Epidemiology and Health

Original Articles

The effect of public hospital closure on the death of long-term inpatients in Korea: Taeuk Kang, Minsung Sohn, Changwoo Shon; Epidemiol Health. 2024;46:e2024022. Published online January 17, 2024; DOI: https://doi.org/10.4178/epih.e2024022

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Abstract Summary PDF: Abstract
OBJECTIVES
This study aimed to examine the changes in health outcomes and the patterns of medical institution utilization among patients with long-term stays in public hospitals following the closure of a public medical center. It also sought to present a proposal regarding the role of public hospitals in countries with healthcare systems predominantly driven by private entities, such as Korea.
METHODS
To assess the impact of a public healthcare institution closure on health outcomes in a specific region, we utilized nationally representative health insurance claims data. A retrospective cohort study was conducted for this analysis.
RESULTS
An analysis of the medical utilization patterns of patients after the closure of Jinju Medical Center showed that 67.4% of the total medical usage was redirected to long-term care hospitals. This figure is notably high in comparison to the 20% utilization rate of nursing hospitals observed among patients from other medical facilities. These results indicate that former patients of Jinju Medical Center may have experienced limitations in accessing necessary medical services beyond nursing care. After accounting for relevant mortality factors, the analysis showed that the mortality rate in closed public hospitals was 2.47 (95% confidence interval, 0.85 to 0.96) times higher than in private hospitals.
CONCLUSIONS
The closure of public medical institutions has resulted in unmet healthcare needs, and an observed association was observed with increased mortality rates. It is essential to define the role and objectives of public medical institutions, taking into account the distribution of healthcare resources and the conditions of the population.; Summary

Korean summary
본 연구는 사회보험제도를 기반으로 하고 있는 한국의 상황에서 지방의 공공의료기관 폐쇄가 환자들의 건강에 어떠한 영향을 미쳤는지를 확인하고자 국민건강보험 청구자료를 기반으로 후향적코호트 자료를 구축하여 분석을 시행하였다. 연구결과 장기 입원 환자의 67.4%가 장기요양병원을 의료를 이용하였고, 이는 비교집단의 장기요양 이용비율인 20% 수준보다 3배 가량 높은 수치로, 의료이용에 일부 제약이 발생하였을 가능성을 시사하는 것이다. 폐업 후 1년 이내 사망률을 비교한 결과, 인근지역 내 민간병원 환자와 비교하여 공공의료기관 입원환자의 사망확률은 2.67배였고, 의료급여 수급권자들의 사망확률은 고소득 5분위에 비해 2.24배 높은 것으로 나타났다.

Key Message
Even in Korea's healthcare system with high medical accessibility, adverse health impacts have been observed due to the closure of public healthcare institutions. Systematic policy development is necessary to evaluate essential medical service provision and allocate medical resources comprehensively.

Epidemiological data on nutritional disorders and outcomes in hospitalized Thai children: an analysis of data from the National Health Database 2015-2019: Suchaorn Saengnipanthkul, Jeeraparn Phosuwattanakul, Kaewjai Thepsuthammarat, Nalinee Chongviriyaphan; Epidemiol Health. 2022;44:e2022047. Published online May 16, 2022; DOI: https://doi.org/10.4178/epih.e2022047

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Abstract

OBJECTIVES
Malnutrition in hospitalized patients is a frequently overlooked health issue. We aimed to assess the prevalence and pattern of nutritional disorders in hospitalized Thai children from the National Health Database.

METHODS

Hospitalized children aged 1 month to 18 years diagnosed with nutritional disorders between 2015 and 2019 were retrospectively reviewed using the National Health Security Office data. Based on the International Classification of Diseases, 10th revision, Clinical Modification, nutritional disorders were classified into 3 major forms of malnutrition: undernutrition (E40-E46), overweight and obesity (E66), and micronutrient deficiencies (D50-D53, E50-E56, E58, E60-E61, and E63).

RESULTS

Out of 5,188,033 hospitalized children, malnutrition was identified in 115,254 (2.2%). Protein-energy malnutrition (PEM), overweight and obesity, and micronutrient deficiencies were prevalent in 0.21%, 0.27%, and 1.81%, respectively. Among those with micronutrient deficiencies, 95.0% had iron deficiency anemia, 2.2% had vitamin D deficiency, and 0.7% had zinc deficiency. Children aged under 5 years mostly had PEM, followed by iron deficiency anemia. Teenagers commonly had obesity and vitamin D deficiency. Patients with PEM who were admitted with common diseases had significantly longer hospital stays and higher hospital costs and mortality rates than those without PEM.

CONCLUSIONS

Hospitalized children had various nutritional disorders, particularly PEM, which was associated with higher morbidity and mortality. Nutritional screening tools should be utilized for the early detection and treatment of malnutrition. Specific International Classification of Diseases codes for nutritional care services and intervention should be available. Additionally, nutritional interventions should be reimbursed, along with nutritional education and empowerment of healthcare providers, to improve hospital care service and improve patient outcomes.

Summary

Key Message
Malnutrition is common among hospitalized Thai children, particularly protein energy malnutrition; it increases mortality, length of hospital stay, and hospital costs as well as exerts long-term effects on growth and development. Prevalence of overweight and obesity is increasing over the past 5 years, the vast majority involved patients 5 – 13 years of age.

Citations

Citations to this article as recorded by

The Low Sensitivity and Specificity of a Nutrition Screening Tool in Real Circumstances in a Tertiary Care Hospital Setting
Nithit Semsawat, Oraporn Dumrongwongsiri, Phanphen Phoonlapdacha
Children.2023; 10(4): 747. CrossRef

Spatial analysis of tuberculosis treatment outcomes in Shanghai: implications for tuberculosis control: Jing Zhang, Xin Shen, Chongguang Yang, Yue Chen, Juntao Guo, Decheng Wang, Jun Zhang, Henry Lynn, Yi Hu, Qichao Pan, Zhijie Zhang; Epidemiol Health. 2022;44:e2022045. Published online May 1, 2022; DOI: https://doi.org/10.4178/epih.e2022045

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Abstract Summary PDF Supplementary Material: Abstract
OBJECTIVES
Tuberculosis (TB) treatment outcomes are a key indicator in the assessment of TB control programs. We aimed to identify spatial factors associated with TB treatment outcomes, and to provide additional insights into TB control from a geographical perspective.
METHODS
We collected data from the electronic TB surveillance system in Shanghai, China and included pulmonary TB patients registered from January 1, 2009 to December 31, 2016. We examined the associations of physical accessibility to hospitals, an autoregression term, and random hospital effects with treatment outcomes in logistic regression models after adjusting for demographic, clinical, and treatment factors.
RESULTS
Of the 53,475 pulmonary TB patients, 49,002 (91.6%) had successful treatment outcomes. The success rate increased from 89.3% in 2009 to 94.4% in 2016. The successful treatment outcome rate varied among hospitals from 78.6% to 97.8%, and there were 12 spatial clusters of poor treatment outcomes during the 8-year study period. The best-fit model incorporated spatial factors. Both the random hospital effects and autoregression terms had significant impacts on TB treatment outcomes, ranking 6th and 10th, respectively, in terms of statistical importance among 14 factors. The number of bus stations around the home was the least important variable in the model.
CONCLUSIONS
Spatial autocorrelation and hospital effects were associated with TB treatment outcomes in Shanghai. In highly-integrated cities like Shanghai, physical accessibility was not related to treatment outcomes. Governments need to pay more attention to the mobility of patients and different success rates of treatment among hospitals.; Summary

Key Message
Tuberculosis treatment outcomes, a key indicator in the assessment of TB control programs, were associated with spatial autocorrelation and hospital effects in Shanghai; however, they were not associated with physical accessibility to hospitals.

