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ROMIAE (Rule-Out Acute Myocardial Infarction Using Artificial Intelligence Electrocardiogram Analysis) trial study protocol: a prospective multicenter observational study for validation of a deep learning-based 12-lead electrocardiogram analysis model for detecting acute myocardial infarction in patients visiting the emergency department. ROMIAE(利用人工智能心电图分析排除急性心肌梗死)试验研究方案:一项前瞻性多中心观察研究,旨在验证基于深度学习的12导联心电图分析模型用于检测急诊科患者的急性心肌梗死。
IF 1.9 Q2 Nursing Pub Date : 2023-12-01 Epub Date: 2023-11-28 DOI: 10.15441/ceem.22.360
Tae Gun Shin, Youngjoo Lee, Kyuseok Kim, Min Sung Lee, Joon-Myoung Kwon

Objective: Based on the development of artificial intelligence (AI), an emerging number of methods have achieved outstanding performances in the diagnosis of acute myocardial infarction (AMI) using an electrocardiogram (ECG). However, AI-ECG analysis using a multicenter prospective design for detecting AMI has yet to be conducted. This prospective multicenter observational study aims to validate an AI-ECG model for detecting AMI in patients visiting the emergency department.

Methods: Approximately 9,000 adult patients with chest pain and/or equivalent symptoms of AMI will be enrolled in 18 emergency medical centers in Korea. The AI-ECG analysis algorithm we developed and validated will be used in this study. The primary endpoint is the diagnosis of AMI on the day of visiting the emergency center, and the secondary endpoint is a 30-day major adverse cardiac event. From March 2022, patient registration has begun at centers approved by the institutional review board.

Discussion: This is the first prospective study designed to identify the efficacy of an AI-based 12-lead ECG analysis algorithm for diagnosing AMI in emergency departments across multiple centers. This study may provide insights into the utility of deep learning in detecting AMI on electrocardiograms in emergency departments. Trial registration ClinicalTrials.gov identifier: NCT05435391. Registered on June 28, 2022.

目的:基于人工智能(AI)的发展,一些新兴的方法在利用心电图(ECG)诊断急性心肌梗死(AMI)方面取得了突出的表现。然而,使用多中心前瞻性设计检测AMI的AI-ECG分析尚未进行。本前瞻性多中心观察性研究旨在验证AI-ECG模型在急诊科患者中检测AMI的效果。方法:将在韩国18个急诊医疗中心招募约9,000名患有胸痛和/或类似AMI症状的成年患者。我们开发并验证的AI-ECG分析算法将用于本研究。主要终点是到达急救中心当天的AMI诊断,次要终点是30天内的主要心脏不良事件。从2022年3月起,患者登记开始在机构审查委员会批准的中心进行。讨论:这是第一项前瞻性研究,旨在确定基于人工智能的12导联心电图分析算法在多中心急诊科诊断AMI的有效性。本研究可能为深度学习在急诊科心电图检测AMI中的应用提供见解。试验注册:ClinicalTrials.gov标识符:NCT05435391。注册于2022年6月28日。
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引用次数: 0
Acute myocardial infarction diagnosed in emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 急诊科诊断的急性心肌梗死:来自韩国国家急诊科信息系统(NEDIS)的报告,2018-2022
IF 1.9 Q2 Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.140
Shin Ahn, Eunsil Ko, Young Sun Ro
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引用次数: 0
Epidemiologic trends of patients who visited nationwide emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 全国急诊科就诊患者的流行病学趋势:韩国国家急诊科信息系统(NEDIS) 2018-2022年报告
IF 1.9 Q2 Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.151
Hyun Ho Yoo, Young Sun Ro, Eunsil Ko, Jin-Hee Lee, So-Hyun Han, Taerim Kim, Tae Gun Shin, Seongjung Kim, Hansol Chang

Objective: : This study analyzed trends in emergency department (ED) visits in South Korea using the National Emergency Department Information System (NEDIS) data from 2018 to 2022.

Methods: : This was a retrospective observational study using data from the NEDIS database from 2018 to 2022. Age- and sex-standardized ED visits per 100,000 population, as well as age- and sex-standardized rates for mortality, admission, and transfer, were calculated.

Results: : The standardized ED visits per 100,000 population was approximately 20,000 from 2018 to 2019 and decreased to about 18,000 in 2022. The standardized mortality rate ranged from 1.4% to 1.7%. The admission rate (18.4%-19.4%) and the transfer rates (1.6%-1.8%) were similar during the study period. Approximately 5.5% of patients were triaged as Korean Triage and Acuity Scale score 1 or 2. About 91% of patients visited the ED directly and 21.7% of patients visited the ED with an ambulance. The ED length of stay was less than 6 hours in 90.3% of patients and the ED mortality rate was 0.6%. Acute gastroenteritis was the most common diagnosis. Respiratory virus symptoms, such as fever and sore throat, were also common chief complaints.

