Retrospective Analyses of Frequent Emergency Department Users

Işık, Gülşah Çıkrıkçı; Tandoğan, Meral; Şafak, Tuba; Çevik, Yunsur

doi:10.4274/eajem.galenos.2019.07108

Cited by 5 publications

(5 citation statements)

References 22 publications

(40 reference statements)

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“…Turkey is a country that normally has overcrowded EDs, and many of the applications comprise nonspecific complaints, which are “nonemergent” in reality [ 4 ]. This study showed a sharp reduction at applications to the ED due to nonspecific complaints after the declaration of the pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Turkey, with high emergency department (ED) demand and overcrowded EDs, is a country whose annual number of ED visits is greater than the whole population [ 4 ]. After announcement of the first coronavirus case in Turkey on March 11th, measures such as the termination of international flights, closing of schools, closing of all public gathering places, and curfews for special age groups and metropolitan municipalities were taken by the government to prevent the spread of the disease [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Impact of COVID-19 pandemic on visits of an urban emergency department

Işık

Çevik

2021

The American Journal of Emergency Medicine

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The aim of this study was to reveal how the pandemic process affected the number of ED visits and the reasons for application. Methods: The daily number of ED visits during the pandemic were analyzed in 3 different periods; prepandemic period (February 1st to March 11th, declaration of the first COVID-19 case in Turkey), early pandemic period (March 12th to May 31th, period of strict measures), and late pandemic period (June 1st to July 31st, period of new norms). The pandemic periods were compared with the same timeframes in 2019 (comparison periods). Demographic variables and complaints of the patients on admission were investigated. Results: The total number of ED visits in the study period in 2020 was 78,907, which was only the half of the applications in the same period in 2019 (n: 149,387). Data showed a sharp decrease at the number of daily visits to green and yellow zones after the announcement of the first case however red zone applications were more than twice that of the previous year. During pandemic nonspecific complaints was decreased and there was an increase at the percentages of respiratory, cardiac, and neurological complaints. Conclusion: Number of ED visits during the pandemic were decreased by half when compared to the previous year. It was an advantage of the pandemic to decrease ED visits due to "nonemergent" complaints, and thus, unnecessary patient burden. However, on the other hand, patients avoided seeking medical attention, even for lifethreatening conditions which led to increased mortality and morbidity.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 pandemic on visits of an urban emergency department

Işık

Çevik

2021

The American Journal of Emergency Medicine

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“…In contrast, annual ED visits per 1000 population are around 430 in the USA 25 and 390 in England. 26 While these vast numbers of visits can be associated with various national, cultural, and economic reasons, the most common reasons in Turkey are: that emergency care is free of charge, and the most straightforward route to a hospital bed is through EDs, 27 , 28 frequent users, 29 , 30 no appointment requirement, 24 , 31 providing uninterrupted ED service while all other hospital and polyclinics provide service only within working hours. 30 …”

Section: Discussionmentioning

confidence: 99%

Factors Relating to Decision Delay in the Emergency Department: Effects of Diagnostic Tests and Consultations

Ataman¹,

Sarıyer²,

Saglam³

et al. 2023

OAEM

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Purpose The purpose of this study is to investigate the factors increasing waiting time (WT) and length of stay (LOS) in patients, which may cause delays in decision-making in the emergency departments (ED). Patients and Methods Patients who arrived at a training hospital in the central region of Izmir City, Turkey, during the first quarter of 2020 were retrospectively analyzed. WT and LOS were the outcome variables of the study, and gender, age, arrival type, triage level determined based on the clinical acuity, diagnosis encoded based on International Classification of Diseases-10 (ICD-10), the existence of diagnostic tests or consultation status were the identified factors. The significance of the differences in WT and LOS values based on each level of these factors was analyzed using independent sample t -tests and ANOVA. Results While patients for which no diagnostic testing or consultation was requested had a significantly higher WT in EDs, their LOS values were substantially lower than those for which at least one diagnostic test or consultation was ordered (p≤0.001). Besides, elderly and red zone patients and those who arrived by ambulance had significantly lower WT and higher LOS values than other levels for all groups of patients for which laboratory-type or imaging-type diagnostic test or consultation was requested (p≤0.001 for each comparison). Conclusion Besides ordering diagnostic tests or consultation in EDs, different factors may extend patients’ WT and LOS values and cause significant decision-making delays. Understanding the patient characteristics associated with longer waiting times and LOS values and, thus, delayed decisions will enable practitioners to improve operations management in EDs.

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“…In contrast to the default state of overcrowded healthcare systems, statistics from other countries have shown a reduction in the ED patient volume early in the COVID-19 pandemic [5]. It has been shown that, in some studies, the patterns of ED visits also changed significantly during the pandemic season [6][7][8]. However, most of these studies were planned from data from the first year of the fight against COVID-19.…”

Section: Introductionmentioning

confidence: 99%

The Effect of the COVID-19 Pandemic on Emergency Department (ED) Admissions in the Only Hospital of City Center EDs

Kurt,

Güven,

Selçuk

2023

Cureus

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Aim: This study aimed to examine the effect of the pandemic on emergency service visits, together with the pre- and post-pandemic period data. Material and methods: The charts of patients who applied to the emergency department between 2019 and 2021 were included in the study. We analysed patients' charts from the pre-pandemic period (January 1, 2019-February 29, 2020), the pandemic period (March 1, 2020-June 30, 2021; from the date of detection of the first COVID-19 case to the date of the second dose of the vaccine), and normalisation period (July 1, 2021-December 31, 2021; the date from the completion of vaccination to the end of the year). Demographic characteristics, triage codes, diagnoses, hospitalisation or referral status, population ratio, admission rate, and mortality were examined in these data. Results: In total, 529,706 patient charts were examined. When the pre-pandemic period (15,983.29±1,493.19) was compared with the pandemic period (11,342.94±2,350.15), it was observed that there was a decrease in the number of visit period. In the post-pandemic period, patients coming to the hospital decreased following vaccination. It was determined that there were more visits (20742.17±967.61) compared to the pre-pandemic period. Conclusion: The data demonstrate that, during the pandemic period, visits decreased in general, and the rate of critical patients increased gradually. Accordingly, there are unnecessary visits and inappropriate use of emergency services.

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Retrospective Analyses of Frequent Emergency Department Users

Cited by 5 publications

References 22 publications

Impact of COVID-19 pandemic on visits of an urban emergency department

Impact of COVID-19 pandemic on visits of an urban emergency department

Factors Relating to Decision Delay in the Emergency Department: Effects of Diagnostic Tests and Consultations

The Effect of the COVID-19 Pandemic on Emergency Department (ED) Admissions in the Only Hospital of City Center EDs

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