Epidemiological characteristics and disease spectrum of emergency patients in two cities in China: Hong Kong and Shenzhen

Chen, Shaoxi; Fan, Karren; Leung, Ling‐Pong

doi:10.5847/wjem.j.1920-8642.2020.01.007

Cited by 4 publications

(4 citation statements)

References 20 publications

(21 reference statements)

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“…The most common causes for ED visits in Korea were “gastroenteritis and colitis of infectious and unspecified origin”, “abdominal and pelvic pain”, “open wound of wrist and hand” and “open wound of head”. These frequent diagnoses are consistent with the findings in studies from Canada [ 26 ], Australia [ 27 ], England [ 28 ], and other Asian countries [ 29 , 30 , 31 ]. However, there may have restrictions in entering the primary diagnosis code for the purpose of examination in order to prevent medical charge reduction.…”

Section: Discussionsupporting

confidence: 91%

Factors Associated with Emergency Department Visits and Consequent Hospitalization and Death in Korea Using a Population-Based National Health Database

Park

Yeo

et al. 2022

Healthcare

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We aim to investigate common diagnoses and risk factors for emergency department (ED) visits as well as those for hospitalization and death after ED visits. This study describes the clinical course of ED visits by using the 2014–2015 population data retrieved from the National Health Insurance Service. Sociodemographic, medical, and behavioral factors were analyzed through multiple logistic regression. Older people were more likely to be hospitalized or to die after an ED visit, but younger people showed a higher risk for ED visits. Females were at a higher risk for ED visits, but males were at a higher risk for ED-associated hospitalization and death. Individuals in the highest quartile of income had a lower risk of ED death relative to lowest income level individuals. Disabilities, comorbidities, and medical issues, including previous ED visits or prior hospitalizations, were risk factors for all ED-related outcomes. Unhealthy behaviors, including current smoking, heavy alcohol consumption, and not engaging in regular exercise, were also significantly associated with ED visits, hospitalization, and death. Common diagnoses and risk factors for ED visits and post-visit hospitalization and death found in this study provide a perspective from which to establish health polices for the emergency medical care system.

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Section: Discussionsupporting

confidence: 91%

Factors Associated with Emergency Department Visits and Consequent Hospitalization and Death in Korea Using a Population-Based National Health Database

Park

Yeo

et al. 2022

Healthcare

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“…Kwak et al conducted a retrospective study and described the nation-wide ED utilization pattern by children in Korea [ 12 ]. Chen et al compared the epidemiological characteristics and disease spectrum of patients of two EDs in China [ 13 ]. However, these studies did not provide specific diagnoses, classifications, and mortality for both the ICU and GW [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…Chen et al compared the epidemiological characteristics and disease spectrum of patients of two EDs in China [13]. However, these studies did not provide specific diagnoses, classifications, and mortality for both the ICU and GW [12,13].…”

Section: Introductionmentioning

confidence: 99%

Emergency Department as the Entry Point to Inpatient Care: A Nationwide, Population-Based Study in South Korea, 2016–2018

Kim

Seo

Kim

et al. 2021

JCM

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(1) Background: The emergency department provides lifesaving treatment and has become an entry point to hospital admission. The purpose of our study was to describe the characteristics and outcomes of patients who were admitted through the emergency department to the intensive care unit or general ward. (2) Methods: We performed a retrospective, cross-sectional, descriptive analysis using the National Emergency Department Information System, analyzing patient data including disease category, diagnosis, and mortality from 1 January 2016, to 31 December 2018. (3) Results: During the study period, about 13.6% were admitted through the emergency department. Of these, the overall in-hospital mortality was 4.6%. The frequent disease class for the intensive care unit admissions was the cardiovascular system, and the classes for the general ward admissions were as follows: injury and toxicology, digestive system, and respiratory system. Cardiovascular system-related emergencies were the predominant cause of death among patients admitted to the intensive care unit; however, oncologic complications were the leading cause of death in the general ward. (4) Conclusions: Emergency departments are incrementally utilized as the entry point for hospital admission. Health care providers need to understand emergency department admission epidemiology and prepare for managing patients with certain common diagnoses.

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“…Many of these studies have selected one or a few hospitals to explore epidemiological characteristics and the disease spectrum due to data collection problems, 25 and existing studies have tended to focus on inpatient diseases, neglecting epidemiological characteristics at the primary care level. [26][27][28][29] Huang et al 30 analysed the existing studies of the disease spectrum and epidemiological characteristics, finding that 39.1% of these studies focused on inpatients, 20.4% on emergency room patients, 9.1% on literature and statistical reports, and 7.2% on medical examinations, with epidemiological surveys accounting for only 6.4% of current studies. No existing studies on this topic have focused on primary care visits or included data on entire regions.…”

mentioning

confidence: 99%

Disease composition and epidemiological characteristics of primary care visits in Pudong New Area, Shanghai: a longitudinal study, 2016–2018

et al. 2020

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ObjectivesThis study aims to analyse the disease composition of primary care visits rather than specialist visits, the former of which had scarcely been studied. We adopted specific disease classification (International Statistical Classification of Diseases and Related Health Problems, 10th Revision), disease system and communicable/non-communicable/injury disease classification, and variations of sex and age were also analysed.SettingWe extracted data from all community health service centres (CHSCs) and community health service stations in Pudong, Shanghai, from 2016 to 2018 using the electronic health record systems of the Pudong health information centre.ParticipantsOur data included all 46 720 972 primary care visits from 2016 to 2018 in CHSCs in Pudong.ResultsWe found that the top five diseases in primary care visits continued to be primary hypertension, problems related to medical facilities, chronic ischaemic heart disease, unspecified diabetes mellitus and acute upper respiratory infection. Lipoprotein metabolism disorder visits continued to increase over the study years. The numbers and proportions of patients with hypertension and unspecified diabetes were higher among men than women, and other cerebrovascular diseases were higher among women than men. The top five disease systems were circulatory system diseases, respiratory system diseases, endocrine/nutritional/metabolic diseases, factors influencing health status and digestive system diseases. The rankings of respiratory system and endocrine/nutritional/metabolic diseases rose over time. Non-communicable diseases (NCDs) accounted for approximately 90% of the primary care visits—a much higher percentage than other causes. The top five NCDs in primary care visits were cardiovascular and circulatory diseases, musculoskeletal disorders, diabetes, digestive diseases and urogenital diseases. Compared with women, men suffered from cardiovascular diseases at an earlier age.ConclusionsDifferent from specialist visits, common diseases, especially NCDs, were the main disease composition of current primary healthcare visits while the former focused on intractable diseases such as tumours, indicating that primary healthcare had played the role of gatekeeper of the healthcare system.

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Epidemiological characteristics and disease spectrum of emergency patients in two cities in China: Hong Kong and Shenzhen

Cited by 4 publications

References 20 publications

Factors Associated with Emergency Department Visits and Consequent Hospitalization and Death in Korea Using a Population-Based National Health Database

Factors Associated with Emergency Department Visits and Consequent Hospitalization and Death in Korea Using a Population-Based National Health Database

Emergency Department as the Entry Point to Inpatient Care: A Nationwide, Population-Based Study in South Korea, 2016–2018

Disease composition and epidemiological characteristics of primary care visits in Pudong New Area, Shanghai: a longitudinal study, 2016–2018

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