National Academy of Medicine of Korea (NAMOK) Key Statements on COVID-19

Shin, Hyoung-Shik; Park, Hyesook; Kwon, Jun Soo; Namgoong, Hyun; Kim, Seong-Jun; Kim, June Myung; Peck, Kyong Ran; Lee, Kyungwon; Lee, Jong Koo; Lee, JinHan; Han, Hee Chul; Hong, Sung‐Jin; Park, Byung Joo; Lim, Tae Hwan; Hwang, Eung Soo; Woo, Jun Hee

doi:10.3346/jkms.2021.36.e287

Cited by 8 publications

(7 citation statements)

References 28 publications

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“…For example, the Korean government implemented measures to accommodate patients with COVID-19 while also preventing the spread of the virus in hospitals. These measures included mandatory polymerase chain reaction tests for SARS-CoV-2 in patients presenting to the ED with fever or respiratory symptoms (38) and the designation of a portion of ICU beds exclusively for critically ill patients with COVID-19 (39,40). However, these measures may have hindered patients with non-COVID-19 critical conditions from accessing ICU care.…”

Section: Discussionmentioning

confidence: 99%

Impact of the early phase of the COVID-19 pandemic on emergency department-to-intensive care unit admissions in Korea: An interrupted time-series analysis

Lee,

Han,

Min

et al. 2024

Preprint

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Background The coronavirus disease 2019 (COVID-19) pandemic resulted in significant disruptions to critical care systems globally. However, research on the impact of the COVID-19 pandemic on intensive care unit (ICU) admissions via the emergency department (ED) is limited. Therefore, this study evaluated the changes in the number of ED-to-ICU admissions and clinical outcomes in the periods before and during the pandemic. Methods We identified all adult patients admitted to the ICU through level 1 or 2 EDs in Korea between February 2018 and January 2021. February 2020 was considered the onset point of the COVID-19 pandemic. The monthly changes in the number of ED-to-ICU admissions and the in-hospital mortality rates before and during the COVID-19 pandemic were evaluated using interrupted time-series analysis. Results Among the 555,793 adult ED-to-ICU admissions, the number of ED-to-ICU admissions during the pandemic decreased compared to that before the pandemic (step change, 0.916; 95% confidence interval [CI] 0.869–0.966], although the trend did not attain statistical significance (slope change, 0.997; 95% CI 0.991–1.003). The proportion of patients who arrived by emergency medical services, those transferred from other hospitals, and those with injuries declined significantly among the number of ED-to-ICU admissions during the pandemic. The proportion of in-hospital deaths significantly increased during the pandemic (step change, 1.054; 95% CI 1.003–1.108); however, the trend did not attain statistical significance (slope change, 1.001; 95% CI 0.996–1.007). Mortality rates in patients with an ED length of stay of ≥ 6 h until admission to the ICU rose abruptly following the onset of the pandemic (step change, 1.169; 95% CI 1.021–1.339). Conclusions The COVID-19 pandemic significantly affected ED-to-ICU admission and in-hospital mortality rates in Korea. This study’s findings have important implications for healthcare providers and policymakers planning the management of future outbreaks of infectious diseases. Strategies are needed to address the challenges posed by pandemics and improve the outcomes in critically ill patients.

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Section: Discussionmentioning

confidence: 99%

Impact of the early phase of the COVID-19 pandemic on emergency department-to-intensive care unit admissions in Korea: An interrupted time-series analysis

Lee,

Han,

Min

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…Major publishing institutions related to healthcare policy in the Republic of Korea include the Republic of Korea International Cooperation Agency (KOICA), the Republic of Korea Human Resource Development Institute for Health and Welfare (KOHI), the Research Institute for Healthcare Policy (RIHP) of the Republic of Korea Medical Association (KMA), the Republic of Korea Medical Journal, as well as the Medical Journal of Health, etc. In addition, other sources were referred to, such as the "Guidelines on the management of COVID-19", "Infection prevention and control (IPC) measures for the safety of healthcare workers (HCW)", and "Emergency Medical Center Closure and Quarantine of Medical Staff" [15][16][17]. Various news or internet articles published in the Republic of Korea prior to March 2022 were hand-searched with search terms (human resources, health service delivery, and logistic systems with COVID-19) via websites to review the private sector's response to the COVID-19 pandemic.…”

Section: Literature Resourcesmentioning

confidence: 99%

The COVID-19 Pandemic Response and Its Impact on Post-Corona Health Emergency and Disaster Risk Management in Republic of Korea

et al. 2023

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The COVID-19 pandemic significantly impacted the Republic of Korea’s Health Emergency and Disaster Risk Management (Health-EDRM). This study aims to examine the Republic of Korea’s response to the COVID-19 pandemic, focusing on Health-EDRM, especially human resources, health services, and logistics. Challenges in the Republic of Korea, including lack of medical workforce, confused risk communication, shortage of hospital beds, and inefficient distribution of medical resources, have been highlighted in this paper in terms of human resources, health service delivery, and logistics, which are components of Health-EDRM. It is essential to address the cooperation between the government and private sectors, the protection of occupational health and safety of medical staff during the pandemic, and strategies and technologies to scale up the health facilities, to respond to a future crisis like the COVID-19 pandemic.

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“…The excellent and sophisticated and collaborative efforts by medical staff, civil servants, and the heroic stance of the citizens in Daegu City brought about the least number of victims. Vivid and impressive reports [3][4][5][6][7] were published which helped other Korean areas to prevent as much as possible the damage by COVID-19.…”

Section: Covid-19 Infection In Korea and Japan Between 20201-202110mentioning

confidence: 99%

Comparison of COVID-19 between Korea and Japan

Kim

2022

Keimyung Med J

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Korea had always been lower than in Japan and was called "Korean protection", its contributing factors being as follows: 1. learning from the experience of Middle East Respiratory Syndrome, 2. thorough PCR examinations, 3. comprehensive triage policy, 4. efforts of medical staff, 5. cooperation between the citizens and government. In Korea between 2021.11 and 2021.12, the number of newly infected cases, hospitalized cases, and deaths per week increased 3.5-, 2.6-, and 4.8-fold, respectively, compared with October cases. The main reason for this increase was attributed to the so-called "with corona" policy adopted by the Korean government during the same period. In contrast, during the same period, the number of newly infected cases per day dropped dramatically to less than 1,000 in Japan, attributed to the high rate of vaccination implementation and adherence to social restrictions. Between 2022.1 and 2022.4, the Omicron variant (BA1 and BA2) of COVID-19 became prevalent in both countries. Especially, since March 12, an infection explosion occurred in Korea with over 300,000 people recorded consecutively every day. During the same period, in Japan, the number of newly infected cases remained at less than one hundred thousand. Intercommunication is needed between the two countries to attain COVID-19 containment.

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National Academy of Medicine of Korea (NAMOK) Key Statements on COVID-19

Cited by 8 publications

References 28 publications

Impact of the early phase of the COVID-19 pandemic on emergency department-to-intensive care unit admissions in Korea: An interrupted time-series analysis

Impact of the early phase of the COVID-19 pandemic on emergency department-to-intensive care unit admissions in Korea: An interrupted time-series analysis

The COVID-19 Pandemic Response and Its Impact on Post-Corona Health Emergency and Disaster Risk Management in Republic of Korea

Comparison of COVID-19 between Korea and Japan

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