Impact of Middle East respiratory syndrome outbreak on the use of emergency medical resources in febrile patients
Impact of Middle East respiratory syndrome outbreak on the use of emergency medical resources in febrile patients
复制标题
DOI：
10.15441/ceem.16.166
复制
发表时间：
2017-06-01
影响因子：
1.9
通讯作者：
Hong, Sungyoup
中科院分区：
文献类型：
--
作者：
Jeong, Hyunho;Jeong, Sikyoung;Hong, Sungyoup
目的 传染性呼吸道感染的爆发被怀疑对儿童和老年患者的健康产生重大影响。目的是评估中东呼吸综合征 (MERS) 爆发对应急资源使用的影响。方法对 2015 年 9 月至 12 月期间急诊科 (ED) 记录进行生态分析。数据来自韩国国家急诊部信息系统数据库。收集以发热症状为主要主诉的患者的所有人口统计和诊断数据。这些数据与韩国 MERS 爆发前三年的同期数据进行了比较。 结果 MERS 爆发后，发热患者就诊的总数以及发热患者就诊占急诊总就诊人数的比例均有所增加。这种效应在五岁以下的儿童中更为明显。在年轻儿科患者中，到达急诊室之前主诉的持续时间和急诊室住院时间显着增加。在年轻儿科患者中观察到到达时体温下降。结论 MERS 爆发似乎对发热患者使用急诊室产生了显着影响。儿科患者使用紧急护理服务使他们更容易受到传染病爆发的影响。迫切需要一种有效的策略来控制非紧急发热患者到急诊中心就诊并提供适当的医疗服务。
Objective Outbreaks of transmissible respiratory infection are suspected to have significant effects on the health of pediatric and geriatric patients. The objective was to assess the impact of the Middle East respiratory syndrome (MERS) outbreak on the use of emergency resources.Methods An ecologic analysis of emergency department (ED) records between September and December 2015, was performed. Data was obtained from the National Emergency Department Information System database for Korea. All demographic and diagnostic data from patients presenting with febrile symptoms as a main complaint were collected. The data were compared to the equivalent period in the three years preceding the MERS outbreak in Korea.Results Following the MERS outbreak, there was an increase in overall ED visits by febrile patients and the proportion of visits by febrile patients, relative to total ED attendances. This effect was more prominent in the children under five years. The duration of the chief complaint before ED arrival and the length of ED stay were significantly increased among younger pediatric patients. Decreased body temperature on arrival was observed in younger pediatric patients.Conclusion MERS outbreak appears to have had a significant effects on ED use by febrile patients. The use of emergency care services by pediatric patients makes them more vulnerable to an outbreak of a transmissable disease. An effective strategy to control emergency center visits by non-urgent febrile patients and provide proper medical services is urgently needed.