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J Korean Soc Emerg Med > Volume 34(6); 2023 > Article
Journal of The Korean Society of Emergency Medicine 2023;34(6): 527-539.
충남지역 중증응급질환 환자들의 응급의료이용에 대한 코로나-19 팬데믹의 영향
최일국1 , 노을희2 , 최한주1
1단국대학교 의과대학 응급의학교실
2국립중앙의료원 충남응급의료지원센터
The impacts of the COVID-19 pandemic on emergency care utilization in patients with major emergency diseases in Chungnam Province
Il Kug Choi1 , Eul Hee Roh2 , Han Joo Choi1
1Department of Emergency Medicine, Dankook University College of Medicine, Cheonan, Korea
2Chungnam Emergency Medical Service Support Center, National Medical Center, Hongseong, Korea
Correspondence  Han Joo Choi ,Tel: 041-550-6840, Fax: 041-550-7054, Email: iqtus@hanmail.net,
Received: January 13, 2023; Revised: March 28, 2023   Accepted: April 30, 2023.  Published online: December 31, 2023.
ABSTRACT
Objective:
This study analyzed the impact of the coronavirus disease 2019 (COVID-19) pandemic on emergency care utilization in Chungnam Province by examining the status of emergency care utilization during this period.
Method:
This study retrospectively analyzed 154,946 patients who visited emergency medical institutions in Chungnam Province for a major emergency between January 2015 and December 2021, using the National Emergency Department Information System data.
Results:
The incidence of the The three major emergency diseases are acute myocardial infarction (AMI), acute stroke, severe trauma decreased. Primary visits to the regional and local emergency medical centers increased, except for local emergency medical institutions. The utilization rate of the 119 ambulance service in 2020 decreased significantly for AMI compared to the previous year and was the lowest among the three major emergency diseases. Air transportation by helicopter decreased during the COVID-19 pandemic. The rate of emergency room arrivals within the golden hour decreased during the COVID-19 pandemic. The transfer and retransfer rates also decreased for all three major emergency diseases. Despite the decreased number of patients during the pandemic, the ratio of primary visits to the local emergency medical centers for the three major emergency diseases increased, and the lengths of stay in the emergency room increased.
Conclusion:
The COVID-19 pandemic significantly impacted the occurrence, transportation, and therapeutic response to the three major emergency diseases in Chungnam Province. The vulnerability of patients with AMI in the pre-pandemic era was further exacerbated during the pandemic.
Key words: Myocardial infarction; Stroke; Multiple trauma; Emergency medical services; Patient transfers; COVID-19
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