ArticleJournal of Korean medical science2023
The Impact of the COVID-19 Outbreak on Emergency Medical Service: An Analysis of Patient Transportations and Time Intervals.
Article in Journal of Korean medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- A Retrospective Analysis of Nearly 3,000,000 Non-COVID-19 Mid- and High-Priority Ambulance Activations Before and During COVID-19: A National Study from Saudi Arabia.Healthcare (Basel, Switzerland) · 2026Article
- Dynamic demand forecasting and capacity assessment for emergency care system: a hybrid time series and machine learning approach with evidence from Beijing.BMC health services research · 2026Article
- Observational
- Global, Regional, and National Trends in Maternal Mortality Ratio Across 37 High Income Countries From 1990 to 2021, With Projections up to 2050: A Comprehensive Analysis From the WHO Mortality Database.Journal of Korean medical science · 2025Article
- Effects of an increase in emergency cases with difficulties in transport to hospital during the COVID-19 pandemic on postoperative short-term outcomes of colorectal perforation: A study based on the National Clinical Database.Annals of gastroenterological surgery · 2025Article
- Temporal Radiographic Trajectory and Clinical Outcomes in COVID-19 Pneumonia: A Longitudinal Study.Journal of Korean medical science · 2025Article
- Temporal trends in pediatric intestinal intussusception following the COVID-19 outbreak in Seoul, Korea.Pediatrics international : official journal of the Japan Pediatric SocietyObservational
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Authors and funding
7 authors.
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Abstract
backgroundThis study aimed to investigate the impact of the coronavirus disease 2019 (COVID-19) outbreak on the Emergency Medical Service (EMS) system in South Korea. The study focused on the differences in EMS time intervals following the COVID-19 outbreak, particularly for patients with fever.
methodsA retrospective analysis of EMS patient transportation data from 2017 to 2022 was conducted using the national EMS database.
resultsStarting from the year 2020, coinciding with the COVID-19 outbreak, all EMS time intervals experienced an increase. For the years 2017 to 2022, the mean response time interval values were 8.6, 8.6, 8.6, 10.2, 12.8, and 11.4 minutes, and the mean scene time interval values were 7.1, 7.2, 7.4, 9.0, 9.8, and 10.9 minutes. The mean transport time interval (TTI) values were 12.1, 12.3, 12.4, 14.2, 16.9, and 16.2 minutes, and the mean turnaround time interval values were 27.6, 27.9, 28.7, 35.2, 42.0, and 43.1 minutes. Fever (≥ 37.5°C) patients experienced more pronounced prolongations in EMS time intervals compared to non-fever patients and had a higher probability of being non-transported. The mean differences in TTI between fever and non-fever patients were 0.8, 0.8, 0.8, 4.3, 4.8, and 3.2 minutes, respectively, from 2017 to 2022. Furthermore, the odds ratios for fever patients being transported to the emergency department were 2.7, 2.9, 2.8, 1.1, 0.8, and 0.7, respectively, from 2017 to 2022.
conclusionThe study findings highlight the significant impact of the COVID-19 outbreak on the EMS system and emphasize the importance of ongoing monitoring to evaluate the burden on the EMS system.
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