Conclusion: : ED visits decreased during the 5-year period, while admission, transfer, and death rates remained relatively stable.

目的:本研究利用国家急诊科信息系统(NEDIS)数据分析了2018年至2022年韩国急诊科(ED)就诊趋势。方法:本研究是一项回顾性观察性研究,使用2018 - 2022年NEDIS数据库的数据。计算了每10万人中年龄和性别标准化的急诊科访问量,以及年龄和性别标准化的死亡率、入院率和转院率。结果:2018 - 2019年,每10万人标准化ED就诊次数约为2万次,2022年降至1.8万次左右。标准化死亡率从1.4%到1.7%不等。研究期间的录取率(18.4% ~ 19.4%)和转学率(1.6% ~ 1.8%)相似。约5.5%的患者被分类为韩国分诊法和敏锐度量表评分1或2分。约91%的患者直接到急诊科就诊,21.7%的患者通过救护车就诊。90.3%的患者急诊科住院时间小于6小时,急诊科死亡率为0.6%。急性肠胃炎是最常见的诊断。呼吸道病毒症状,如发烧和喉咙痛,也是常见的主诉。结论:5年期间急诊科就诊人数减少,入院率、转院率和死亡率保持相对稳定。
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引用次数: 0
Mortality and incidence rate of acute severe trauma patients in the emergency department: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 急诊科急性严重创伤患者的死亡率和发病率:韩国国家急诊科信息系统(NEDIS) 2018-2022年的报告
IF 1.9 Q2 Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.147
Jung-Youn Kim, Young-Hoon Yoon, Sung Joon Park, Won Pyo Hong, Young Sun Ro
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引用次数: 0
Recent status of sudden cardiac arrests in emergency medical facilities: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 紧急医疗设施中心脏骤停的最新状况:韩国国家急诊科信息系统(NEDIS) 2018-2022年的报告
IF 1.9 Q2 Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.154
Jung Soo Park, Byung Kook Lee, Sung-Keun Ko, Young Sun Ro
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引用次数: 0
Emergency department utilization in elderly patients: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 老年患者急诊科使用率:韩国国家急诊科信息系统(NEDIS) 2018-2022年报告
IF 1.9 Q2 Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.146
Sun Young Lim, You Hwan Jo, Seongjung Kim, Eunsil Ko, Young Sun Ro, Jungeon Kim, Sumin Baek

Objective: : With general aging of the population, emergency department (ED) utilization by elderly patients is increasing. In this study, we analyzed data on ED visits of patients aged 65 years and older in Korea.

Methods: : The study is a retrospective analysis of National Emergency Department Information System (NEDIS) data from 2018-2022, focusing on patients aged 65 years and older who visited EDs across Korea. ED utilization data were analyzed using Korean Triage and Acuity Scale (KTAS) scores. The patients were divided into three age groups, and common chief complaints and diagnoses were identified. Age- and sex-standardized ED visits per 100,000 population and outcomes were also analyzed.

Results: : During the study period, there was a total of 9,803,065 elderly patient ED visits. The mean patient age was 76.4±7.6 years, and 47.6% were men. The ED mortality rate and in-hospital mortality rate were 1.8% and 4.6%, respectively. The KTAS scores 1-2 group accounted for 11.0% of patients, KTAS score 3 group for 42.5%, KTAS scores 4-5 group for 37.2%, and KTAS score unknown group for 9.4%. When patients were categorized into three age groups, the oldest group exhibited the highest rates of KTAS score 1, severe illness diagnoses, and mortality. The most frequently reported chief complaint was abdominal pain, and the most common diagnosis was light headedness. When analyzing the data by year, the COVID-19 outbreak had a discernible impact on ED visits and clinical outcomes.

Conclusion: : Over the past 5 years, ED visits for elderly patients have averaged 26,050 per 100,000 population per year, with a temporary decline during the COVID-19 pandemic and a subsequent upward trend.

