Evidence map›Paper›PMID 36676714›Full record

ArticleMedicina (Kaunas, Lithuania)2022

Collateral Effect of the Coronavirus Disease 2019 Pandemic on Emergency Department Visits in Korea.

Yeon-Joo Cho, In-Hwan Yeo, Dong-Eun Lee, Jong-Kun Kim, Yun-Jeong Kim, Chang-Ho Kim, Jae-Young Choe, Jung-Bae Park, Kang-Suk Seo, Byung-Hyuk Yu and 1 more

Abstract read
In one paragraph

Article in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Yeon-Joo ChoDepartment of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.
In-Hwan YeoDepartment of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.ORCID 0000-0002-6380-9443
Dong-Eun LeeDepartment of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.ORCID 0000-0002-2057-5261
Jong-Kun KimDepartment of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.ORCID 0000-0002-0583-4368
Yun-Jeong KimDepartment of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.ORCID 0000-0002-7906-9734
Chang-Ho KimDepartment of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.
Jae-Young ChoeDepartment of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.
Jung-Bae ParkDepartment of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.
Kang-Suk SeoDepartment of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.
Byung-Hyuk YuIntensive Care Unit, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu 41404, Republic of Korea.ORCID 0000-0001-8502-9352
Won-Kee LeeDepartment of Medical Informatics, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.

Funding

the Patient-Centered Clinical Research Coordinating Center (PACEN) and the COVID-19 Public Health Research, funded by the Ministry of Health & Welfare, Republic of Korea HI19C0481 and HC20C0026
6 · The paper itself

Abstract

Background and Objectives: The ongoing coronavirus disease 2019 (COVID-19) pandemic represents a global public health crisis that has had a serious impact on emergency department (ED) utilization trends. The aim of this study was to investigate the collateral effects of the COVID-19 pandemic on ED utilization trends by patients with mild and severe conditions as well as on 7-day fatality rates. Materials and Methods: We analyzed entries in the Korean National Health Insurance claims database between 1 January 2018 and 31 December 2020. Six target patient groups were identified using the main diagnosis codes in the 10th revision of the International Classification of Diseases. Numbers of patients visiting the ED, their age, regional differences, 7-day fatality rate, and rate of emergency procedures were compared between 2018 and 2019 as the control period and 2020, when the COVID-19 pandemic was in full force. Results: During the 2020 COVID-19 pandemic, the number of patients who visited the ED with low-acuity diseases and severe acute respiratory infection diseases sharply decreased to −46.22% and −56.05%, respectively. However, the 7-day fatality rate after ED visits for low-acuity diseases and severe acute respiratory infection diseases increased to 0.04% (p < 0.01), and 1.65% (p < 0.01), respectively, in 2020 compared to that in the control period. Conclusions: During the 2020 COVID-19 pandemic, ED utilization impacted and 7-day fatality rate after ED visit increased. Health authorities and health care providers must strive to ensure prompt delivery of optimal care in EDs for patients with severe or serious symptoms and time-dependent diseases, even during the ongoing COVID-19 or potential future pandemics.

Indexed as

COVID-19Acute DiseaseEmergency Service, HospitalHumansPandemicsRepublic of KoreaRetrospective Studiescase fatality rateCOVID-19 pandemicemergency departmentfacility utilization

Identifiers

PMID36676714
PMCPMC9862451

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LicenceCC BY
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Registered trials

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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.