ArticleJournal of Korean medical science2024
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.
Article in Journal of Korean medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Integrated Clinical and Social Impacts of the COVID-19 Pandemic in Korea: A Combined Systematic and Narrative Review.Journal of Korean medical science · 2026Pooled it
- Emergency Department Utilization Patterns and Regional Disparities in Access to Care for Children With Complex Chronic Conditions in Korea: A Nationwide Analysis.Journal of Korean medical science · 2026Article
- Ocular Injury in Korea: Epidemiological Analysis and Risk Assessment Based on Nationwide Emergency Department Data (2016-2022).Journal of Korean medical science · 2026Article
- Delayed at the Door: Impact of Pandemic Response Policies on Emergency and Critical Care in Korea: An Interrupted Time-Series Analysis.Journal of Korean medical science · 2026Article
- Indoor falls-related hip and femur fractures decreased during the social distancing period of COVID-19 in South korea: a single-center retrospective cohort study using propensity score matching.Aging clinical and experimental research · 2025Article
- Trends in Proportion of Delirium Among Older Emergency Department Patients in South Korea, 2017-2022.The western journal of emergency medicine · 2025Article
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5 authors.
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Abstract
backgroundWe performed a nationwide analysis to evaluate the impact of the early coronavirus disease 2019 (COVID-19) pandemic on emergency department (ED) visits by adult cancer patients having COVID-like symptoms.
methodsWe analyzed the National Emergency Department Information System (NEDIS) data on ED visits by adult cancer patients who presented with chief complaints of fever or respiratory symptoms (FRS) indicative of COVID-19, from 2016 to 2020. An interrupted time series analysis with a quasi-Poisson regression model was performed, adjusting for seasonality and time, to evaluate whether underlying trends for monthly ED visits and the in-hospital mortality rate (%) per month changed with the pandemic among these patients. We also estimated the adjusted odds ratio (aOR) of in-hospital deaths among cancer patients using multivariable logistic regression analysis.
resultsED visits by cancer patients with FRS decreased during the COVID-19 pandemic (relative risk [RR] with 95% confidence interval [CI]: slope change, 0.99 [0.98-1.00] and step change, 0.84 [0.76-0.92]). However, the in-hospital mortality rate (%) for these patients was increased (slope change, 1.14 [1.04-1.25] and step change, 0.99 [0.98-1.01]). Factors such as urgent triage status, ambulance use, and treatment in hospitals with fewer than 300 staffed beds significantly contributed to increased aOR of in-hospital deaths during the COVID-19 pandemic compared to the pre-pandemic period.
conclusionFurther studies are needed to highlight the importance of ED service preparation in planning and managing resources for cancer patients during future pandemics.
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