目的:随着人口的普遍老龄化,老年患者对急诊科(ED)的使用率越来越高。在这项研究中,我们分析了韩国65岁及以上患者的急诊科就诊数据。方法:本研究回顾性分析了2018-2022年全国急诊科信息系统(NEDIS)的数据,重点分析了韩国各地65岁及以上的急诊科患者。使用韩国分诊和敏锐度量表(KTAS)对ED使用数据进行分析。将患者分为三个年龄组,确定常见的主诉和诊断。还分析了每10万人中年龄和性别标准化的急诊科就诊情况和结果。结果:在研究期间,共有9803065名老年患者就诊于急诊科。患者平均年龄76.4±7.6岁,男性占47.6%。急诊死亡率和住院死亡率分别为1.8%和4.6%。KTAS 1-2分组占11.0%,KTAS 3分组占42.5%,KTAS 4-5分组占37.2%,KTAS评分未知组占9.4%。将患者分为3个年龄组时,年龄最大的年龄组的KTAS得分为1分、重症诊断率和死亡率最高。最常见的主诉是腹痛,最常见的诊断是轻度头痛。按年分析数据时,COVID-19的爆发对急诊科就诊和临床结果有明显的影响。结论:在过去的5年里,老年患者的急诊科就诊平均为每年每10万人26,050次,在COVID-19大流行期间暂时下降,随后呈上升趋势。
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引用次数: 0
Epidemiology of stroke in emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 急诊科卒中流行病学:来自韩国国家急诊科信息系统(NEDIS)的报告,2018-2022
IF 1.9 Q2 Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.153
Sung Eun Lee, Hyo Jin Kim, Young Sun Ro
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引用次数: 0
Epidemiology of suicide attempts and self-harm in emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 急诊科自杀企图和自残的流行病学:来自韩国国家急诊科信息系统(NEDIS)的报告,2018-2022。
IF 1.9 Q2 Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.141
Kwang Yul Jung, Taehui Kim, Young Sun Ro
{"title":"Epidemiology of suicide attempts and self-harm in emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.","authors":"Kwang Yul Jung, Taehui Kim, Young Sun Ro","doi":"10.15441/ceem.23.141","DOIUrl":"10.15441/ceem.23.141","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"10 S","pages":"S69-S74"},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134648575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics of pediatric emergency department visits before and during the COVID-19 pandemic: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. COVID-19大流行之前和期间儿科急诊科就诊特征:来自韩国国家急诊科信息系统(NEDIS) 2018-2022年的报告
IF 1.9 Q2 Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.150
Jin Hyuck Hong, So Hyun Paek, Taerim Kim, Seongjung Kim, Eunsil Ko, Young Sun Ro, Jungeon Kim, Jae Hyun Kwon

Objective: : As of 2018, approximately 1.2 million pediatric patients visited emergency departments (EDs) in Korea, showing a steady increase. Given the distinct differences between children and adults, it is vital to examine the epidemiological characteristics of pediatric patients visiting the ED.

Methods: : This study retrospectively analyzed the ED use patterns of pediatric patients <18 years old in Korea from January 1, 2018, to December 31, 2022, using data from the National Emergency Department Information System (NEDIS).

Results: : Most pediatric ED patients were boys, with an average age of 6.6±5.3 years. Patients younger than 1 year and those in critical condition had longer ED stays and more frequently required hospital admission and used the 119-ambulance service. The primary symptom was fever, and the most common discharge diagnosis was gastroenteritis. Following the declaration of the COVID-19 pandemic in 2020, ED visits decreased by 49%. Meanwhile, there was an increase in in-hospital mortality rate/age- and sex-standardized mortality rate per 100,000 ED visits, Admission and transfer rates remained similar between before and after the start of the pandemic.

Conclusion: : Through this analysis, we identified the characteristics of pediatric patients visiting EDs in Korea. We observed a sharp decline in ED visits after the start of the COVID-19 pandemic. From there, ED visits slowly increased but remained below prepandemic levels for 3 years. This research will serve as a foundational resource for appropriately allocating and preparing pediatric ED resources.

目标:截至2018年,韩国约有120万名儿科患者就诊急诊科,呈稳步增长趋势。考虑到儿童与成人的明显差异,研究儿科急诊科患者的流行病学特征至关重要。方法:回顾性分析儿科急诊科患者使用急诊科的情况。结果:儿童急诊科患者以男孩为主,平均年龄为6.6±5.3岁。年龄小于1岁的患者和病情危重的患者急诊科住院时间更长,需要住院的频率更高,并使用119救护车服务。主要症状为发热,出院诊断以肠胃炎最常见。自2020年宣布COVID-19大流行以来,急诊科就诊人数减少了49%。与此同时,住院死亡率/每10万次急诊科就诊的年龄和性别标准化死亡率有所增加,入院率和转院率在大流行开始前后保持相似。结论:通过分析,我们确定了韩国儿科急诊科患者的特征。我们观察到,在COVID-19大流行开始后,急诊科就诊人数急剧下降。从那时起,急诊科就诊人数缓慢增加,但在3年内仍低于大流行前的水平。本研究将为合理分配和准备儿科急诊科资源提供基础资源。
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引用次数: 0
Trends in traumatic brain injury-related emergency department visits in Korea: a report from the National Emergency Department Information System (NEDIS) 2018-2022. 韩国外伤性脑损伤相关急诊科就诊趋势:2018-2022年国家急诊科信息系统(NEDIS)报告
IF 1.9 Q2 Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.148
Hang A Park, Borami Lim, Young Sun Ro
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引用次数: 0
期刊
Clinical and Experimental Emergency Medicine
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