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Clinical and Experimental Emergency Medicine最新文献

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ROMIAE (Rule-Out Acute Myocardial Infarction Using Artificial Intelligence Electrocardiogram Analysis) trial study protocol: a prospective multicenter observational study for validation of a deep learning-based 12-lead electrocardiogram analysis model for detecting acute myocardial infarction in patients visiting the emergency department. ROMIAE(利用人工智能心电图分析排除急性心肌梗死)试验研究方案:一项前瞻性多中心观察研究，旨在验证基于深度学习的12导联心电图分析模型用于检测急诊科患者的急性心肌梗死。
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2023-12-01 Epub Date: 2023-11-28 DOI: 10.15441/ceem.22.360
Tae Gun Shin, Youngjoo Lee, Kyuseok Kim, Min Sung Lee, Joon-Myoung Kwon
{"title":"ROMIAE (Rule-Out Acute Myocardial Infarction Using Artificial Intelligence Electrocardiogram Analysis) trial study protocol: a prospective multicenter observational study for validation of a deep learning-based 12-lead electrocardiogram analysis model for detecting acute myocardial infarction in patients visiting the emergency department.","authors":"Tae Gun Shin, Youngjoo Lee, Kyuseok Kim, Min Sung Lee, Joon-Myoung Kwon","doi":"10.15441/ceem.22.360","DOIUrl":"10.15441/ceem.22.360","url":null,"abstract":"<p><strong>Objective: </strong>Based on the development of artificial intelligence (AI), an emerging number of methods have achieved outstanding performances in the diagnosis of acute myocardial infarction (AMI) using an electrocardiogram (ECG). However, AI-ECG analysis using a multicenter prospective design for detecting AMI has yet to be conducted. This prospective multicenter observational study aims to validate an AI-ECG model for detecting AMI in patients visiting the emergency department.</p><p><strong>Methods: </strong>Approximately 9,000 adult patients with chest pain and/or equivalent symptoms of AMI will be enrolled in 18 emergency medical centers in Korea. The AI-ECG analysis algorithm we developed and validated will be used in this study. The primary endpoint is the diagnosis of AMI on the day of visiting the emergency center, and the secondary endpoint is a 30-day major adverse cardiac event. From March 2022, patient registration has begun at centers approved by the institutional review board.</p><p><strong>Discussion: </strong>This is the first prospective study designed to identify the efficacy of an AI-based 12-lead ECG analysis algorithm for diagnosing AMI in emergency departments across multiple centers. This study may provide insights into the utility of deep learning in detecting AMI on electrocardiograms in emergency departments. Trial registration ClinicalTrials.gov identifier: NCT05435391. Registered on June 28, 2022.</p>","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"438-445"},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10790062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138444114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute myocardial infarction diagnosed in emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 急诊科诊断的急性心肌梗死:来自韩国国家急诊科信息系统(NEDIS)的报告，2018-2022
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.140
Shin Ahn, Eunsil Ko, Young Sun Ro
{"title":"Acute myocardial infarction diagnosed in emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.","authors":"Shin Ahn, Eunsil Ko, Young Sun Ro","doi":"10.15441/ceem.23.140","DOIUrl":"10.15441/ceem.23.140","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"10 S","pages":"S42-S47"},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134648570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiologic trends of patients who visited nationwide emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 全国急诊科就诊患者的流行病学趋势:韩国国家急诊科信息系统(NEDIS) 2018-2022年报告
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.151
Hyun Ho Yoo, Young Sun Ro, Eunsil Ko, Jin-Hee Lee, So-Hyun Han, Taerim Kim, Tae Gun Shin, Seongjung Kim, Hansol Chang
{"title":"Epidemiologic trends of patients who visited nationwide emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.","authors":"Hyun Ho Yoo, Young Sun Ro, Eunsil Ko, Jin-Hee Lee, So-Hyun Han, Taerim Kim, Tae Gun Shin, Seongjung Kim, Hansol Chang","doi":"10.15441/ceem.23.151","DOIUrl":"10.15441/ceem.23.151","url":null,"abstract":"<p><strong>Objective: </strong>: This study analyzed trends in emergency department (ED) visits in South Korea using the National Emergency Department Information System (NEDIS) data from 2018 to 2022.</p><p><strong>Methods: </strong>: This was a retrospective observational study using data from the NEDIS database from 2018 to 2022. Age- and sex-standardized ED visits per 100,000 population, as well as age- and sex-standardized rates for mortality, admission, and transfer, were calculated.