The impact of COVID-19 on cancer care in a tertiary hospital in Korea: possible collateral damage to emergency care: Shin Hye Yoo, Jin-Ah Sim, Jeongmi Shin, Bhumsuk Keam, Jun-Bean Park, Aesun Shin; Epidemiol Health. 2022;44:e2022044. Published online May 1, 2022; DOI: https://doi.org/10.4178/epih.e2022044

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Abstract

OBJECTIVES
We investigated the impact of the COVID-19 pandemic on cancer care in a tertiary hospital in Korea without specific lockdown measures.

METHODS

A retrospective cohort of cancer patients from one of the largest tertiary hospitals in Korea was used to compare healthcare utilization in different settings (outpatient cancer clinic, the emergency department [ED], and admissions to the hematology/oncology ward) between January 1 and December 31, 2020 and the same time period in 2019. The percent changes in healthcare utilization between the 2 periods were calculated.

RESULTS

A total of 448,833 cases from the outpatient cohort, 26,781 cases from the ED cohort, and 14,513 cases from the admission cohort were reviewed for 2019 and 2020. The total number of ED visit cases significantly decreased from 2019 to 2020 by 18.04%, whereas the proportion of cancer patients remained stable. The reduction in ED visits was more prominent in patients with symptoms suspicious for COVID-19, high-acuity cases, and those who lived in non-capital city areas. There were no significant changes in the number of total visits, new cases in the outpatient clinic, or the total number of hospitalizations between the 2 periods.

CONCLUSIONS

During the pandemic, the number of ED visits significantly decreased, while the use of the outpatient clinic and hospitalizations were not affected. Cancer patients’ ED visits decreased after the COVID-19 outbreak, suggesting the potential for collateral damage outside the hospital if patients cannot reach the ED in a timely manner.

Summary

Korean summary
코로나19 이전인 2019년에 비해 코로나19 유행 첫 해인 2020년에 암환자의 1개 상급종합병원 응급실 방문이 유의하게 감소하였고, 특히 코로나19 의심 증상이 있거나, 중증도가 높거나, 비수도권 지역에 거주하는 환자에서 응급실 방문의 감소가 뚜렷하였다. 코로나19 이전과 코로나19 유행 시 외래 방문 암환자의 수, 신환 수는 큰 차이가 없었고, 입원한 암환자의 수 역시 유의한 차이가 없었다. 코로나19 대유행 시 암환자의 응급실 방문 감소는 병원 밖에서 적시에 응급실에 방문하지 못하는 부수적 피해의 가능성을 시사하여, 이에 대한 관심이 필요하다.

Key Message
The study identified a significant decrease in the emergency department visits of the cancer patients at a tertiary hospital in Korea during the COVID-19 pandemic. There were no significant changes in the number of total visits, new cases in the outpatient clinic, or the total number of hospitalizations between pre-COVID-19 and during-COVID-19 periods.

Citations

Citations to this article as recorded by

Government Initiatives for Research Ethics During COVID-19 Pandemic in Korea
Young Su Park, Ock-Joo Kim
Journal of Korean Medical Science.2024;[Epub] CrossRef
Impact of coronavirus disease 2019 on cancer care: How the pandemic has changed cancer utilization and expenditures
Jinah Sim, Jihye Shin, Hyun Jeong Lee, Yeonseung Lee, Young Ae Kim, Chong-Chi Chiu
PLOS ONE.2024; 19(2): e0296808. CrossRef
Changes in the Utilization of Health Care Services by Cancer Patients during the COVID-19 Pandemic
Seung Hee Seo, Sooyoung Cho, Shin Hye Yoo, Bhumsuk Keam, Aesun Shin
Yonsei Medical Journal.2023; 64(7): 463. CrossRef
COVID-19 Outbreak in Daegu City, Korea and Response to COVID-19: How Have We Dealt and What Are the Lessons?
Shin-Woo Kim
Journal of Korean Medical Science.2022;[Epub] CrossRef

Model-based cost-effectiveness analysis of oral antivirals against SARS-CoV-2 in Korea: Youngji Jo, Sun Bean Kim, Munkhzul Radnaabaatar, Kyungmin Huh, Jin-Hong Yoo, Kyong Ran Peck, Hojun Park, Jaehun Jung; Epidemiol Health. 2022;44:e2022034. Published online March 12, 2022; DOI: https://doi.org/10.4178/epih.e2022034

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Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
Many countries have authorized the emergency use of oral antiviral agents for patients with mild-to-moderate cases of coronavirus disease 2019 (COVID-19). We assessed the cost-effectiveness of these agents for reducing the number of severe COVID-19 cases and the burden on Korea’s medical system.

METHODS

Using an existing model, we estimated the number of people who would require hospital/intensive care unit (ICU) admission in Korea in 2022. The treatment scenarios included (1) all adult patients, (2) elderly patients only, and (3) adult patients with underlying diseases only, compared to standard care. Based on the current health system capacity, we calculated the incremental costs per severe case averted and hospital admission for each scenario.

RESULTS

We estimated that 236,510 COVID-19 patients would require hospital/ICU admission in 2022 with standard care only. Nirmatrelvir/ritonavir (87% efficacy) was predicted to reduce this number by 80%, 24%, and 17% when targeting all adults, adults with underlying diseases, and elderly patients (25, 8, and 4%, respectively, for molnupiravir, with 30% efficacy). Nirmatrelvir/ritonavir use is likely to be cost-effective, with predicted costs of US$8,878, US$8,964, and US$1,454, per severe patient averted for the target groups listed above, respectively, while molnupiravir is likely to be less cost-effective, with costs of US$28,492, US$29,575, and US$7,915, respectively.

CONCLUSIONS

In Korea, oral treatment using nirmatrelvir/ritonavir for symptomatic COVID-19 patients targeting elderly patients would be highly cost-effective and would substantially reduce the demand for hospital admission to below the capacity of the health system if targeted to all adult patients instead of standard care.

Summary

Korean summary
본 연구는 감염병 수리모형을 바탕으로 두가지 항바이러스제의 (nirmatrelvir/ritonavir와 molnupiravir) 비용 효익을 평가하였다. 본 모델에 따르면, 2022년 한국에서, 현재 의료시스템의 수용한계를 넘는 코로나 19 대유행이 발생할 때, nirmatrelvir/ritonavir 를 코로나 감염 및 증상 있는 고령층 환자들을 대상으로 투여할 경우 높은 비용 효익이 기대되고 (중증환자 1명 감소효과에$1,454 비용소요), 성인 환자 대상으로 투여할 경우, (molnupiravir이나 nirmatrelvir/ritonavir를 투여하지 않는) 일반 치료에 비해서 전체 입원 수요를 80% 줄일 것으로 기대된다.

Key Message
Given an expected high epidemic resurgence in 2022 that could exceed South Korea’s current health system capacity, oral treatment using nirmatrelvir/ritonavir for symptomatic COVID-19 patients may be a highly cost-effective solution if targeted to elderly patients ($1,454 per severe case averted) and substantially reduce the demand for hospital admission (80%, 188,478 patients) below the capacity of the health system if targeted to all adult patients compared to standard care.

