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

Autor:	Taku Iwami, Satoshi Fujimi, Taro Takeuchi, Takehiko Baba, Yasumitsu Mizobata, Toshifumi Uejima, Takeshi Shimazu, Masahiko Nitta, Yusuke Katayama, Yuuji Miyamoto, Tetsuya Matsuoka, Shota Nakao, Kenta Tanaka, Yasuyuki Kuwagata, Tetsuhisa Kitamura
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Population emergency medical service Rate ratio Article symbols.namesake ambulances Pandemic Epidemiology Medicine Poisson regression COVID-19 incidence mortality epidemiology education education.field_of_study business.industry Incidence (epidemiology) General Medicine Confidence interval Emergency medicine symbols business
Zdroj:	Journal of Clinical Medicine; Volume 10; Issue 23; Pages: 5662 Journal of Clinical Medicine, Vol 10, Iss 5662, p 5662 (2021) Journal of Clinical Medicine
ISSN:	2077-0383
DOI:	10.3390/jcm10235662
Popis:	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.
Databáze:	OpenAIRE
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