for the most urgent triage categories were unaffected. The trends were similar in both EDs. A reduction in waiting and admission delay times but not treatment times coincided with reduced presentations in Brisbane. This pattern gradually reversed as presentations returned to baseline. In Seoul, admission delay times returned to pre-pandemic levels despite a persistent reduction in presentation numbers.

conclusionsTotal daily presentations varied considerably according to government mandated social restrictions and testing requirements in both EDs. The reductions in waiting and admission delay times corresponded with improvements in hospital capacity.

Indexed as

COVID-19Emergency Service, HospitalHospitalsHumansPandemicsRetrospective StudiesTriageAustraliacoronavirusCOVID-19emergencySouth Korea

Identifiers

PMID36054422
PMCPMC9538521
OpenAlexW4292800865

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.