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응급실을 방문하는 발열: COVID-19 이전과 이후

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Author(s)
유동욱전재천김예림박의준김근태
Keimyung Author(s)
Jeon, Jae CheonKim, Yae RimPark, Ui JunKim, Keun Tae
Department
Dept. of Emergency Medicine (응급의학)
Dept. of Internal Medicine (내과학)
Dept. of Surgery (외과학)
Dept. of Neurology (신경과학)
Journal Title
Keimyung Med J
Issued Date
2021
Volume
40
Issue
2
Keyword
COVID-19Emergency servicehospitalEtiologyFever
Abstract
A high body temperature, i.e. fever, is a crucial vital sign, and suggests the patient's infection or inflammation. COVID-19 has changed the lifestyle, and led to the changes in medical use behavior of febrile patients. We investigated the change in etiologies of fever in the emergency department (ED) before and after COVID-19. The medical records of patients with fever who visited the ED of a university hospital before and after the outbreak of COVID-19 in Daegu metropolitan city, South Korea. The cause of fever and its classification were carefully decided and established by agreement through a discussion among board-certified clinicians in emergency medicine, neurology, general surgery, and internal medicine. The etiology of fever and its prevalence in ED were compared between before and after COVID-19. A total of 3,041 patients with fever (> 37.7°C) in the ED were investigated, with 1,400 men (46.0%). Their mean age was 55.88 ± 20.59, and the average number of patients with fever in ED was 8.16 ± 3.94 per a day. The most common etiology before COVID-19 was respiratory system infection (n = 535, 30.5%), followed by gastrointestinal (n = 313, 17.8%) and urinary tract infection (n = 209, 11.9%). However, after COVID-19, gastrointestinal cause became the most common (n = 247, 27.3%), followed by respiratory system (n = 126, 13.9%) and urinary tract infection (n = 102, 11.3%). There has been paradigm-shifting in fever etiology in the emergency department. It is necessary to cope with the changed fever etiology in the COVID-19 era.
Alternative Title
The Fever in the Emergency Department: before Versus after COVID-19
Keimyung Author(s)(Kor)
전재천
김예림
박의준
김근태
Citation
유동욱. (2021). 응급실을 방문하는 발열: COVID-19 이전과 이후. Keimyung Med J, 40(2), 108-113. doi: 10.46308/kmj.2021.00122
Type
Journal
Source
https://www.e-kmj.org/journal/view.php?number=2243
DOI
10.46308/kmj.2021.00122
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43898
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2021
1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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