</p><p><strong>Results: </strong>: The standardized ED visits per 100,000 population was approximately 20,000 from 2018 to 2019 and decreased to about 18,000 in 2022. The standardized mortality rate ranged from 1.4% to 1.7%. The admission rate (18.4%-19.4%) and the transfer rates (1.6%-1.8%) were similar during the study period. Approximately 5.5% of patients were triaged as Korean Triage and Acuity Scale score 1 or 2. About 91% of patients visited the ED directly and 21.7% of patients visited the ED with an ambulance. The ED length of stay was less than 6 hours in 90.3% of patients and the ED mortality rate was 0.6%. Acute gastroenteritis was the most common diagnosis. Respiratory virus symptoms, such as fever and sore throat, were also common chief complaints.</p><p><strong>Conclusion: </strong>: ED visits decreased during the 5-year period, while admission, transfer, and death rates remained relatively stable.</p>","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"10 S","pages":"S1-S12"},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134648573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mortality and incidence rate of acute severe trauma patients in the emergency department: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 急诊科急性严重创伤患者的死亡率和发病率:韩国国家急诊科信息系统(NEDIS) 2018-2022年的报告
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.147
Jung-Youn Kim, Young-Hoon Yoon, Sung Joon Park, Won Pyo Hong, Young Sun Ro
{"title":"Mortality and incidence rate of acute severe trauma patients in the emergency department: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.","authors":"Jung-Youn Kim, Young-Hoon Yoon, Sung Joon Park, Won Pyo Hong, Young Sun Ro","doi":"10.15441/ceem.23.147","DOIUrl":"10.15441/ceem.23.147","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"10 S","pages":"S55-S62"},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134648576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recent status of sudden cardiac arrests in emergency medical facilities: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 紧急医疗设施中心脏骤停的最新状况:韩国国家急诊科信息系统(NEDIS) 2018-2022年的报告
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.154
Jung Soo Park, Byung Kook Lee, Sung-Keun Ko, Young Sun Ro
{"title":"Recent status of sudden cardiac arrests in emergency medical facilities: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.","authors":"Jung Soo Park, Byung Kook Lee, Sung-Keun Ko, Young Sun Ro","doi":"10.15441/ceem.23.154","DOIUrl":"10.15441/ceem.23.154","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"10 S","pages":"S36-S41"},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134648577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency department utilization in elderly patients: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 老年患者急诊科使用率:韩国国家急诊科信息系统(NEDIS) 2018-2022年报告
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.146
Sun Young Lim, You Hwan Jo, Seongjung Kim, Eunsil Ko, Young Sun Ro, Jungeon Kim, Sumin Baek
{"title":"Emergency department utilization in elderly patients: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.","authors":"Sun Young Lim, You Hwan Jo, Seongjung Kim, Eunsil Ko, Young Sun Ro, Jungeon Kim, Sumin Baek","doi":"10.15441/ceem.23.146","DOIUrl":"10.15441/ceem.23.146","url":null,"abstract":"<p><strong>Objective: </strong>: With general aging of the population, emergency department (ED) utilization by elderly patients is increasing. In this study, we analyzed data on ED visits of patients aged 65 years and older in Korea.</p><p><strong>Methods: </strong>: The study is a retrospective analysis of National Emergency Department Information System (NEDIS) data from 2018-2022, focusing on patients aged 65 years and older who visited EDs across Korea. ED utilization data were analyzed using Korean Triage and Acuity Scale (KTAS) scores. The patients were divided into three age groups, and common chief complaints and diagnoses were identified. Age- and sex-standardized ED visits per 100,000 population and outcomes were also analyzed.</p><p><strong>Results: </strong>: During the study period, there was a total of 9,803,065 elderly patient ED visits. The mean patient age was 76.4±7.6 years, and 47.6% were men. The ED mortality rate and in-hospital mortality rate were 1.8% and 4.6%, respectively. The KTAS scores 1-2 group accounted for 11.0% of patients, KTAS score 3 group for 42.5%, KTAS scores 4-5 group for 37.2%, and KTAS score unknown group for 9.4%. When patients were categorized into three age groups, the oldest group exhibited the highest rates of KTAS score 1, severe illness diagnoses, and mortality. The most frequently reported chief complaint was abdominal pain, and the most common diagnosis was light headedness. When analyzing the data by year, the COVID-19 outbreak had a discernible impact on ED visits and clinical outcomes.</p><p><strong>Conclusion: </strong>: Over the past 5 years, ED visits for elderly patients have averaged 26,050 per 100,000 population per year, with a temporary decline during the COVID-19 pandemic and a subsequent upward trend.</p>","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"10 S","pages":"S26-S35"},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134648572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiology of stroke in emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 急诊科卒中流行病学:来自韩国国家急诊科信息系统(NEDIS)的报告，2018-2022