Citations

Citations to this article as recorded by

Cost-Utility Model of Nirmatrelvir/Ritonavir in Brazil: Analysis of a Vaccinated Population
Ricardo R.A. Fernandes, Bruno M. Barros, Milene R. da Costa, Carlos A.S. Magliano, Bernardo R. Tura, Quenia Cristina D. Morais, Marisa Santos
Value in Health Regional Issues.2024; 40: 74. CrossRef
Cost-effectiveness of nirmatrelvir/ritonavir for high-risk adult outpatients with COVID-19 in Japan
Takahito Mizuno, Yu Kondo, Mikiyasu Sakai, Kenichi Saneyasu, Ryota Kojima, Yoshio Miyake
Journal of Infection and Chemotherapy.2024;[Epub] CrossRef
Impact of the Use of Oral Antiviral Agents on the Risk of Hospitalization in Community Coronavirus Disease 2019 Patients (COVID-19)
Terry Cheuk-Fung Yip, Grace Chung-Yan Lui, Mandy Sze-Man Lai, Vincent Wai-Sun Wong, Yee-Kit Tse, Bosco Hon-Ming Ma, Elsie Hui, Maria K W Leung, Henry Lik-Yuen Chan, David Shu-Cheong Hui, Grace Lai-Hung Wong
Clinical Infectious Diseases.2023; 76(3): e26. CrossRef
Nirmatrelvir plus ritonavir in COVID-19: a profile of its use
Hannah A. Blair
Drugs & Therapy Perspectives.2023; 39(2): 41. CrossRef
Cost-effectiveness analysis of ritonavir boosted nirmatrelvir for adult outpatients with mild to moderate COVID-19 in a European health system
Philip Wikman-Jorgensen, José María Ibarra, Carlos Devesa, Jorge Peris, Jara Llenas-García
European Journal of Internal Medicine.2023; 118: 133. CrossRef
Assessing the cost-effectiveness of annual COVID-19 booster vaccination in South Korea using a transmission dynamic model
Wongyeong Choi, Eunha Shim
Frontiers in Public Health.2023;[Epub] CrossRef
Multi-Faceted Analysis of COVID-19 Epidemic in Korea Considering Omicron Variant: Mathematical Modeling-Based Study
Youngsuk Ko, Victoria May Mendoza, Renier Mendoza, Yubin Seo, Jacob Lee, Jonggul Lee, Donghyok Kwon, Eunok Jung
Journal of Korean Medical Science.2022;[Epub] CrossRef
Adjusting non-pharmaceutical interventions based on hospital bed capacity using a multi-operator differential evolution
Victoria May P. Mendoza, Renier Mendoza, Jongmin Lee, Eunok Jung
AIMS Mathematics.2022; 7(11): 19922. CrossRef
The Possible Impact of Nationwide Vaccination on Outcomes of the COVID-19 Epidemic in North Korea: A Modelling Study
Sung-mok Jung, Jaehun Jung
Journal of Korean Medical Science.2022;[Epub] CrossRef
Medications for early treatment of COVID ‐19 in Australia
Adam Polkinghorne, James M Branley
Medical Journal of Australia.2022;[Epub] CrossRef
Comparative effectiveness of sotrovimab and molnupiravir for prevention of severe covid-19 outcomes in patients in the community: observational cohort study with the OpenSAFELY platform
Bang Zheng, Amelia C A Green, John Tazare, Helen J Curtis, Louis Fisher, Linda Nab, Anna Schultze, Viyaasan Mahalingasivam, Edward P K Parker, William J Hulme, Sebastian C J Bacon, Nicholas J DeVito, Christopher Bates, David Evans, Peter Inglesby, Henry D
BMJ.2022; : e071932. CrossRef
Treatment Options for Patients With Mild-to-Moderate Coronavirus Disease 2019 in Korea
Jaehyun Jeon, BumSik Chin
Journal of Korean Medical Science.2022;[Epub] CrossRef

COVID-19: Epidemiologic Investigation

Experience of a COVID-19 outbreak response in a general hospital in Gyeonggi Province, Korea: Chanhee Kim, Gawon Choi, Shin Young Park, Jieun Kim, Young Joon Park, Kyungnam Kim; Epidemiol Health. 2021;43:e2021083. Published online October 18, 2021; DOI: https://doi.org/10.4178/epih.e2021083

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Abstract Summary PDF

Abstract

OBJECTIVES
Coronavirus disease 2019 (COVID-19) outbreaks in general hospitals are particularly risky because they not only overburden the regional healthcare delivery system, but also increase the possibility of community transmission. This study shares an experience of a COVID-19 outbreak response in a general hospital in Gyeonggi Province, Korea.

METHODS

Since the first COVID-19 confirmed case was recognized in Hospital A on March 29, 2020, the Immediate Response Team of Gyeonggi Province and Korea Disease Control and Prevention Agency devised a plan to conduct an epidemiological investigation and minimize the paralysis of hospital functions. Apart from the epidemiological investigation, a risk assessment of the hospital and management of contacts, including patients and workers, were also undertaken.

RESULTS

In total, 72 confirmed cases were identified, including 26 hospitalized patients, 16 healthcare personnel, 7 visitors, and 22 cases identified externally. The majority of the confirmed cases were exposed in Ward B or were contacts of people exposed in Ward A (58.3% of 72 cases). Among healthcare personnel, caregivers were found to be the most vulnerable to COVID-19 in this outbreak.

CONCLUSIONS

Preparation for all possible situations in medical facilities is important because it is difficult to find alternative resources. The findings of this study provide information on controlling the further transmission of COVID-19 and furnish evidence of the importance of ordinary management skills to be prepared for COVID-19.

Summary

Korean summary
본 연구에서는 2020년 경기도 소재 한 종합병원에서 발생한 코로나19 유행 대응 사례 경험을 공유한다. 병원 외 지역사회 전파 사례를 포함하여 총 72명의 확진자가 이 유행에서 확인되었다. 종합병원은 지역 의료전달체계에서 중요한 역할을 하고 있기 때문에 코로나19로 인해 그 기능이 마비되지 않도록 예방하는 것이 가장 바람직하며, 이를 위해서는 평상 시에 적절한 대비 체계를 갖추어 두어야 한다.

Key Message
This study shares the experience of responding to the COVID-19 outbreak at a general hospital in Gyeonggi-do, 2020. A total of 72 confirmed cases were identified, including cases of community based transmission outside the hospital. Since general hospitals play an important role in the medical delivery system, it is most desirable to prevent the function from being paralyzed by COVID-19 situation, and for this, and appropriate preparedness should be established.

