Research Article
Year 2023,
, 603 - 609, 01.10.2023
Abstract
Purpose: The aim was to determine the variation in emergency service attendance occurring during the COVID-19 pandemic by assessing the monthly attendance distribution, monthly trends in emergency service attendance, hourly emergency service attendance trends and triage areas of patients attending the emergency service.
Methods: This retrospective, descriptive research was completed based on records for 608,837 patients attending the emergency service of XX State Hospital from 11.09.2018 to 11.09.2021. Patient data for 18 months until the COVID-19 pandemic declaration on 11.03.2020 and 18 months after the pandemic declaration were assessed with the Joinpoint regression analysis program to analyze attendance. Analyses were completed at P<0.1 significance level.
Results: During this time interval, the highest number of attendances was 26,946 in December 2018, with the lowest number of attendances 6728 in April 2020 (N=608,837). Of attendances, 62% were in the period before the COVID-19 pandemic, while 38% occurred during the COVID-19 pandemic. There was a 39% reduction in monthly emergency service attendance during the COVID-19 pandemic and the pandemic caused a significant change in monthly attendance.
Conclusion: The COVID-19 pandemic caused significant changes in the emergency service attendance trends. Awareness of society by increasing health literacy levels, implementation of the referral chain, regulation of contributions and ensuring access to clinical services outside of office hours are predicted to lower the intensity of emergency service attendance.
Keywords
References
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Year 2023,
, 603 - 609, 01.10.2023
Abstract
References
- Yaman B. The administration and organization of emergency medical services provided in hospitals. Master Thesis, Beykent University Institute of Social Science, Ankara, Türkiye. 2015.
- Bozdağ Z. Operational recommendations for using out of purpose emergency services and reducing out-of-purpose use: the case of Çorum province. Master Thesis, HititUniversityInstitute of Social Science, Çorum, Türkiye. 2019.
- Sert A, Polat M. Retrospective Evaluation of Emergency Health Services in Burdur Province (Between 2013-2017). Journal of Adnan Menderes University Health Sciences Faculty. 2021;5(1):61-71.
- Şimşek P, Günaydın M, Gündüz A. Pre-hospital emergency health services: the case of Turkiye. Gümüşhane University Journal of Health Sciences, 2019;8(1):120–127.
- Akkaya E. The factors affecting the level of patients’ satisfaction of the applicants for emergency service. Master thesis, Uludag University Medical Faculty, Bursa, Türkiye. 2008.
- Yorulmaz M, Karaalp F, Bükecik N, Özyılmaz AF. Evaluation of emergency service again application rating. Selcuk University Journal of Social and Technical Researches, 2017;14.92–99.
- Tanrıkulu CŞ, Tanrıkul Y, Karaman S. Review of the patients hospitalized from the emergency service and applying to the emergency service: A cross-sectional analysis of a training hospital. Journal of Clinical and Analytical Medicine. 2014;5(2):128–132.
- Tekingündüz, S., Ministry of Health, Evaluation of Applications Made in the Emergency Department of Ankara Numune Education and Research Hospital and Determination of Non-Emergency Uses. Master Thesis, Ankara University Institute of Health Sciences, Ankara.Türkiye. 2003.
- Rea F, Pagan E, Compagnoni MM, Cantarutti A, Pugni P, Bagnardi V, et al. Joinpoint regression analysis with time-on-study as time-scale. Application to three Italian population-based cohort studies. Epidemiology, Biostatistics and Public Health. 2017;14(3):e12616-8.
- Martinez-Beneito MA, García-Donato G, Salmerón D. A Bayesian joinpoint regression model with an unknown number of break-points. The Annals of Applied Statistics. 2011;5(3):2150-2168.
- Görmeli Kurt N, Güneş C. How has Covid‐19 pandemic affected crowded emergency services? International Journal of Clinical Practice, 2020;74(12):1-5.
- Yılmaz Başer H, Başer A. The impact of the Covid-19 pandemic on the short and mid-term urological emergencies and the emergency department. Journal of Experimental and Clinical Medicine. 2021;38(4):466-470.
- Giamello JD, Abram S, Bernardi S, Lauria G. The emergency department in the COVID-19 era. Who are we missing? Eur J Emerg Med. 2020;27(4):305-306.
- Muselli M, Cofini V, Mammarella L, Carmignani C, Fabiani L, Desideri G, et al. The impact of covid-19 pandemic on emergency services. Annalidi Igiene: Medicina Preventiva e di Comunita. 2021;34(3):248-258.
- Tan CK, Lai CC. The impact of COVID-19 control measures on the utilization of emergency department during lunar new year in Taiwan. The American Journal of Emergency Medicine. 2021;43:252-254.
- Cheng L, Ng WM, Lin Z, Law LSC, Yong L, Liew YST, et al. Factors reducing inappropriate attendances to emergency departments before and during the COVID-19 pandemic: A multicentre study. Annals of the Academy of Medicine, Singapore, 2021;50(11):818-826.
- Kam AW, Chaudhry SG, Gunasekaran N, White AJ, Vukasovic M, Fung AT. Fewer presentations to metropolitan emergency departments during the COVID-19 pandemic. Med J Aust, 2020;213(8):370-371.
- Topaloğlu E, Altuntaş M, Celik A. Evaluation of the distribution of third level emergency department admissions by official holidays. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2022;24(2):350-356.
- Çevik C, Tekir Ö. Emergency service admission evaluation of diagnosis codes, triage and socio-demographic. Balikesir Health Sciences Journal, 2014;3(2):102-107.
- Özer Aİ, Ay MO, Avcı A, Biricik S, Yeşiloğlu Ö, Çınar H, et al. Analysis of Patient Admissions to the Emergency Department and Outcomes. Medical Journal of Aegean Clinics. 2020;58(3):304 - 310.
There are 20 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Emergency Medicine |
| Journal Section | Research Article |
| Authors | |
| Early Pub Date | September 15, 2023 |
| Publication Date | October 1, 2023 |
| Submission Date | March 11, 2023 |
| Published in Issue | Year 2023 |