Impact of the COVID-19 Pandemic on the Loading and Quality of an Emergency Department in Taiwan: Enlightenment from a Low-Risk Country in a Public Health Crisis

Chen, Jamie Yu-Hsuan; Chang, Feng–Yee; Lin, Chin‐Sheng; Wang, Chih‐Hung; Tsai, Shih‐Hung; Lee, Chia-Cheng; Chen, Sy‐Jou

doi:10.3390/jcm10061150

Cited by 14 publications

(13 citation statements)

References 42 publications

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“…The results of the studies evaluating the decrease in the number of hospital admissions compared to the previous year in the first periods of the COVID-19 pandemic were as follows, 42% decrease in the USA between March 29 and April 25, 2020 (18), 50% decrease in the UK between March 2 and May 3 (19), 47% decrease in France between March 23-April 5 (20). Similarly, in studies conducted in many countries in the later stages of the pandemic, it was reported that there was a significant decrease in hospital admissions (21,22,23). The results of our study were similar to the hospital admissions trend in different countries.…”

Section: Discussionmentioning

confidence: 83%

Lower extremity problems and related surgical procedures before and during the COVID-19 pandemic in a tertiary healthcare institution

Şahin¹,

Khalil²

2021

Sanamed

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Aim: This study aims to investigate whether there was a change in the number of elective surgical procedures and outpatient presentations between the first and second episodes of COVID-19 in a tertiary center in Turkey.Methods: This retrospective study included data concerning patients presenting to the outpatient and emergency departments of orthopedics and vascular surgery and undergoing surgery in these departments during the first (March-April, 2020) and the second episodes (November-December, 2020) of COVID-19 in a tertiary center in Turkey.Results: When the procedures related to orthopedics and traumatology were examined, compared to 2019,the total number of examinations, emergency patients, surgeries, total knee replacement, total hip replacement decreased in 2020, it was seen that the numbers of lower extremity fracture and lower limb amputation increased (both in March-April and November-December periods). When lower extremity vascular procedures were analyzed, we found that the number of all procedures decreased in 2020 compared to 2019 (both in March-April and November-December periods).Conclusion: Our findings show there was a slight increase in admissions to outpatient and emergency departments of orthopedics and vascular surgery department as well as the number of surgical procedures performed during the second episode of the COVID-19 outbreak compared to the first episode. However, both outpatient and emergency department admissions were lower than that of the pre-COVID era, as well as the number of surgical procedures.

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Section: Discussionmentioning

confidence: 83%

Lower extremity problems and related surgical procedures before and during the COVID-19 pandemic in a tertiary healthcare institution

Şahin¹,

Khalil²

2021

Sanamed

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“…A significant decrease in ED visits for injury was observed in many countries after the pandemic was declared [11][12][13][14][15]. Although no widespread transmission of COVID-19 infection was reported in Taiwan in 2020, a similar trend in decreased ED visits was reported in Taiwan [16,17]. The drop in ED visits for injury was even more profound following the detection of community spread in 2021.…”

Section: Introductionmentioning

confidence: 82%

Effects of the COVID-19 Pandemic on Treatment Efficiency for Traumatic Brain Injury in the Emergency Department: A Multicenter Study in Taiwan

Lam

Yen

et al. 2021

JCM

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The coronavirus disease 2019 (COVID-19) pandemic has impacted emergency department (ED) practice, including the treatment of traumatic brain injury (TBI), which is commonly encountered in the ED. Our study aimed to evaluate TBI treatment efficiency in the ED during the COVID-19 pandemic. A retrospective observational study was conducted using the electronic medical records from three hospitals in metropolitan Taipei, Taiwan. The time from ED arrival to brain computed tomography (CT) and the time from ED arrival to surgical management were used as measures of treatment efficiency. TBI treatment efficiencies in the ED coinciding with a small-scale local COVID-19 outbreak in 2020 (P1) and large-scale community spread in 2021 (P2) were compared against the pre-pandemic efficiency recorded in 2019. The interval between ED arrival and brain CT was significantly shortened during P1 and P2 compared with the pre-pandemic interval, and no significant delay between ED arrival and surgical management was found, indicating increased treatment efficiency for TBI in the ED during the COVID-19 pandemic. Minimizing viral spread in the community and the hospital is vital to maintaining ED treatment efficiency and capacity. The ED should retain sufficient capacity to treat older patients with serious TBI during the COVID-19 pandemic.

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“…First, "How could Taiwan, maintain for a long period of time its low daily covid-19 cases and tame its Covid-19 cases jump even though the country is very close to the place of virus origin, Wuhan?" Many answers have been presented earlier such as the government's quick response to an epidemic [7], the use of a state-of-the-art surveillance system [8], active community involvement [9], and advanced hospital systems and treatment [10]. Our work is considered the rst attempt to reveal Taiwan's handling of its Covid-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Determining Significant Factors Responsible for the Successful Managing of the Covid-19 Pandemic in Taiwan

Halide

Andika

Wulandari

2023

Preprint

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The covid-19 pandemic badly affects most countries in the world both sociologically and economically. Taiwan, however, manages to handle its pandemic remarkably well before and after its Covid-19 cases spike. This paper aims to describe Taiwan's strategy for keeping the cases low and to identify significant factors related to this spike. These factors are found through the use of a stepwise regression model. The model inputs are 15 daily data sets that belong to the three grouped indicators: Containment and closures, Economic responses, and Health systems. In addition, the number of Covid-19 tests and changes in the number of people attending indoor and outdoor activities are also given as model inputs. The model output is the daily covid-19 confirmed cases. It is found that restrictions on the internal move, government campaign, debt or contract relief, indoor activities changes, work closures, and their interactions are amongst the most significant factors leading to the sharp jump in Covid-19 cases. The model is able to explain almost 88% of the cases. It is important that these factors are taken into consideration by any government in its preparation for an upcoming pandemic.

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Impact of the COVID-19 Pandemic on the Loading and Quality of an Emergency Department in Taiwan: Enlightenment from a Low-Risk Country in a Public Health Crisis

Cited by 14 publications

References 42 publications

Lower extremity problems and related surgical procedures before and during the COVID-19 pandemic in a tertiary healthcare institution

Lower extremity problems and related surgical procedures before and during the COVID-19 pandemic in a tertiary healthcare institution

Effects of the COVID-19 Pandemic on Treatment Efficiency for Traumatic Brain Injury in the Emergency Department: A Multicenter Study in Taiwan

Determining Significant Factors Responsible for the Successful Managing of the Covid-19 Pandemic in Taiwan

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