Citations

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Vaccine effectiveness and the epidemiological characteristics of a COVID-19 outbreak in a tertiary hospital in Republic of Korea
Seonhee Ahn, Tae Jong Son, Yoonsuk Jang, Jihyun Choi, Young Joon Park, Jiseon Seong, Hyun Hee Kwon, Muk Ju Kim, Donghyok Kwon
Osong Public Health and Research Perspectives.2023; 14(3): 188. CrossRef
Effect of changes in the hearing aid subsidy on the prevalence of hearing loss in South Korea
Chul Young Yoon, Junhun Lee, Tae Hoon Kong, Young Joon Seo
Frontiers in Neurology.2023;[Epub] CrossRef

Data Profile

Data resource profile: the Korea National Hospital Discharge In-depth Injury Survey: Yeon-Kyeng Lee, Sung Ok Hong, Soo-Jung Park, Mijin Park, Kyunghae Wang, Mini Jo, Jeongah Oh, Sin Ae Lee, Hyeon Ju Lee, Jungeun Oh, Dosang Lim, Sanghui Kweon, Youngtaek Kim; Epidemiol Health. 2021;43:e2021052. Published online August 17, 2021; DOI: https://doi.org/10.4178/epih.e2021052

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Abstract

The Korea National Hospital Discharge In-depth Injury Survey (KNHDIS), which was started in 2005, is a national probability survey of general hospitals in Korea with 100 or more beds conducted by the Korea Disease Control and Prevention Agency (KDCA). The KNHDIS captures approximately 9% of discharged cases from sampled hospitals using a 2-stage stratified cluster sampling scheme, among which 13% are injury related cases, defined as S00-T98 (injury, poisoning, and certain other consequences of external causes) using International Classification of Diseases, 10th revision codes. The KNHDIS collects information on characteristics of injury-related discharges in order to understand the scale of injuries, identify risk factors, and provide data supporting prevention policies and intervention strategies. The types of data captured include the hospitals’ information, detailed clinical information, and injury-related codes such as the mechanism, activities undertaken when injured (sports, leisure activities, work, treatment, and education), external causes of the injury, and location of the occurrence of the injury based on the International Classification of External Causes of Injuries. Furthermore, the means of transportation, risk factors for suicide, and toxic substances are recoreded. Annual reports of the KNHDIS are publicly accessible to browse via the KDCA website (http://www.kdca.go.kr) and microdata are available free of charge upon request via email (kcdcinjury@korea.kr).

Summary

Korean summary
퇴원손상심층조사는 손상발생 규모 및 손상 퇴원환자의 발생 추이를 파악하고자 2005년 도입된국가 단위 통계를 산출하는 표본 조사 사업이다. 본 연구는 퇴원손상심층조사의 표본설계, 조사방법, 조사항목과 함께 그간의 조사결과의 활용도 등 성과에 대해 살펴보았다. 조사결과는 국가 손상예방관리를 위한 기초자료로 활용되고 있으며, 조사 원자료는 공개하고 있다.

Key Message
The Korea National Hospital Discharge In-depth Injury Survey (KNHDIS), started in 2005, is a national probability survey of general hospitals in Korea with 100 or more beds conducted by the Korea Disease Control and Prevention Agency. The KNHDIS collects information on characteristics of injury-related discharges to understand the scale of injuries, identify risk factors, and provide data supporting prevention policies. The data captured including the hospitals’ information, and injury-related codes based on the International Classification of External Causes of Injuries. Annual reports of the KNHDIS are publicly accessible from KDCA website and microdata are available upon request via email.

Citations

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Temporal trends and the association between self-rated oral health and falls in community-dwelling older adults in South Korea: a secondary analysis of survey data
Hyun-Ju Seo, Soon-Ki Ahn, Min-Jung Choi
BMJ Open.2024; 14(4): e081549. CrossRef
Predictive model for early functional outcomes following acute care after traumatic brain injuries: A machine learning-based development and validation study
Meng Zhang, Moning Guo, Zihao Wang, Haimin Liu, Xue Bai, Shengnan Cui, Xiaopeng Guo, Lu Gao, Lingling Gao, Aimin Liao, Bing Xing, Yi Wang
Injury.2023; 54(3): 896. CrossRef
Area-Level Socioeconomic Inequalities in Intracranial Injury-Related Hospitalization in Korea: A Retrospective Analysis of Data From Korea National Hospital Discharge Survey 2008–2015
Hang A Park, Federico E. Vaca, Kyunghee Jung-Choi, Hyesook Park, Ju Ok Park
Journal of Korean Medical Science.2023;[Epub] CrossRef
Comorbidity Patterns and Management in Inpatients with Endocrine Diseases by Age Groups in South Korea: Nationwide Data
Sung-Soo Kim, Hun-Sung Kim
Journal of Personalized Medicine.2023; 14(1): 42. CrossRef
Estimated trends in hospitalizations due to occupational injuries in Korea based on the Korean National Hospital Discharge In-depth Injury Survey (2006-2019)
Seong-Uk Baek, Won-Tae Lee, Min-Seok Kim, Myeong-Hun Lim, Jin-Ha Yoon
Epidemiology and Health.2023; 45: e2023042. CrossRef
The Association between Comorbidities and Comorbid Injuries on Treatment Outcome in Pediatric and Elderly Patients with Injuries in Korea: An Observational Study
Kyunghee Lee, Jieun Hwang
International Journal of Environmental Research and Public Health.2022; 19(10): 6277. CrossRef

Original Article

Main results of the Korea National Hospital Discharge In-depth Injury Survey, 2004-2016: Sung Ok Hong, Boae Kim, Joongho Jo, Yunhyung Kwon, Yeon-Kyeng Lee, Youngtaek Kim; Epidemiol Health. 2020;42:e2020044. Published online June 20, 2020; DOI: https://doi.org/10.4178/epih.e2020044

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Abstract Summary PDF

Abstract

OBJECTIVES
The purpose of this study was to estimate the incidence of injuries and to identify their causes by classifying injuries according to various categories including age, sex, mechanism of injury, body parts injured, and place of injury.

METHODS

This study used data from the Korea National Hospital Discharge In-depth Injury Survey (KNHDIS) from 2004 to 2016. The KNHDIS is conducted annually by the Korea Centers for Disease Control and Prevention, and its survey population includes all hospitalized patients discharged from medical institutions that have 100 or more beds, such as hospitals, general hospitals, and secondary community health centers. The number of injured cases is weighted and estimated using the mid-year estimated population of each year.

RESULTS

The injury discharge rate steadily increased since 2004 (1,505 per 100,000 population in 2004, 2,007 per 100,000 population in 2016) and most injuries were unintentional (annual average of 94.7%). On average, during the 13-year study period, the injury rate for males was 1.5 times as high as for females. The 2 main causes of injury were consistently traffic accidents and falls. Notably, the rate of injuries resulting from falls rose by 1.7-fold from 463 to 792 per 100,000 people, and exceeded the rate of traffic accidents in 2016.

CONCLUSIONS

The incidence of injuries steadily increased after the survey was first conducted, whereas mortality resulting from injuries mostly remained unchanged. This suggests that effective strategies and interventions should be reinforced to reduce unintentional injuries.

Summary

Korean summary
질병관리본부가 2005년부터 구축하여 운영 중에 있는 퇴원손상심층조사의 연도별 조사자료를 분석한 결과 10만명당 손상발생규모는 2004년 1,505명에서 2016년 2,007명으로 지속적으로 증가하였다. 이러한 꾸준한 증가 추세는, 손상으로 인한 사망률은 감소하였을지라도 손상 예방을 위한 효과적인 정책과 전략, 지속적인 모니터링이 필요성을 제시한다.

