About: Revised Triage and Surveillance Protocols for Temporary Emergency Department Closures in Tertiary Hospitals as a Response to COVID-19 Crisis in Daegu Metropolitan City

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About: Revised Triage and Surveillance Protocols for Temporary Emergency Department Closures in Tertiary Hospitals as a Response to COVID-19 Crisis in Daegu Metropolitan City Goto Sponge NotDistinct Permalink

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Revised Triage and Surveillance Protocols for Temporary Emergency Department Closures in Tertiary Hospitals as a Response to COVID-19 Crisis in Daegu Metropolitan City
Creator	Kim, Jong
Source	Medline; PMC
abstract	BACKGROUND: When an emergency-care patient is diagnosed with an emerging infectious disease, hospitals in Korea may temporarily close their emergency departments (EDs) to prevent nosocomial transmission. Since February 2020, multiple, consecutive ED closures have occurred due to the coronavirus disease 2019 (COVID-19) crisis in Daegu. However, sudden ED closures are in contravention of laws for the provision of emergency medical care that enable the public to avail prompt, appropriate, and 24-hour emergency medical care. Therefore, this study ascertained the vulnerability of the ED at tertiary hospitals in Daegu with regard to the current standards. A revised triage and surveillance protocol has been proposed to tackle the current crisis. METHODS: This study was retrospectively conducted at 6 level 1 or 2 EDs in a metropolitan city where ED closure due to COVID-19 occurred from February 18 to March 26, 2020. The present status of ED closure and patient characteristics and findings from chest radiography and laboratory investigations were assessed. Based on the experience from repeated ED closures and the modified systems that are currently used in EDs, revised triage and surveillance protocols have been developed and proposed. RESULTS: During the study period, 6 level 1 or 2 emergency rooms included in the study were shut down 27 times for 769 hours. Thirty-one confirmed COVID-19 cases, of whom 7 died, were associated with the incidence of ED closure. Typical patient presentation with respiratory symptoms of COVID-19 was seen in less than 50% of patients, whereas abnormal findings on chest imaging investigations were detected in 93.5% of the study population. The chest radiography facility, resuscitation rooms, and triage area were moved to locations outside the ED, and a new surveillance protocol was applied to determine the factors warranting quarantine, including symptoms, chest radiographic findings, and exposure to a source of infection. The incidence of ED closures decreased after the implementation of the revised triage and surveillance protocols. CONCLUSION: Triage screening by emergency physicians and surveillance protocols with an externally located chest imaging facility were effective in the early isolation of COVID-19 patients. In future outbreaks of emerging infectious diseases, efforts should be focused toward the provision of continued ED treatment with the implementation of revised triage and surveillance protocols.
has issue date	2020-05-12(xsd:dateTime)
bibo:doi	10.3346/jkms.2020.35.e189
bibo:pmid	32419401
has license	cc-by-nc
sha1sum (hex)	cc3fd510ba3a1e314fa2203a05d30c9baec9154f
schema:url	https://doi.org/10.3346/jkms.2020.35.e189
resource representing a document's title	Revised Triage and Surveillance Protocols for Temporary Emergency Department Closures in Tertiary Hospitals as a Response to COVID-19 Crisis in Daegu Metropolitan City
has PubMed Central identifier	PMC7234857
has PubMed identifier	32419401
schema:publication	J Korean Med Sci
resource representing a document's body	covid:cc3fd510ba3a1e314fa2203a05d30c9baec9154f#body_text
is schema:about of	named entity 'PATIENT CHARACTERISTICS' named entity 'INVESTIGATIONS' named entity 'CHEST' named entity 'SOURCE OF INFECTION' named entity 'SYMPTOMS' named entity 'EXPOSURE TO' named entity 'COVID' named entity 'respiratory symptoms' named entity 'resuscitation' named entity 'avail' named entity 'chest radiography' named entity 'emergency medical care' named entity 'emerging infectious disease' named entity 'COVID-19' named entity 'emergency workers' named entity 'Middle East respiratory syndrome coronavirus' named entity 'COVID-19' named entity 'Daegu' named entity 'COVID' named entity 'clinical symptoms' named entity 'CXR' named entity 'emerging infectious diseases' named entity 'Descriptive statistics' named entity 'KTAS' named entity 'nasopharyngeal swab' named entity 'triage' named entity 'coronavirus disease 2019' named entity 'RT-PCR' named entity 'emergency medical' named entity 'shortness of breath' named entity 'tertiary hospital' named entity 'triage' named entity 'dyspnea' named entity 'Public Health Emergency of International Concern' named entity 'RT-PCR' named entity 'COVID' named entity 'chest X-ray' named entity 'triage' named entity 'MERS' named entity 'Fever' named entity 'COVID-19' named entity 'health services' named entity 'COVID-19 cases' named entity 'emergency care' named entity 'respiratory symptoms' named entity 'WHO' named entity 'Cary, NC' named entity 'triage' named entity 'March 26' named entity 'triage' named entity 'CXR' named entity 'triage' named entity 'triage' named entity 'coronavirus pandemic' named entity 'PPE' named entity 'emergency medical' named entity 'MERS' named entity 'Daegu' named entity 'COVID' named entity 'COVID-19 outbreak' named entity 'Institutional Review Board' named entity 'June 2015' named entity 'medical treatment' named entity 'polymerase chain reaction' named entity 'SAS Institute Inc.' named entity 'RT-PCR' named entity 'infectious diseases' named entity 'triage' named entity 'KTAS' named entity 'infectious disease' named entity 'emergency physicians' named entity 'radiographic' named entity '2, 3' named entity 'Daegu' named entity 'isolation room' named entity 'acute stroke' named entity 'risk factors' named entity 'KCDC' named entity 'healthcare professionals' named entity 'COVID-19' named entity 'C-reactive protein'

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