Providing essential clinical care for non-COVID-19 patients in a Seoul metropolitan acute care hospital amidst ongoing treatment of COVID-19 patients
We assessed infection control efforts by comparing data collected over 20 weeks during a pandemic under a dual-track healthcare system. A decline in non-COVID-19 patients visiting the emergency department by 37.6% (P
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| Veröffentlicht in: | The Journal of hospital infection 2020-12, Vol.106 (4), p.673-677 |
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| container_title | The Journal of hospital infection |
| container_volume | 106 |
| creator | Lee, K.D. Lee, S.B. Lim, J.K. Kang, Y.M. Kim, I.B. Moon, H.J. Lee, W.J. |
| description | We assessed infection control efforts by comparing data collected over 20 weeks during a pandemic under a dual-track healthcare system. A decline in non-COVID-19 patients visiting the emergency department by 37.6% (P |
| doi_str_mv | 10.1016/j.jhin.2020.09.031 |
| format | Article |
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A decline in non-COVID-19 patients visiting the emergency department by 37.6% (P<0.01) was observed since admitting COVID-19 cases. However, patients with acute myocardial infarction (AMI), stroke, severe trauma and acute appendicitis presenting for emergency care did not decrease. Door-to-balloon time (34.3 (± 11.3) min vs 22.7 (± 8.3) min) for AMI improved significantly (P<0.01) while door-to-needle time (55.7 (± 23.9) min vs 54.0 (± 18.0) min) in stroke management remained steady (P=0.80). Simultaneously, time-sensitive care involving other clinical services, including patients requiring chemotherapy, radiation therapy and haemodialysis did not change.</description><identifier>ISSN: 0195-6701</identifier><identifier>EISSN: 1532-2939</identifier><identifier>DOI: 10.1016/j.jhin.2020.09.031</identifier><identifier>PMID: 33011308</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject><![CDATA[Acute care hospital ; Acute Disease ; Appendicitis - epidemiology ; Appendicitis - therapy ; COVID-19 ; COVID-19 - diagnosis ; COVID-19 - epidemiology ; COVID-19 - transmission ; COVID-19 - virology ; Cross-Sectional Studies ; Emergency Medical Services - statistics & numerical data ; Emergency Service, Hospital - statistics & numerical data ; Essential clinical care ; Hospital infection ; Hospital visiting ; Hospitalization - statistics & numerical data ; Hospitals - statistics & numerical data ; Humans ; Infection Control - organization & administration ; Myocardial Infarction - epidemiology ; Myocardial Infarction - therapy ; Non-COVID-19 patients ; Pandemics - prevention & control ; SARS-CoV-2 - genetics ; Seoul - epidemiology ; Short Report ; Stroke - epidemiology ; Stroke - therapy ; Time-to-Treatment - statistics & numerical data ; Time-to-Treatment - trends ; Wounds and Injuries - epidemiology ; Wounds and Injuries - therapy]]></subject><ispartof>The Journal of hospital infection, 2020-12, Vol.106 (4), p.673-677</ispartof><rights>2020 The Authors</rights><rights>Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><rights>2020 The Authors 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-8c41d15bc1222a383cf7148788d3f1b2297e5dcdeffc756595473db4023344173</citedby><cites>FETCH-LOGICAL-c455t-8c41d15bc1222a383cf7148788d3f1b2297e5dcdeffc756595473db4023344173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0195670120304564$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33011308$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, K.D.</creatorcontrib><creatorcontrib>Lee, S.B.</creatorcontrib><creatorcontrib>Lim, J.K.</creatorcontrib><creatorcontrib>Kang, Y.M.</creatorcontrib><creatorcontrib>Kim, I.B.</creatorcontrib><creatorcontrib>Moon, H.J.</creatorcontrib><creatorcontrib>Lee, W.J.