원문정보
Change in the severity of patients visiting emergency medical centers through the 119 ambulance during the COVID-19 pandemic
초록
영어
Purpose: Despite the fact that emergency medical centers (ED) are used by emergency patients, more than 50% of non-emergency patients have been reported to be admitted in EDs, of which more than 10% of them used the 119 ambulance. Therefore, this study investigated whether there was a change in the severity of patients visiting EDs during the first year of the COVID-19 pandemic. Methods: This was a retrospective study of patients who visited the ED through the 119 ambulance in 2019 (13,735) and 2020 (11,015). Patient data were analyzed using the medical information system. Results: There was an increase in non-emergency patients at the emergency departments (KTAS levels 4-5) in 2020 with a rate of 58.0% (6,393), as compared to the 2019 data with a rate of 44.9% (6,169). However, the 2020 median length of stay in the emergency department was 188 minutes (IQR: 0-5,909minutes) (p=.000), which was decreased as compared to the 2019 median length of stay of 231 minutes (IQR: 5-6,211minutes) (p=.003). Conclusion: Providing emergency ambulance guidelines for selecting proper hospitals and educating patients to refrain from using the ED for non-emergency patients should be taken into consideration to prevent overcrowding and construct a more effective emergency medical system (EMS).
목차
Ⅰ. 서론
1. 연구의 필요성
2. 연구의 목적
Ⅱ. 연구방법
1. 연구설계
2. 연구대상
3. 자료수집방법
4. 자료분석
Ⅲ. 연구결과
1. 환자의 일반적 특성
2. 2019년, 2020년도 중증도(KTAS)분류 결과에 따른 일반적 특성 비교
3. 비 응급(level 4,5) 환자의 일반적 특성 비교
Ⅳ. 논의
Ⅴ. 결론
References