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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 1,576 - 1,580 (5page)
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Changes occurred in the patterns of utilization of emergency medical services during the Middle East respiratory syndrome (MERS) outbreak. The purpose of this study was to analyze the patterns of adult and pediatric patients who visited the emergency department (ED) during the outbreak. This retrospective study was conducted by analyzing changes in the patterns of visits among adult and pediatric patients in the ED at one tertiary teaching hospital in Korea. The study was performed from June 1, 2013 to July 31, 2015. The MERS outbreak period was from June 1 to July 31, 2015, and we compared that period to the same periods in 2013 and 2014. We compared and analyzed the patients' characteristics, emergency severity index (ESI) level at the visit, cause of visit, diagnosis, final dispositions, injury/non-injury, length of stay at the ED (EDLOS), and hospitalization rate. A total of 9,107 patients visited the ED during this period. Of these patients, 2,572 (28.2%) were pediatric patients and 6,535 (71.8%) were adult patients. The most common cause of an ED visit was fever (adult patients: 21.6%, pediatric patients: 56.2%). The proportion of non-urgent visits involving an ESI level of 4 or 5 and the EDLOS decreased significantly in pediatric and adult patients in comparison to that during the past two years. This change was significant in pediatric patients. Among adult patients, the rate of injury decreased, whereas it increased among pediatric patients. During the MERS outbreak period, pediatric ED visits due to non-urgent cases decreased significantly and there were more pronounced differences in ED utilization patterns in pediatric patients than in adult patients.
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참고문헌 (27)
참고문헌 신청
오명돈 / 2015 / Middle East Respiratory Syndrome Coronavirus Superspreading Event Involving 81 Persons, Korea 2015 / Journal of Korean Medical Science 30(11):1701~1705
Ki M. / 2015 / 2015 MERS outbreak in Korea: hospital-to-hospital transmission / Epidemiol Health 37:e2015033
Huang CC / 2005 / Impact of Severe Acute Respiratory Syndrome(SARS)outbreaks on the use of emergency department medical resources / J Chin Med Assoc 68:254~259
최준용 / 2015 / An Outbreak of Middle East Respiratory Syndrome Coronavirus Infection in South Korea, 2015 / Yonsei Medical Journal 56(5):1174~1176
Miroballi Y / 2010 / Novel influenza A(H1N1)in a pediatric health care facility in New York City during the first wave of the 2009 pandemic / Arch Pediatr Adolesc Med 164:24~30
Ki M. / 2015 / 2015 MERS outbreak in Korea: hospital-to-hospital transmission / Epidemiol Health 37:e2015033
Huang CC / 2005 / Impact of Severe Acute Respiratory Syndrome(SARS)outbreaks on the use of emergency department medical resources / J Chin Med Assoc 68:254~259
최준용 / 2015 / An Outbreak of Middle East Respiratory Syndrome Coronavirus Infection in South Korea, 2015 / Yonsei Medical Journal 56(5):1174~1176
Miroballi Y / 2010 / Novel influenza A(H1N1)in a pediatric health care facility in New York City during the first wave of the 2009 pandemic / Arch Pediatr Adolesc Med 164:24~30
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