</creatorcontrib><title>Providing essential clinical care for non-COVID-19 patients in a Seoul metropolitan acute care hospital amidst ongoing treatment of COVID-19 patients</title><title>The Journal of hospital infection</title><addtitle>J Hosp Infect</addtitle><description>We assessed infection control efforts by comparing data collected over 20 weeks during a pandemic under a dual-track healthcare system. A decline in non-COVID-19 patients visiting the emergency department by 37.6% (P<0.01) was observed since admitting COVID-19 cases. However, patients with acute myocardial infarction (AMI), stroke, severe trauma and acute appendicitis presenting for emergency care did not decrease. Door-to-balloon time (34.3 (± 11.3) min vs 22.7 (± 8.3) min) for AMI improved significantly (P<0.01) while door-to-needle time (55.7 (± 23.9) min vs 54.0 (± 18.0) min) in stroke management remained steady (P=0.80). Simultaneously, time-sensitive care involving other clinical services, including patients requiring chemotherapy, radiation therapy and haemodialysis did not change.</description><subject>Acute care hospital</subject><subject>Acute Disease</subject><subject>Appendicitis - epidemiology</subject><subject>Appendicitis - therapy</subject><subject>COVID-19</subject><subject>COVID-19 - diagnosis</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 - transmission</subject><subject>COVID-19 - virology</subject><subject>Cross-Sectional Studies</subject><subject>Emergency Medical Services - statistics & numerical data</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Essential clinical care</subject><subject>Hospital infection</subject><subject>Hospital visiting</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Hospitals - statistics & numerical data</subject><subject>Humans</subject><subject>Infection Control - organization & administration</subject><subject>Myocardial Infarction - epidemiology</subject><subject>Myocardial Infarction - therapy</subject><subject>Non-COVID-19 patients</subject><subject>Pandemics - prevention & control</subject><subject>SARS-CoV-2 - genetics</subject><subject>Seoul - epidemiology</subject><subject>Short Report</subject><subject>Stroke - epidemiology</subject><subject>Stroke - therapy</subject><subject>Time-to-Treatment - statistics & numerical data</subject><subject>Time-to-Treatment - trends</subject><subject>Wounds and Injuries - epidemiology</subject><subject>Wounds and Injuries - therapy</subject><issn>0195-6701</issn><issn>1532-2939</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9keFqHCEUhSUkJNu0L9AfxReYqVfHdQZCIGyTNhBIoE3_iqvOrsuMDuou9EH6vnXYNLQU-ku5nvMdrgeh90BqILD8uKt3W-drSiipSVcTBidoAZzRinasO0ULAh2vloLABXqT0o4QUub8HF0wRgAYaRfo51MMB2ec32CbkvXZqQHrwXmn54uKFvchYh98tXr8fv-pgg5PKruiTNh5rPBXG_YDHm2OYQqDy6oM9T7bo3kb0lRmA1ajMynj4DdhDsvRqjwWCg49_of8Fp31akj23ct5iZ7vbr-tvlQPj5_vVzcPlW44z1WrGzDA1xoopYq1TPcCmla0rWE9rCnthOVGG9v3WvAl73gjmFk3hDLWNCDYJbo-cqf9erRGl-yoBjlFN6r4Qwbl5N8v3m3lJhyk4LRtBSkAegToGFKKtn_1ApFzSXIn55LkXJIknSwlFdOHP1NfLb9bKYKro8CW3Q_ORpl0-RdtjYtWZ2mC-x__F7KNpZ8</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Lee, K.D.</creator><creator>Lee, S.B.</creator><creator>Lim, J.K.</creator><creator>Kang, Y.M.</creator><creator>Kim, I.B.</creator><creator>Moon, H.J.</creator><creator>Lee, W.J.</creator><general>Elsevier Ltd</general><general>The Authors. Published by Elsevier Ltd on behalf of The Healthcare Infection Society</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20201201</creationdate><title>Providing essential clinical care for non-COVID-19 patients in a Seoul metropolitan acute care hospital amidst ongoing treatment of COVID-19 patients</title><author>Lee, K.D. ; Lee, S.B. ; Lim, J.K. ; Kang, Y.M. ; Kim, I.B. ; Moon, H.J. ; Lee, W.