Citations

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Sung-Soo Kim, Hun-Sung Kim
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Systematic Review

Medication errors among Iranian emergency nurses: A systematic review: Zohreh Hosseini Marznaki, Somaye Pouy, Waliu Jawula Salisu, Amir Emami Zeydi; Epidemiol Health. 2020;42:e2020030. Published online May 13, 2020; DOI: https://doi.org/10.4178/epih.e2020030

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Abstract PDF

Abstract

OBJECTIVES
Medication errors (MEs) made by nurses are the most common errors in emergency departments (EDs). Identifying the factors responsible for MEs is crucial in designing optimal strategies for reducing such occurrences. The present study aimed to review the literature describing the prevalence and factors affecting MEs among emergency ward nurses in Iran.

METHODS

We searched electronic databases, including the Scientific Information Database, PubMed, Cochrane Library, Web of Science, Scopus, and Google Scholar, for scientific studies conducted among emergency ward nurses in Iran. The studies were restricted to full-text, peer-reviewed studies published from inception to December 2019, in the Persian and English languages, that evaluated MEs among emergency ward nurses in Iran.

RESULTS

Eight studies met the inclusion criteria. Most of the nurses (58.9%) had committed MEs only once. The overall mean rate of MEs was 46.2%, and errors made during drug administration accounted for 41.7% of MEs. The most common type of administration error was drug omission (17.8%), followed by administering drugs at the wrong time (17.5%) and at an incorrect dosage (10.6%). The lack of an adequate nursing workforce during shifts and improper nurse-patient ratios were the most critical factors affecting the occurrence of MEs by nurses.

CONCLUSIONS

Despite the increased attention on patient safety in Iran, MEs by nurses remain a significant concern in EDs. Therefore, nurse managers and policy-makers must take adequate measures to reduce the incidence of MEs and their potential negative consequences.

Summary

Citations

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Aidin Aryankhesal, Negar Aghighi, Pouran Raeissi, Zhila Najafpour
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Frequency and influential factors on occurrence of medical errors: A three-year cross-sectional study
Negar Aghighi, Aidin Aryankhesal, Pouran Raeissi, Zhila Najafpour
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Predictors of patient safety competency among emergency nurses in Iran: a cross-sectional correlational study
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Original Article

The burden of infectious and cardiovascular diseases in India from 2004 to 2014: Kajori Banerjee, Laxmi Kant Dwivedi; Epidemiol Health. 2016;38:e2016057. Published online December 14, 2016; DOI: https://doi.org/10.4178/epih.e2016057

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Abstract PDF

Abstract

OBJECTIVES
In India, both communicable and non-communicable diseases have been argued to disproportionately affect certain socioeconomic strata of the population. Using the 60th (2004) and 71st (2014) rounds of the National Sample Survey, this study assessed the balance between infectious diseases and cardiovascular diseases (CVD) from 2004 to 2014, as well as changes in the disease burden in various socioeconomic and demographic subpopulations.

METHODS

Prevalence rates, hospitalization rates, case fatality rates, and share of in-patients deaths were estimated to compare the disease burdens at these time points. Logistic regression and multivariate decomposition were used to evaluate changes in disease burden across various socio-demographic and socioeconomic groups.

RESULTS

Evidence of stagnation in the infectious disease burden and rapid increase in the CVD burden was observed. Along with the drastic increase in case fatality rate, share of in-patients deaths became more skewed towards CVD from 2004 to 2014. Logistic regression analysis demonstrated a significant shift of the chance of succumbing to CVD from the privileged class, comprising non-Scheduled Castes and Tribes, more highly educated individuals, and households with higher monthly expenditures, towards the underprivileged population. Decomposition indicated that a change in the probability of suffering from CVD among the subcategories of age, social groups, educational status, and monthly household expenditures contributed to the increase in CVD prevalence more than compositional changes of the population from 2004 to 2014.

CONCLUSIONS

This study provides evidence of the ongoing tendency of CVD to occur in older population segments, and also confirms the theory of diffusion, according to which an increased probability of suffering from CVD has trickled down the socioeconomic gradient.

Summary

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MERS-Editorial

2015 MERS outbreak in Korea: hospital-to-hospital transmission: Moran Ki; Epidemiol Health. 2015;37:e2015033. Published online July 21, 2015; DOI: https://doi.org/10.4178/epih/e2015033

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Abstract Summary PDF Supplementary Material

Abstract

The distinct characteristic of the Middle East Respiratory Syndrome (MERS) outbreak in South Korea is that it not only involves intra-hospital transmission, but it also involves hospital-to-hospital transmission. It has been the largest MERS outbreak outside the Middle East, with 186 confirmed cases and, among them, 36 fatal cases as of July 26, 2015. All confirmed cases are suspected to be hospital-acquired infections except one case of household transmission and two cases still undergoing examination. The Korean health care system has been the major factor shaping the unique characteristics of the outbreak. Taking this as an opportunity, the Korean government should carefully assess the fundamental problems of the vulnerability to hospital infection and make short- as well as long-term plans for countermeasures. In addition, it is hoped that this journal, <i>Epidemiology and Health</i>, becomes a place where various topics regarding MERS can be discussed and shared.

Summary

Korean summary
한국의 메르스 유행은 병원내 감염뿐 아니라 병원에서 병원으로 전파되는 양상을 보인 것이 특징이다. 사우디아라비아 다음으로 가장 많은 환자가 발생하였는데 전체 확진자는 186명이고, 이중에 사망자는 36명이다. 확진자 대부분이 병원에서 감염된 것으로 추정된다. 가족간 감염이 의심되는 경우는 1명정도이며, 2명은 경로를 조사중인데 이중에 한명은 지역사회 감염이 의심된다. 한국의 의료체계 특성이 이번 유행에 중요한 요인이 되었다. 이 기회에 한국은 병원감염관리에 취약한 우리의 근본적인 문제점을 살펴서 장단기적인 대책을 마련하여야 할 것이다. 또한 역학회지가 메르스와 관련된 다양한 주제가 논의되는 장이 되기를 바란다.

