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Impact of COVID-19 Pandemic on Management and Outcomes in Patients with Septic Shock in the Emergency Department
DC Field | Value | Language |
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dc.contributor.author | 범진호 | - |
dc.contributor.author | 정성필 | - |
dc.date.accessioned | 2023-03-10T01:26:59Z | - |
dc.date.available | 2023-03-10T01:26:59Z | - |
dc.date.issued | 2022-11 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/193169 | - |
dc.description.abstract | This study aimed to determine the impact of modifications in emergency department (ED) practices caused by the coronavirus disease 2019 (COVID-19) pandemic on the clinical outcomes and management of patients with septic shock. We performed a retrospective study. Patients with septic shock who presented to the ED between 1 January 2018 and 19 January 2020 were allocated to the pre-COVID-19 group, whereas those who presented between 20 January 2020 and 31 December 2020 were assigned to the post-COVID-19 group. We used propensity score matching to compare the sepsis-related interventions and clinical outcomes. The primary outcome measure was in-hospital mortality. Of the 3697 patients included, 2254 were classified as pre-COVID-19 and 1143 as post-COVID-19. A total of 1140 propensity score-matched pairings were created. Overall, the in-hospital mortality rate was 25.5%, with no statistical difference between the pre- and post-COVID-19 groups (p = 0.92). In a matched cohort, the post-COVID-19 group had delayed lactate measurement, blood culture test, and infection source control (all p < 0.05). There was no significant difference in time to antibiotics (p = 0.19) or vasopressor administration (p = 0.09) between the groups. Although sepsis-related interventions were delayed during the COVID-19 pandemic, there was no significant difference in the in-hospital mortality between the pre- and post-COVID-19 groups. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | MDPI | - |
dc.relation.isPartOf | JOURNAL OF PERSONALIZED MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Impact of COVID-19 Pandemic on Management and Outcomes in Patients with Septic Shock in the Emergency Department | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Emergency Medicine (응급의학교실) | - |
dc.contributor.googleauthor | Daun Jeong | - |
dc.contributor.googleauthor | Gun Tak Lee | - |
dc.contributor.googleauthor | Jong Eun Park | - |
dc.contributor.googleauthor | Tae Gun Shin | - |
dc.contributor.googleauthor | Kyunga Kim | - |
dc.contributor.googleauthor | Doeun Jang | - |
dc.contributor.googleauthor | Won Young Kim | - |
dc.contributor.googleauthor | You Hwan Jo | - |
dc.contributor.googleauthor | Sung Phil Chung | - |
dc.contributor.googleauthor | Jin Ho Beom | - |
dc.contributor.googleauthor | Sung-Hyuk Choi | - |
dc.contributor.googleauthor | Woon Yong Kwon | - |
dc.contributor.googleauthor | Gil Joon Suh | - |
dc.contributor.googleauthor | Byuk Sung Ko | - |
dc.contributor.googleauthor | Kap Su Han | - |
dc.contributor.googleauthor | Jong Hwan Shin | - |
dc.contributor.googleauthor | Hanjin Cho | - |
dc.contributor.googleauthor | Korean Shock Society KoSS Investigators | - |
dc.contributor.googleauthor | Sung Yeon Hwang | - |
dc.identifier.doi | 10.3390/jpm12111803 | - |
dc.contributor.localId | A05135 | - |
dc.contributor.localId | A03625 | - |
dc.relation.journalcode | J04078 | - |
dc.identifier.eissn | 2075-4426 | - |
dc.identifier.pmid | 36579517 | - |
dc.subject.keyword | COVID-19 | - |
dc.subject.keyword | mortality | - |
dc.subject.keyword | resuscitation | - |
dc.subject.keyword | sepsis bundle | - |
dc.subject.keyword | septic shock | - |
dc.contributor.alternativeName | Beom, Jin Ho | - |
dc.contributor.affiliatedAuthor | 범진호 | - |
dc.contributor.affiliatedAuthor | 정성필 | - |
dc.citation.volume | 12 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 1803 | - |
dc.identifier.bibliographicCitation | JOURNAL OF PERSONALIZED MEDICINE, Vol.12(11) : 1803, 2022-11 | - |
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