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.153
Sung Eun Lee, Hyo Jin Kim, Young Sun Ro
{"title":"Epidemiology of stroke in emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.","authors":"Sung Eun Lee, Hyo Jin Kim, Young Sun Ro","doi":"10.15441/ceem.23.153","DOIUrl":"10.15441/ceem.23.153","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"10 S","pages":"S48-S54"},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134648574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiology of suicide attempts and self-harm in emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. 急诊科自杀企图和自残的流行病学:来自韩国国家急诊科信息系统(NEDIS)的报告，2018-2022。
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.141
Kwang Yul Jung, Taehui Kim, Young Sun Ro
{"title":"Epidemiology of suicide attempts and self-harm in emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.","authors":"Kwang Yul Jung, Taehui Kim, Young Sun Ro","doi":"10.15441/ceem.23.141","DOIUrl":"10.15441/ceem.23.141","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"10 S","pages":"S69-S74"},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134648575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics of pediatric emergency department visits before and during the COVID-19 pandemic: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022. COVID-19大流行之前和期间儿科急诊科就诊特征:来自韩国国家急诊科信息系统(NEDIS) 2018-2022年的报告
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.150
Jin Hyuck Hong, So Hyun Paek, Taerim Kim, Seongjung Kim, Eunsil Ko, Young Sun Ro, Jungeon Kim, Jae Hyun Kwon
{"title":"Characteristics of pediatric emergency department visits before and during the COVID-19 pandemic: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.","authors":"Jin Hyuck Hong, So Hyun Paek, Taerim Kim, Seongjung Kim, Eunsil Ko, Young Sun Ro, Jungeon Kim, Jae Hyun Kwon","doi":"10.15441/ceem.23.150","DOIUrl":"10.15441/ceem.23.150","url":null,"abstract":"<p><strong>Objective: </strong>: As of 2018, approximately 1.2 million pediatric patients visited emergency departments (EDs) in Korea, showing a steady increase. Given the distinct differences between children and adults, it is vital to examine the epidemiological characteristics of pediatric patients visiting the ED.</p><p><strong>Methods: </strong>: This study retrospectively analyzed the ED use patterns of pediatric patients <18 years old in Korea from January 1, 2018, to December 31, 2022, using data from the National Emergency Department Information System (NEDIS).</p><p><strong>Results: </strong>: Most pediatric ED patients were boys, with an average age of 6.6±5.3 years. Patients younger than 1 year and those in critical condition had longer ED stays and more frequently required hospital admission and used the 119-ambulance service. The primary symptom was fever, and the most common discharge diagnosis was gastroenteritis. Following the declaration of the COVID-19 pandemic in 2020, ED visits decreased by 49%. Meanwhile, there was an increase in in-hospital mortality rate/age- and sex-standardized mortality rate per 100,000 ED visits, Admission and transfer rates remained similar between before and after the start of the pandemic.</p><p><strong>Conclusion: </strong>: Through this analysis, we identified the characteristics of pediatric patients visiting EDs in Korea. We observed a sharp decline in ED visits after the start of the COVID-19 pandemic. From there, ED visits slowly increased but remained below prepandemic levels for 3 years. This research will serve as a foundational resource for appropriately allocating and preparing pediatric ED resources.</p>","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"10 S","pages":"S13-S25"},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134648571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends in traumatic brain injury-related emergency department visits in Korea: a report from the National Emergency Department Information System (NEDIS) 2018-2022. 韩国外伤性脑损伤相关急诊科就诊趋势:2018-2022年国家急诊科信息系统(NEDIS)报告
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI: 10.15441/ceem.23.148
Hang A Park, Borami Lim, Young Sun Ro
{"title":"Trends in traumatic brain injury-related emergency department visits in Korea: a report from the National Emergency Department Information System (NEDIS) 2018-2022.","authors":"Hang A Park, Borami Lim, Young Sun Ro","doi":"10.15441/ceem.23.148","DOIUrl":"10.15441/ceem.23.148","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"10 S","pages":"S63-S68"},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134648578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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