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-8c41d15bc1222a383cf7148788d3f1b2297e5dcdeffc756595473db4023344173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute care hospital</topic><topic>Acute Disease</topic><topic>Appendicitis - epidemiology</topic><topic>Appendicitis - therapy</topic><topic>COVID-19</topic><topic>COVID-19 - diagnosis</topic><topic>COVID-19 - epidemiology</topic><topic>COVID-19 - transmission</topic><topic>COVID-19 - virology</topic><topic>Cross-Sectional Studies</topic><topic>Emergency Medical Services - statistics & numerical data</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Essential clinical care</topic><topic>Hospital infection</topic><topic>Hospital visiting</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Hospitals - statistics & numerical data</topic><topic>Humans</topic><topic>Infection Control - organization & administration</topic><topic>Myocardial Infarction - epidemiology</topic><topic>Myocardial Infarction - therapy</topic><topic>Non-COVID-19 patients</topic><topic>Pandemics - prevention & control</topic><topic>SARS-CoV-2 - genetics</topic><topic>Seoul - epidemiology</topic><topic>Short Report</topic><topic>Stroke - epidemiology</topic><topic>Stroke - therapy</topic><topic>Time-to-Treatment - statistics & numerical data</topic><topic>Time-to-Treatment - trends</topic><topic>Wounds and Injuries - epidemiology</topic><topic>Wounds and Injuries - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, K.D.</creatorcontrib><creatorcontrib>Lee, S.B.</creatorcontrib><creatorcontrib>Lim, J.K.</creatorcontrib><creatorcontrib>Kang, Y.M.</creatorcontrib><creatorcontrib>Kim, I.B.</creatorcontrib><creatorcontrib>Moon, H.J.</creatorcontrib><creatorcontrib>Lee, W.J.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of hospital infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, K.D.</au><au>Lee, S.B.</au><au>Lim, J.K.</au><au>Kang, Y.M.</au><au>Kim, I.B.</au><au>Moon, H.J.</au><au>Lee, W.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Providing essential clinical care for non-COVID-19 patients in a Seoul metropolitan acute care hospital amidst ongoing treatment of COVID-19 patients</atitle><jtitle>The Journal of hospital infection</jtitle><addtitle>J Hosp Infect</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>106</volume><issue>4</issue><spage>673</spage><epage>677</epage><pages>673-677</pages><issn>0195-6701</issn><eissn>1532-2939</eissn><abstract>We assessed infection control efforts by comparing data collected over 20 weeks during a pandemic under a dual-track healthcare system. A decline in non-COVID-19 patients visiting the emergency department by 37.6% (P<0.01) was observed since admitting COVID-19 cases. However, patients with acute myocardial infarction (AMI), stroke, severe trauma and acute appendicitis presenting for emergency care did not decrease. Door-to-balloon time (34.3 (± 11.3) min vs 22.7 (± 8.3) min) for AMI improved significantly (P<0.01) while door-to-needle time (55.7 (± 23.9) min vs 54.0 (± 18.0) min) in stroke management remained steady (P=0.80). Simultaneously, time-sensitive care involving other clinical services, including patients requiring chemotherapy, radiation therapy and haemodialysis did not change.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>33011308</pmid><doi>10.1016/j.jhin.2020.09.031</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acute care hospital Acute Disease Appendicitis - epidemiology Appendicitis - therapy COVID-19 COVID-19 - diagnosis COVID-19 - epidemiology COVID-19 - transmission COVID-19 - virology Cross-Sectional Studies Emergency Medical Services - statistics & numerical data Emergency Service, Hospital - statistics & numerical data Essential clinical care Hospital infection Hospital visiting Hospitalization - statistics & numerical data Hospitals - statistics & numerical data Humans Infection Control - organization & administration Myocardial Infarction - epidemiology Myocardial Infarction - therapy Non-COVID-19 patients Pandemics - prevention & control SARS-CoV-2 - genetics Seoul - epidemiology Short Report Stroke - epidemiology Stroke - therapy Time-to-Treatment - statistics & numerical data Time-to-Treatment - trends Wounds and Injuries - epidemiology Wounds and Injuries - therapy |
| title | Providing essential clinical care for non-COVID-19 patients in a Seoul metropolitan acute care hospital amidst ongoing treatment of COVID-19 patients |
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