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Qing-Bin Lu, Yong Zhang, Ming-Jin Liu, Hai-Yang Zhang, Neda Jalali, An-Ran Zhang, Jia-Chen Li, Han Zhao, Qian-Qian Song, Tian-Shuo Zhao, Jing Zhao, Han-Yu Liu, Juan Du, Ai-Ying Teng, Zi-Wei Zhou, Shi-Xia Zhou, Tian-Le Che, Tao Wang, Tong Yang, Xiu-Gang Gu
Eurosurveillance.2020;[Epub] CrossRef
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Seulki Lee, Jungwon Yeo, Chongmin Na
International Review of Public Administration.2020; 25(4): 243. CrossRef
Roadblocks to Infection Prevention Efforts in Health Care: SARS-CoV-2/COVID-19 Response
Saskia Popescu
Disaster Medicine and Public Health Preparedness.2020; 14(4): 538. CrossRef
COVID-19: A Global Challenge with Old History, Epidemiology and Progress So Far
Mujeeb Khan, Syed F. Adil, Hamad Z. Alkhathlan, Muhammad N. Tahir, Sadia Saif, Merajuddin Khan, Shams T. Khan
Molecules.2020; 26(1): 39. CrossRef
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J.A. Al-Tawfiq, P.G. Auwaerter
Journal of Hospital Infection.2019; 101(1): 20. CrossRef
Surveillance and public health response for travelers returning from MERS-CoV affected countries to Gyeonggi Province, Korea, 2016–2017
Sukhyun Ryu, Joon Jai Kim, Benjamin J. Cowling, Chulhee Kim
Travel Medicine and Infectious Disease.2019; 31: 101350. CrossRef
Knowledge, perception, performance, and attitude regarding hand hygiene and related factors among infection control nurses in South Korea: A cross-sectional study
Hyang Soon Oh
American Journal of Infection Control.2019; 47(3): 258. CrossRef
Clinical and Laboratory Findings of Middle East Respiratory Syndrome Coronavirus Infection
Se-Min Hwang, Baeg-Ju Na, Yoomi Jung, Hyun-Suk Lim, Jeong-Eun Seo, Shin-Ae Park, Young-Soo Cho, Eun-Hyang Song, Ji-Yeon Seo, Sung-Ryul Kim, Gang-Young Lee, Soon-Ja Kim, Young-Suk Park, Haesook Seo
Japanese Journal of Infectious Diseases.2019; 72(3): 160. CrossRef
Individual and network characteristic associated with hospital-acquired Middle East Respiratory Syndrome coronavirus
Oyelola Adegboye, Timor Saffary, Majeed Adegboye, Faiz Elfaki
Journal of Infection and Public Health.2019; 12(3): 343. CrossRef
Registered nurses are at increased risk of hospitalization for infectious diseases and perinatal complications: A population-based observational study
Kuei-Lin Liao, Yu-Tung Huang, Shih-Hsien Kuo, Wei-Ting Lin, Fan-Hao Chou, Pi-Ling Chou
International Journal of Nursing Studies.2019; 91: 70. CrossRef
Airflow analysis of Pyeongtaek St Mary's Hospital during hospitalization of the first Middle East respiratory syndrome patient in Korea
Seongmin Jo, Jinkwan Hong, Sang-Eun Lee, Moran Ki, Bo Youl Choi, Minki Sung
Royal Society Open Science.2019; 6(3): 181164. CrossRef
Comparative Analysis of Eleven Healthcare-Associated Outbreaks of Middle East Respiratory Syndrome Coronavirus (Mers-Cov) from 2015 to 2017
Sibylle Bernard-Stoecklin, Birgit Nikolay, Abdullah Assiri, Abdul Aziz Bin Saeed, Peter Karim Ben Embarek, Hassan El Bushra, Moran Ki, Mamunur Rahman Malik, Arnaud Fontanet, Simon Cauchemez, Maria D. Van Kerkhove
Scientific Reports.2019;[Epub] CrossRef
New and emerging infectious diseases (Ebola, Middle Eastern respiratory syndrome coronavirus, carbapenem-resistant Enterobacteriaceae, Candida auris): Focus on environmental survival and germicide susceptibility
David J. Weber, Emily E. Sickbert-Bennett, Hajime Kanamori, William A. Rutala
American Journal of Infection Control.2019; 47: A29. CrossRef
Overview of Current Therapeutics and Novel Candidates Against Influenza, Respiratory Syncytial Virus, and Middle East Respiratory Syndrome Coronavirus Infections
Mohammad Amin Behzadi, Victor H. Leyva-Grado
Frontiers in Microbiology.2019;[Epub] CrossRef
Worldwide Reduction in MERS Cases and Deaths since 2016
Christl A. Donnelly, Mamun R. Malik, Amgad Elkholy, Simon Cauchemez, Maria D. Van Kerkhove
Emerging Infectious Diseases.2019; 25(9): 1758. CrossRef
Generation and characterization of a monoclonal antibody against MERS-CoV targeting the spike protein using a synthetic peptide epitope-CpG-DNA-liposome complex
Byoung Kwon Park, Sony Maharjan, Su In Lee, Jinsoo Kim, Joon-Yong Bae, Man-Seong Park, Hyung-Joo Kwon
BMB Reports.2019; 52(6): 397. CrossRef
Risk Factors for Fatal Middle East Respiratory Syndrome Coronavirus Infections in Saudi Arabia: Analysis of the WHO Line List, 2013–2018
Arifur Rahman, Atanu Sarkar
American Journal of Public Health.2019; 109(9): 1288. CrossRef
Transmissibility of MERS-CoV Infection in Closed Setting, Riyadh, Saudi Arabia, 2015
Maria D. Van Kerkhove, Sadoof Alaswad, Abdullah Assiri, Ranawaka A.P.M. Perera, Malik Peiris, Hassan E. El Bushra, Abdulaziz A. BinSaeed
Emerging Infectious Diseases.2019; 25(10): 1802. CrossRef
Middle East respiratory syndrome coronavirus-encoded ORF8b strongly antagonizes IFN-β promoter activation: its implication for vaccine design
Jeong Yoon Lee, Sojung Bae, Jinjong Myoung
Journal of Microbiology.2019; 57(9): 803. CrossRef
Structural Definition of a Neutralization-Sensitive Epitope on the MERS-CoV S1-NTD
Nianshuang Wang, Osnat Rosen, Lingshu Wang, Hannah L. Turner, Laura J. Stevens, Kizzmekia S. Corbett, Charles A. Bowman, Jesper Pallesen, Wei Shi, Yi Zhang, Kwanyee Leung, Robert N. Kirchdoerfer, Michelle M. Becker, Mark R. Denison, James D. Chappell, And
Cell Reports.2019; 28(13): 3395. CrossRef
A Novel Bacterium-Like Particle Vaccine Displaying the MERS-CoV Receptor-Binding Domain Induces Specific Mucosal and Systemic Immune Responses in Mice
Li, Chi, Huang, Yan, Zhang, Liu, Wang, Li, Zhang, Mo, Jin, Wang, Feng, Wang, Bi, Wang, Sun, Gao, Zhao, Yang, Xia
Viruses.2019; 11(9): 799. CrossRef
Risk of transmission via medical employees and importance of routine infection-prevention policy in a nosocomial outbreak of Middle East respiratory syndrome (MERS): a descriptive analysis from a tertiary care hospital in South Korea
Hyun Kyun Ki, Sang Kuk Han, Jun Seong Son, Sang O Park
BMC Pulmonary Medicine.2019;[Epub] CrossRef
Identifying potential emerging threats through epidemic intelligence activities—looking for the needle in the haystack?
Jennifer Wilburn, Catherine O’Connor, Amanda L. Walsh, Dilys Morgan
