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논문 기본 정보

자료유형
학술저널
저자정보
Sung Ho Kyung (National Emergency Medical Center National Medical Center Seoul Korea.) Paik Jin Hui (Department of Emergency Medicine Inha University College of Medicine Incheon Korea.) Lee Yu Jin (Department of Emergency Medicine Inha University College of Medicine Incheon Korea.) Kang Soo (Department of Emergency Medicine Inha University College of Medicine Incheon Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.16
발행연도
2021.1
수록면
1 - 11 (11page)

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초록· 키워드

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Background: The coronavirus disease 2019 (COVID-19) pandemic has impacted various aspects of daily living and has influenced the life of every individual in a unique way. Acute myocardial infarction (AMI) is associated with high morbidity and mortality; thus, timely treatment is crucial to prevent poor prognosis. Therefore, an immediate emergency department (ED) visit is required; however, no domestic studies have reported the effect of COVID-19 on ED visits by patients with AMI. Therefore, this study aimed to assess the changes in the pattern of ED visits by patients with AMI by comparing visits during the COVID-19 outbreak period to those during two control periods. Methods: This nationwide, retrospective study used registry data of the National Emergency Department Information System. The ‘outbreak period’ was defined as the period between February 21, 2020 and April 1, 2020, while the ‘control period’ was defined as the same time period in the preceding two years (2018 and 2019). The primary outcome of our study was the number of patients admitted to the ED owing to AMI during the outbreak and control periods. Secondary outcomes were time from symptom onset to ED visit, length of ED stay, and 30-day mortality following admission. Results: During the outbreak period, 401,378 patients visited the ED; this number was lower than that during the control periods (2018: 577,548; 2019: 598,514). The number of patients with AMI visiting the ED was lower during the outbreak period (2,221) than during 2018 (2,437) and 2019 (2,591). Conclusion: The COVID-19 pandemic has caused a reduction in ED visits by patients with AMI. We assume that this could likely be caused by misinterpretation of AMI symptoms as symptoms of respiratory infection, fear of contracting severe acute respiratory syndrome coronavirus 2, and restrictions in accessing emergency medical care owing to overburdened healthcare facilities. This study sheds light on the fact that healthcare and emergency medical staff members must work towards eliminating hurdles due to this pandemic for patients to receive timely emergency care, which in turn will help curb the growing burden of mortality.
#COVID-19 #Emergency Care #Myocardial Infarction

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참고문헌 (22)

참고문헌 신청
World Health Organization / Coronavirus disease (COVID-19) situation reports google schola Korea Centers for Disease control and Prevention / Coronavirus disease-19 main website google schola Heiber M / 2006 / Effect of the SARS outbreak on visits to a community hospital emergency department / CJEM 8(5):323~328 google schola Chen WK / 2005 / The impact of the SARS outbreak on an urban emergency department in Taiwan / Med Care 43(2):168~172 google schola 김도균 / 2017 / The Impact of Middle East Respiratory Syndrome Outbreak on Trends in Emergency Department Utilization Patterns / Journal of Korean Medical Science 32(10):1576~1580 dbpia

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