The impact of the SARS outbreak on an urban emergency department in Taiwan
The impact of the SARS outbreak on an urban emergency department in Taiwan
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DOI：
10.1097/00005650-200502000-00010
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发表时间：
2005-02-01
期刊：
影响因子：
3
通讯作者：
Lin, CC
中科院分区：
文献类型：
--
作者：
Chen, WK;Cheng, YC;Lin, CC
目的：在严重急性呼吸综合征(SARS)疫情期间，急诊科(ED)处于最前线，应对可能的传播病例。本研究旨在探讨SARS疫情对某城市急诊科的影响。方法：收集2003年3-5月台湾地区SARS暴发期间某城市急诊科的病历资料。危机期被分为两个时期：4月21日第一次与医院相关的传播日期之前30天(时期1)和之后(时期2)。结果：在第二阶段中，ED患者数量下降了33.4%。男性患者百分比增加了2.1%(95%CI，0.4-3.8)，发热百分比增加了2.5%(95%CI，1.5-3.7)。38℃)，第二阶段发热主诉增加4.0%(95%CI，2.6-5.4%)。第二阶段18岁以下非创伤患者数量下降了44.5%。保险机构的总报销费用下降了21.7%。在SARS暴发期间，急救期间医护人员感受到的压力最大(中位数压力评定值4分，四分位数范围1)。结论：SARS灾难影响急诊就诊量、经济状况、患者特征和急诊护士的压力水平。EDS必须做好充分准备，迎接下一次SARS或其他传染病爆发的挑战。
Objective: Emergency departments (ED) were on the front lines for possible cases of transmission during the severe acute respiratory syndrome (SARS) epidemic. The purpose of this study was to investigate the impact of the SARS catastrophe on an urban ED.Methods: The patients' characteristics in an urban ED were collected from March to May 2003 during the SARS outbreak in Taiwan. The crisis period was divided into 2 periods: 30 days before (period 1) and after (period 2) April 21, the date of the first hospital-associated transmission. Problem severity in the ED and stress levels of ED staff during the SARS catastrophe were rated from mild (I point) to severe (5 points).Results: The number of ED patients declined 33.4% in period 2. There was a 2.1% (95%C1, 0.4-3.8) increase in the percentage of male patients, a 2.5% (95% Cl, 1.5-3.7) increase in percentage of fever (> 38degreesC), and a 4.0% (95% Cl, 2.6-5.4%) increase in chief complaint of fever in period 2. The number of nontrauma patients younger than 18 years had declined by 44.5% in period 2. The total charge for reimbursement from an insurance institution declined 21.7%. During the SARS outbreak, the most severe stress experienced by either physicians or nurses occurred during emergency resuscitation (median stress rating point, 4; interquartile range, 1).Conclusion: The SARS catastrophe affected the ED visit volume, finances, various patient characteristics, and stress levels in the ED physicians and nurses. EDs must be fully prepared to face the challenges of the next outbreak of SARS or other infectious disease.