International Journal of Infectious Diseases.2019; 89: 146. CrossRef
Optimal Resource Allocation over Complex Networks: An Approach via Geometric Programming
Masaki OGURA
IEICE ESS Fundamentals Review.2019; 12(3): 191. CrossRef
Association between Hospital Nurses’ Perception of Patient Safety Management and Standard Precaution Adherence: A Cross-Sectional Study
Ji-Hye Lim, Jung-Won Ahn, Youn-Jung Son
International Journal of Environmental Research and Public Health.2019; 16(23): 4744. CrossRef
Gender Difference in the Effects of Outdoor Air Pollution on Cognitive Function Among Elderly in Korea
Hyunmin Kim, Juhwan Noh, Young Noh, Sung Soo Oh, Sang-Baek Koh, Changsoo Kim
Frontiers in Public Health.2019;[Epub] CrossRef
A database of geopositioned Middle East Respiratory Syndrome Coronavirus occurrences
Rebecca E. Ramshaw, Ian D. Letourneau, Amy Y. Hong, Julia Hon, Julia D. Morgan, Joshua C. P. Osborne, Shreya Shirude, Maria D. Van Kerkhove, Simon I. Hay, David M. Pigott
Scientific Data.2019;[Epub] CrossRef
A Comparative Analysis of Factors Influencing Two Outbreaks of Middle Eastern Respiratory Syndrome (MERS) in Saudi Arabia and South Korea
Marnie Willman, Darwyn Kobasa, Jason Kindrachuk
Viruses.2019; 11(12): 1119. CrossRef
MERS-CoV infection in South Korea and strategies for possible future outbreak: narrative review
Chulwoo Park
Journal of Global Health Reports.2019;[Epub] CrossRef
A Review of Asymptomatic and Subclinical Middle East Respiratory Syndrome Coronavirus Infections
Rebecca Grant, Mamunur Rahman Malik, Amgad Elkholy, Maria D Van Kerkhove
Epidemiologic Reviews.2019; 41(1): 69. CrossRef
A Case Study Evaluating the Risk of Infection from Middle Eastern Respiratory Syndrome Coronavirus (MERS‐CoV) in a Hospital Setting Through Bioaerosols
Umesh Adhikari, Alexandre Chabrelie, Mark Weir, Kevin Boehnke, Erica McKenzie, Luisa Ikner, Meng Wang, Qing Wang, Kyana Young, Charles N. Haas, Joan Rose, Jade Mitchell
Risk Analysis.2019; 39(12): 2608. CrossRef
MERS-CoV infection: Mind the public knowledge gap
Amen Bawazir, Eman Al-Mazroo, Hoda Jradi, Anwar Ahmed, Motasim Badri
Journal of Infection and Public Health.2018; 11(1): 89. CrossRef
High reproduction number of Middle East respiratory syndrome coronavirus in nosocomial outbreaks: mathematical modelling in Saudi Arabia and South Korea
S. Choi, E. Jung, B.Y. Choi, Y.J. Hur, M. Ki
Journal of Hospital Infection.2018; 99(2): 162. CrossRef
A Middle East respiratory syndrome screening clinic for health care personnel during the 2015 Middle East respiratory syndrome outbreak in South Korea: A single-center experience
Ji Yeon Lee, Gayeon Kim, Dong-Gyun Lim, Hyeon-Gun Jee, Yunyoung Jang, Joon-Sung Joh, Ina Jeong, Yeonjae Kim, Eunhee Kim, Bum Sik Chin
American Journal of Infection Control.2018; 46(4): 436. CrossRef
Role of viral bioaerosols in nosocomial infections and measures for prevention and control
Bing-Yuan, Yun-Hui Zhang, Nancy H.L. Leung, Benjamin J. Cowling, Zi-Feng Yang
Journal of Aerosol Science.2018; 117: 200. CrossRef
Provision of oral hygiene services as a potential method for preventing periodontal disease and control hypertension and diabetes in a community health centre in Korea
Nam-Hee Kim, Ga-Yeong Lee, Su-Kyung Park, Yeun-Ju Kim, Min-Young Lee, Chun-Bae Kim
Health & Social Care in the Community.2018; 26(3): e378. CrossRef
Measles-derived vaccines to prevent emerging viral diseases
Phanramphoei N. Frantz, Samaporn Teeravechyan, Frédéric Tangy
Microbes and Infection.2018; 20(9-10): 493. CrossRef
Middle East respiratory syndrome: what we learned from the 2015 outbreak in the Republic of Korea
Myoung-don Oh, Wan Beom Park, Sang-Won Park, Pyoeng Gyun Choe, Ji Hwan Bang, Kyoung-Ho Song, Eu Suk Kim, Hong Bin Kim, Nam Joong Kim
The Korean Journal of Internal Medicine.2018; 33(2): 233. CrossRef
MERS transmission and risk factors: a systematic review
Ji-Eun Park, Soyoung Jung, Aeran Kim, Ji-Eun Park
BMC Public Health.2018;[Epub] CrossRef
Network Analysis of MERS Coronavirus within Households, Communities, and Hospitals to Identify Most Centralized and Super-Spreading in the Arabian Peninsula, 2012 to 2016
Oyelola A. Adegboye, Faiz Elfaki
Canadian Journal of Infectious Diseases and Medical Microbiology.2018; 2018: 1. CrossRef
Chaperna-Mediated Assembly of Ferritin-Based Middle East Respiratory Syndrome-Coronavirus Nanoparticles
Young-Seok Kim, Ahyun Son, Jihoon Kim, Soon Bin Kwon, Myung Hee Kim, Paul Kim, Jieun Kim, Young Ho Byun, Jemin Sung, Jinhee Lee, Ji Eun Yu, Chan Park, Yeon-Sook Kim, Nam-Hyuk Cho, Jun Chang, Baik L. Seong
Frontiers in Immunology.2018;[Epub] CrossRef
Working experiences of nurses during the Middle East respiratory syndrome outbreak
Hee Sun Kang, Ye Dong Son, Sun‐Mi Chae, Colleen Corte
International Journal of Nursing Practice.2018;[Epub] CrossRef
Asymptomatic Middle East Respiratory Syndrome coronavirus infection using a serologic survey in Korea
Yeong-jun Song, Jeong-Sun Yang, Hee Jung Yoon, Hae-Sung Nam, Soon Young Lee, Hae-Kwan Cheong, Woo-Jung Park, Sung Han Park, Bo Youl Choi, Sung Soon Kim, Moran Ki
Epidemiology and Health.2018; 40: e2018014. CrossRef
Knowledge, Perceptions, and Self-reported Performance of Hand Hygiene Among Registered Nurses at Community-based Hospitals in the Republic of Korea: A Cross-sectional Multi-center Study
Hyang Soon Oh
Journal of Preventive Medicine and Public Health.2018; 51(3): 121. CrossRef
Clinical management of respiratory syndrome in patients hospitalized for suspected Middle East respiratory syndrome coronavirus infection in the Paris area from 2013 to 2016
A. Bleibtreu, S. Jaureguiberry, N. Houhou, D. Boutolleau, H. Guillot, D. Vallois, J. C. Lucet, J. Robert, B. Mourvillier, J. Delemazure, M. Jaspard, F. X. Lescure, C. Rioux, E. Caumes, Y. Yazdanapanah
BMC Infectious Diseases.2018;[Epub] CrossRef
Human Mobility and the Global Spread of Infectious Diseases: A Focus on Air Travel
Aidan Findlater, Isaac I. Bogoch
Trends in Parasitology.2018; 34(9): 772. CrossRef
Reported Direct and Indirect Contact with Dromedary Camels among Laboratory-Confirmed MERS-CoV Cases
Romy Conzade, Rebecca Grant, Mamunur Malik, Amgad Elkholy, Mohamed Elhakim, Dalia Samhouri, Peter Ben Embarek, Maria Van Kerkhove
