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J Korean Soc Emerg Med > Volume 35(3); 2024 > Article
Journal of The Korean Society of Emergency Medicine 2024;35(3): 212-222.
일개 권역응급의료센터 응급실에 내원한 패혈증성 쇼크 환자에서 응급실 과밀화가 항생제 투약시간에 미치는 영향
남택규1 , 류지호1,2 , 민문기1,2 , 이대섭1 , 천모세1 , 손승우1 , 양욱태3 , 이민지1
1양산부산대학교병원 응급의학과
2부산대학교 의과대학 응급의학교실
3부산대학교병원 응급의학과
Impact of emergency room occupancy on the timing of antibiotic administration in patients with septic shock who visited the emergency room
Taek Kyu Nam1 , Ji Ho Ryu1,2 , Mun ki Min1,2 , Daesup Lee1 , Mose Chun1 , Seung Woo Son1 , Yang Wook Tae3 , Minjee Lee1
1Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea
2Department of Emergency Medicine, Pusan National University College of Medicine, Busan, Korea
3Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea
Correspondence  Minjee Lee ,Tel: 055-360-2143, Fax: 055-360-2173, Email: liobamj@gmail.com,
Received: August 10, 2023; Revised: September 13, 2023   Accepted: September 18, 2023.  Published online: June 30, 2024.
ABSTRACT
Objective:
The emergency department (ED) serves as the initial point of contact for many sepsis patients, but crowding can affect the timely delivery of essential interventions, such as antibiotics. This paper explores the relationship between antibiotics administration and ED crowding in the context of sepsis management.
Method:
This single-center study at a tertiary care hospital included adult patients aged 18 and above who visited the emergency department from January 2018 to December 2022. Patients showing signs of septic shock upon arrival were selected as the study population. This study examined factors such as emergency department occupancy, antibiotic administration time, and their correlation with timely antibiotic treatment.
Results:
This study of 839 adult patients with septic shock found a weak correlation (P=0.107) between the time to antibiotic administration and department occupancy. Delayed antibiotic administration was observed when the occupancy exceeded 100%. On the other hand, there was no significant correlation between antibiotic administration within one hour and department occupancy.
Conclusion:
Various factors, such as ED bed occupancy, medical staffing, resource allocation, and patient acuity, must be considered when comprehensively evaluating the impact of ED overcrowding on treating septic shock and other conditions.
Key words: Septic shock; Bed occupancy; Crowding
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