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 | Jeong, Daun | - |
dc.contributor.author | Lee, Gun Tak | - |
dc.contributor.author | Park, Jong Eun | - |
dc.contributor.author | Shin, Tae Gun | - |
dc.contributor.author | Kim, Kyunga | - |
dc.contributor.author | Jang, Doeun | - |
dc.contributor.author | Kim, Won Young | - |
dc.contributor.author | Jo, You Hwan | - |
dc.contributor.author | Chung, Sung Phil | - |
dc.contributor.author | Beom, Jin Ho | - |
dc.contributor.author | Choi, Sung-Hyuk | - |
dc.contributor.author | Kwon, Woon Yong | - |
dc.contributor.author | Suh, Gil Joon | - |
dc.contributor.author | Ko, Byuk Sung | - |
dc.contributor.author | Han, Kap Su | - |
dc.contributor.author | Shin, Jong Hwan | - |
dc.contributor.author | Cho, Hanjin | - |
dc.contributor.author | Hwang, Sung Yeon | - |
dc.date.accessioned | 2022-12-08T22:42:26Z | - |
dc.date.available | 2022-12-08T22:42:26Z | - |
dc.date.created | 2022-12-08 | - |
dc.date.issued | 2022-11 | - |
dc.identifier.issn | 2075-4426 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/146529 | - |
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 postCOVID-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.language | English | - |
dc.language.iso | en | - |
dc.publisher | MDPI | - |
dc.subject | GOAL-DIRECTED RESUSCITATION | - |
dc.subject | DEFINITIONS | - |
dc.subject | SOCIETY | - |
dc.subject | VISITS | - |
dc.subject | SEPSIS | - |
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.affiliatedAuthor | Choi, Sung-Hyuk | - |
dc.identifier.doi | 10.3390/jpm12111803 | - |
dc.identifier.scopusid | 2-s2.0-85141664446 | - |
dc.identifier.wosid | 000881289700001 | - |
dc.identifier.bibliographicCitation | JOURNAL OF PERSONALIZED MEDICINE, v.12, no.11 | - |
dc.relation.isPartOf | JOURNAL OF PERSONALIZED MEDICINE | - |
dc.citation.title | JOURNAL OF PERSONALIZED MEDICINE | - |
dc.citation.volume | 12 | - |
dc.citation.number | 11 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Health Care Sciences & Services | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Health Care Sciences & Services | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | GOAL-DIRECTED RESUSCITATION | - |
dc.subject.keywordPlus | DEFINITIONS | - |
dc.subject.keywordPlus | SOCIETY | - |
dc.subject.keywordPlus | VISITS | - |
dc.subject.keywordPlus | SEPSIS | - |
dc.subject.keywordAuthor | COVID-19 | - |
dc.subject.keywordAuthor | septic shock | - |
dc.subject.keywordAuthor | resuscitation | - |
dc.subject.keywordAuthor | sepsis bundle | - |
dc.subject.keywordAuthor | mortality | - |
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