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Impact of an emergency department resident strike during the coronavirus disease 2019 (COVID-19) pandemic in Daegu, South Korea

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Affiliated Author(s)
이상훈
Alternative Author(s)
Lee, Sang Hun
Journal Title
Yeungnam Univ J Med
ISSN
2799-8010
Issued Date
2022
Keyword
COVID-19Emergency medical servicesEmployee strikesHospital mortalityHospitalsPhysicians
Abstract
Background:
To prepare for future work stoppages in the medical industry, this study aimed to identify the effects of healthcare worker strikes on the mortality rate of patients visiting the emergency department (ED) at six training hospitals in Daegu, South Korea.

Methods:
We used a retrospective, cross-sectional, multicenter design to analyze the medical records of patients who visited six training hospitals in Daegu (August 21–September 8, 2020). For comparison, control period 1 was set as the same period in the previous year (August 21–September 8, 2019) and control period 2 was set as July 1–19, 2020. Patient characteristics including age, sex, and time of ED visit were investigated along with mode of arrival, length of ED stay, and in-hospital mortality. The experimental and control groups were compared using t-tests, and Mann-Whitney U-test, chi-square test, and Fisher exact tests, as appropriate. Univariate logistic regression was performed to identify significant factors, followed by multivariate logistic regression analysis.

Results:
During the strike period, 31,357 patients visited the ED, of which 7,749 belonged to the experimental group. Control periods 1 and 2 included 13,100 and 10,243 patients, respectively. No significant in-hospital mortality differences were found between strike periods; however, the results showed statistically significant differences in the length of ED stay.

Conclusion:
The ED resident strike did not influence the mortality rate of patients who visited the EDs of six training hospitals in Daegu. Furthermore, the number of patients admitted and the length of ED stay decreased during the strike period.
Department
Dept. of Emergency Medicine (응급의학)
Publisher
School of Medicine (의과대학)
Citation
Yo Han Cho et al. (2022). Impact of an emergency department resident strike during the coronavirus disease 2019 (COVID-19) pandemic in Daegu, South Korea. Yeungnam Univ J Med, 39(1), 31–38. doi: 10.12701/yujm.2021.01130
Type
Article
ISSN
2799-8010
DOI
10.12701/yujm.2021.01130
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43988
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
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