Incidence and Mortality of Emergency Patients Transported by Emergency Medical Service Personnel during the Novel Corona Virus Pandemic in Osaka Prefecture, Japan: A Population-Based Study
Although the COVID-19 pandemic affects the emergency medical service (EMS) system, little is known about the impact of the COVID-19 pandemic on the prognosis of emergency patients. This study aimed to reveal the impact of the COVID-19 pandemic on the EMS system and patient outcomes. We included pati...
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| Veröffentlicht in: | Journal of clinical medicine 2021-11, Vol.10 (23), p.5662 |
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| creator | Katayama, Yusuke Tanaka, Kenta Kitamura, Tetsuhisa Takeuchi, Taro Nakao, Shota Nitta, Masahiko Iwami, Taku Fujimi, Satoshi Uejima, Toshifumi Miyamoto, Yuuji Baba, Takehiko Mizobata, Yasumitsu Kuwagata, Yasuyuki Shimazu, Takeshi Matsuoka, Tetsuya |
| description | Although the COVID-19 pandemic affects the emergency medical service (EMS) system, little is known about the impact of the COVID-19 pandemic on the prognosis of emergency patients. This study aimed to reveal the impact of the COVID-19 pandemic on the EMS system and patient outcomes. We included patients transported by ambulance who were registered in a population-based registry of patients transported by ambulance. The endpoints of this study were the incident number of patients transported by ambulance each month and the number of deaths among these patients admitted to hospital each month. The incidence rate ratio (IRR) and 95% confidence interval (CI) using a Poisson regression model with the year 2019 as the reference were calculated. A total of 500,194 patients were transported in 2019, whereas 443,321 patients were transported in 2020, indicating a significant decrease in the number of emergency patients transported by ambulance (IRR: 0.89, 95% CI: 0.88-0.89). The number of deaths of emergency patients admitted to hospital was 11,931 in 2019 and remained unchanged at 11,963 in 2020 (IRR: 1.00, 95% CI: 0.98-1.03). The incidence of emergency patients transported by ambulance decreased during the COVID-19 pandemic in 2020, but the mortality of emergency patients admitted to hospital did not change in this study. |
| doi_str_mv | 10.3390/jcm10235662 |
| format | Article |
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This study aimed to reveal the impact of the COVID-19 pandemic on the EMS system and patient outcomes. We included patients transported by ambulance who were registered in a population-based registry of patients transported by ambulance. The endpoints of this study were the incident number of patients transported by ambulance each month and the number of deaths among these patients admitted to hospital each month. The incidence rate ratio (IRR) and 95% confidence interval (CI) using a Poisson regression model with the year 2019 as the reference were calculated. A total of 500,194 patients were transported in 2019, whereas 443,321 patients were transported in 2020, indicating a significant decrease in the number of emergency patients transported by ambulance (IRR: 0.89, 95% CI: 0.88-0.89). The number of deaths of emergency patients admitted to hospital was 11,931 in 2019 and remained unchanged at 11,963 in 2020 (IRR: 1.00, 95% CI: 0.98-1.03). The incidence of emergency patients transported by ambulance decreased during the COVID-19 pandemic in 2020, but the mortality of emergency patients admitted to hospital did not change in this study.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm10235662</identifier><identifier>PMID: 34884363</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Asymptomatic ; Clinical medicine ; Coronaviruses ; COVID-19 ; Emergency medical care ; Emergency services ; Epidemics ; Fatalities ; Fires ; Health care policy ; Hospitals ; Pandemics ; Patients ; Population ; Population-based studies ; Public health</subject><ispartof>Journal of clinical medicine, 2021-11, Vol.10 (23), p.5662</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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| subjects | Asymptomatic Clinical medicine Coronaviruses COVID-19 Emergency medical care Emergency services Epidemics Fatalities Fires Health care policy Hospitals Pandemics Patients Population Population-based studies Public health |
| title | Incidence and Mortality of Emergency Patients Transported by Emergency Medical Service Personnel during the Novel Corona Virus Pandemic in Osaka Prefecture, Japan: A Population-Based Study |
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