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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. M...

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Autores principales: Hong, Jin Hyuck, Paek, So Hyun, Kim, Taerim, Kim, Seongjung, Ko, Eunsil, Ro, Young Sun, Kim, Jungeon, Kwon, Jae Hyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Emergency Medicine 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662514/
https://www.ncbi.nlm.nih.gov/pubmed/37967859
http://dx.doi.org/10.15441/ceem.23.150
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author Hong, Jin Hyuck
Paek, So Hyun
Kim, Taerim
Kim, Seongjung
Ko, Eunsil
Ro, Young Sun
Kim, Jungeon
Kwon, Jae Hyun
author_facet Hong, Jin Hyuck
Paek, So Hyun
Kim, Taerim
Kim, Seongjung
Ko, Eunsil
Ro, Young Sun
Kim, Jungeon
Kwon, Jae Hyun
author_sort Hong, Jin Hyuck
collection PubMed
description 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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spelling pubmed-106625142023-11-08 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 Hong, Jin Hyuck Paek, So Hyun Kim, Taerim Kim, Seongjung Ko, Eunsil Ro, Young Sun Kim, Jungeon Kwon, Jae Hyun Clin Exp Emerg Med Brief Research Report 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. The Korean Society of Emergency Medicine 2023-11-08 /pmc/articles/PMC10662514/ /pubmed/37967859 http://dx.doi.org/10.15441/ceem.23.150 Text en Copyright © 2023 The Korean Society of Emergency Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ).
spellingShingle Brief Research Report
Hong, Jin Hyuck
Paek, So Hyun
Kim, Taerim
Kim, Seongjung
Ko, Eunsil
Ro, Young Sun
Kim, Jungeon
Kwon, Jae Hyun
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Brief Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662514/
https://www.ncbi.nlm.nih.gov/pubmed/37967859
http://dx.doi.org/10.15441/ceem.23.150
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