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 EMERGENCY MEDICINE Clinical and Experimental Emergency Medicine 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
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引用次数: 0

摘要

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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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.

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.

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CiteScore
2.80
自引率
10.50%
发文量
59
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