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KMID : 0385920230340030241
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Journal of the Korean Society of Emergency Medicine
2023 Volume.34 No. 3 p.241 ~ p.248
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The characteristics of the patients who visited the emergency department with fever, after the chronification of COVID-19 pandemic
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Lee Yoon-Je
Song Eun-Gon
Pyo Chang-Hae
Park Hyun-Kyung
Kim Hahn-Bom
Ham Eun-Mi
Park Jin-Hyung
Kim Ji-Sun
Kang Saee-Byel
Kwak Moon-Hwan
Choi Dong-Sun
Kim Jee-Hyeon
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Abstract
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Objective: This study examined the characteristics of patients visiting the emergency department (ED) with fever after the chronification of the coronavirus disease 2019 (COVID-19) pandemic.
Methods: This retrospective observational study analyzed the medical records of patients who visited the ED with fever from May 1 to October 31, 2021, and the corresponding period in 2019. This study was conducted at a single center in Seoul, Korea.
Results: There was no statistical difference in the comorbidities of the patients of the two groups: the AC (after the COVID- 19 pandemic) group and the BC (before the COVID-19 pandemic) group. As for the level of consciousness at the time of ED arrival, there was a significantly larger decrease in consciousness (verbal response or less) in the AC group than in the BC group (P=0.002). In the case of the National Early Warning Score (NEWS), the proportion was higher in the AC group in the moderate-risk and high-risk groups (P=0.003). The median time from symptom onset to ED arrival was 15.7 hours in the BC group and 13.8 hours in the AC group, and there was no significant difference (P=0.137). When leaving the ED, the AC group had a higher admission rate to the ward and intensive care unit than the BC group. There was no statistical difference in the in-hospital mortality between the two groups (2.9% and 2.4%, respectively; P=0.62).
Conclusion: Patients who visited the emergency room with fever after one year of the COVID-19 pandemic showed a similar time from symptom onset to ED arrival compared to patients who visited before the COVID-19 pandemic. In addition, there was no difference in in-hospital mortality among these patients compared to those with fever before the COVID-19 pandemic.
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KEYWORD
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COVID-19 pandemic, Emergency department, Fever, Onset-to-arrival, Mortality
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