The Correlation between COVID-19 Hospitalizations and Emergency Medical Services Responses for Time-Sensitive Emergencies during the COVID-19 Pandemic

Bosson, Nichole; Rollman, Jeffrey Eric; Kloner, Robert A.; Shavelle, David M.; Saver, Jeffrey L.; Niemann, James T; Rafique, Asim; Wang, Xiaoyan; Clare, Christine; Gausche‐Hill, Marianne

doi:10.1080/10903127.2022.2112792

Cited by 4 publications

(3 citation statements)

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“…In particular, the number of the patients transported due to traffic accidents and industrial accidents decreased, whereas that of the patients transported due to sports increased slightly. This trend was also observed in other countries (19)(20)(21)(22)(23)(24)(25)(26). A study in northwestern Italy reported a decrease in emergency room visits due to the COVID-19 pandemic but an increase in emergency room visits by ambulance (25).…”

Section: Discussionsupporting

confidence: 64%

“…A study in northwestern Italy reported a decrease in emergency room visits due to the COVID-19 pandemic but an increase in emergency room visits by ambulance ( 25 ). A study by Bosson et al assessing the relationship between hospital admission due to COVID-19 and EMS transports for time-sensitive emergencies in Los Angeles revealed that the number of patients transported by ambulance for traffic accidents decreased during the COVID-19 pandemic, whereas the number of patients transported by ambulance for stroke, ST-segment elevation myocardial infarction, and OHCA increased ( 24 ). Thus, the number of these patients may have decreased during the COVID-19 pandemic due to the restriction of socioeconomic activities caused by the lockdown ( 24 ).…”

Section: Discussionmentioning

confidence: 99%

“…A study by Bosson et al assessing the relationship between hospital admission due to COVID-19 and EMS transports for time-sensitive emergencies in Los Angeles revealed that the number of patients transported by ambulance for traffic accidents decreased during the COVID-19 pandemic, whereas the number of patients transported by ambulance for stroke, ST-segment elevation myocardial infarction, and OHCA increased ( 24 ). Thus, the number of these patients may have decreased during the COVID-19 pandemic due to the restriction of socioeconomic activities caused by the lockdown ( 24 ). Furthermore, the number of patients transported by ambulance for acute diseases also decreased in 2021 compared to the pre-COVID-19 pandemic period.…”

Section: Discussionmentioning

confidence: 99%

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Outcome of emergency patients transported by ambulance during the COVID-19 pandemic in Osaka Prefecture, Japan: a population-based descriptive study

Katayama,

Tanaka,

Domi

et al. 2024

Front. Public Health

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BackgroundThe novel corona virus (COVID-19) pandemic occurred worldwide. Although an excessive burden was placed on emergency medical institutions treating urgent and severe patients, its impact on patient outcome remains unknown. This study aimed to assess the impact of the COVID-19 pandemic in 2021 on the emergency medical services (EMS) system and patient outcomes in Osaka Prefecture, Japan.MethodsThis was a retrospective descriptive study with a study period from January 1, 2019 to December 31, 2021. We included patients who were transported by ambulance and had cleaned data that was recorded in the ORION system. The study endpoints were the number of patients transported by ambulance and the number of deaths among these patients in each month. To assess the impact of the COVID-19 pandemic on the EMS system, the incidence rate ratio (IRR) and 95% confidence interval (CI) were calculated using 2019 as the reference year. Mortalities were evaluated based on deaths in the emergency department and deaths at 21 days after hospitalization.ResultsThe numbers of patients transported by ambulance were 500,194 in 2019, 443,321 in 2020 (IRR: 0.88, 95% CI: 0.87–0.88), and 448,054 in 2021 (IRR: 0.90, 95% CI: 0.89–0.90). In 2019, the number of patients transported by ambulance and who died in the emergency departments was 4,980, compared to 5,485 in 2020 (IRR: 1.10, 95% CI; 1.06–1.44) and 5,925 in 2021 (IRR: 1.19, 95% CI: 1.15–1.24). In 2019, the number of patients who died within 21 days after hospitalization was 11,931, compared to 11,913 in 2020 (IRR; 1.00, 95% CI; 0.98–1.03) and 13,376 in 2021 (IRR; 1.12, 95% CI; 1.09–1.15).ConclusionThe COVID-19 pandemic decreased the number of ambulance requests and worsened mortality of patients transported by ambulance in Osaka Prefecture during 2021.

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