Viruses.2018; 10(8): 425. CrossRef
MERS: Progress on the global response, remaining challenges and the way forward
Ryan Aguanno, Ahmed ElIdrissi, Amgad A. Elkholy, Peter Ben Embarek, Emma Gardner, Rebecca Grant, Heba Mahrous, Mamunur Rahman Malik, Gounalan Pavade, Sophie VonDobschuetz, Lidewij Wiersma, Maria D. Van Kerkhove
Antiviral Research.2018; 159: 35. CrossRef
CD8+ T Cells Responding to the Middle East Respiratory Syndrome Coronavirus Nucleocapsid Protein Delivered by Vaccinia Virus MVA in Mice
Svenja Veit, Sylvia Jany, Robert Fux, Gerd Sutter, Asisa Volz
Viruses.2018; 10(12): 718. CrossRef
Public preferences for interventions to prevent emerging infectious disease threats: a discrete choice experiment
Alex R Cook, Xiahong Zhao, Mark I C Chen, Eric A Finkelstein
BMJ Open.2018; 8(2): e017355. CrossRef
Fatality risks for nosocomial outbreaks of Middle East respiratory syndrome coronavirus in the Middle East and South Korea
Jianping Sha, Yuan Li, Xiaowen Chen, Yan Hu, Yajin Ren, Xingyi Geng, Zhiruo Zhang, Shelan Liu
Archives of Virology.2017; 162(1): 33. CrossRef
Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak in South Korea, 2015: epidemiology, characteristics and public health implications
K.H. Kim, T.E. Tandi, J.W. Choi, J.M. Moon, M.S. Kim
Journal of Hospital Infection.2017; 95(2): 207. CrossRef
Human Coronavirus in the 2014 Winter Season as a Cause of Lower Respiratory Tract Infection
Kyu Yeun Kim, Song Yi Han, Ho-Seong Kim, Hyang-Min Cheong, Sung Soon Kim, Dong Soo Kim
Yonsei Medical Journal.2017; 58(1): 174. CrossRef
MERS-CoV spike protein: a key target for antivirals
Lanying Du, Yang Yang, Yusen Zhou, Lu Lu, Fang Li, Shibo Jiang
Expert Opinion on Therapeutic Targets.2017; 21(2): 131. CrossRef
Middle East Respiratory Syndrome
Yaseen M. Arabi, Hanan H. Balkhy, Frederick G. Hayden, Abderrezak Bouchama, Thomas Luke, J. Kenneth Baillie, Awad Al-Omari, Ali H. Hajeer, Mikiko Senga, Mark R. Denison, Jonathan S. Nguyen-Van-Tam, Nahoko Shindo, Alison Bermingham, James D. Chappell, Mari
New England Journal of Medicine.2017; 376(6): 584. CrossRef
Outcome of strict implementation of infection prevention control measures during an outbreak of Middle East respiratory syndrome
Hassan E. El Bushra, Hussain A. Al Arbash, Mutaz Mohammed, Osman Abdalla, Mohamed N. Abdallah, Zayid K. Al-Mayahi, Abdallah M. Assiri, Abdulaziz A. BinSaeed
American Journal of Infection Control.2017; 45(5): 502. CrossRef
DNA vaccine encoding Middle East respiratory syndrome coronavirus S1 protein induces protective immune responses in mice
Hang Chi, Xuexing Zheng, Xiwen Wang, Chong Wang, Hualei Wang, Weiwei Gai, Stanley Perlman, Songtao Yang, Jincun Zhao, Xianzhu Xia
Vaccine.2017; 35(16): 2069. CrossRef
High fatality rates and associated factors in two hospital outbreaks of MERS in Daejeon, the Republic of Korea
Hae-Sung Nam, Jung Wan Park, Moran Ki, Mi-Yeon Yeon, Jin Kim, Seung Woo Kim
International Journal of Infectious Diseases.2017; 58: 37. CrossRef
Effects of operational decisions on the diffusion of epidemic disease: A system dynamics modeling of the MERS-CoV outbreak in South Korea
Nina Shin, Taewoo Kwag, Sangwook Park, Yon Hui Kim
Journal of Theoretical Biology.2017; 421: 39. CrossRef
Hospital Outbreaks of Middle East Respiratory Syndrome, Daejeon, South Korea, 2015
Jung Wan Park, Keon Joo Lee, Kang Hyoung Lee, Sang Hyup Lee, Jung Rae Cho, Jin Won Mo, Soo Young Choi, Geun Yong Kwon, Ji-Yeon Shin, Jee Young Hong, Jin Kim, Mi-Yeon Yeon, Jong Seok Oh, Hae-Sung Nam
Emerging Infectious Diseases.2017; 23(6): 898. CrossRef
Zero Transmission of Middle East Respiratory Syndrome: Lessons Learned From Thailand
Surasak Wiboonchutikul, Weerawat Manosuthi, Chariya Sangsajja
Clinical Infectious Diseases.2017; 64(suppl_2): S167. CrossRef
A novel neutralizing monoclonal antibody targeting the N-terminal domain of the MERS-CoV spike protein
Yingzhu Chen, Shuai Lu, Hao Jia, Yao Deng, Jianfang Zhou, Baoying Huang, Yueyang Yu, Jiaming Lan, Wenling Wang, Yongliang Lou, Kun Qin, Wenjie Tan
Emerging Microbes & Infections.2017; 6(1): 1. CrossRef
The clinical and virological features of the first imported case causing MERS-CoV outbreak in South Korea, 2015
Ji Yeon Lee, You-Jin Kim, Eun Hee Chung, Dae-Won Kim, Ina Jeong, Yeonjae Kim, Mi-ran Yun, Sung Soon Kim, Gayeon Kim, Joon-Sung Joh
BMC Infectious Diseases.2017;[Epub] CrossRef
Impact of Middle East respiratory syndrome outbreak on the use of emergency medical resources in febrile patients
Hyunho Jeong, Sikyoung Jeong, Juseok Oh, Seon Hee Woo, Byung Hak So, Jeong Hee Wee, Ji Hoon Kim, Ji Yong Im, Seung Pill Choi, Kyoungnam Park, Byul Nim Hee Cho, Sungyoup Hong
Clinical and Experimental Emergency Medicine.2017; 4(2): 94. CrossRef
Immunogenicity and structures of a rationally designed prefusion MERS-CoV spike antigen
Jesper Pallesen, Nianshuang Wang, Kizzmekia S. Corbett, Daniel Wrapp, Robert N. Kirchdoerfer, Hannah L. Turner, Christopher A. Cottrell, Michelle M. Becker, Lingshu Wang, Wei Shi, Wing-Pui Kong, Erica L. Andres, Arminja N. Kettenbach, Mark R. Denison, Jam
Proceedings of the National Academy of Sciences.2017;[Epub] CrossRef
MERS-CoV Infection in a Pregnant Woman in Korea
Soo Young Jeong, Se In Sung, Ji-Hee Sung, So Yoon Ahn, Eun-Suk Kang, Yun Sil Chang, Won Soon Park, Jong-Hwa Kim
Journal of Korean Medical Science.2017; 32(10): 1717. CrossRef
The Impact of Middle East Respiratory Syndrome Outbreak on Trends in Emergency Department Utilization Patterns
So Hyun Paek, Do Kyun Kim, Jin Hee Lee, Young Ho Kwak
Journal of Korean Medical Science.2017; 32(10): 1576. CrossRef
Exploring Nursing Intention, Stress, and Professionalism in Response to Infectious Disease Emergencies: The Experience of Local Public Hospital Nurses During the 2015 MERS Outbreak in South Korea
Namhee Oh, NamSoo Hong, Dong Hee Ryu, Sang Geun Bae, Sin Kam, Keon-Yeop Kim
Asian Nursing Research.2017; 11(3): 230. CrossRef
Critically Ill Patients With the Middle East Respiratory Syndrome: A Multicenter Retrospective Cohort Study
Yaseen M. Arabi, Awad Al-Omari, Yasser Mandourah, Fahad Al-Hameed, Anees A. Sindi, Basem Alraddadi, Sarah Shalhoub, Abdullah Almotairi, Kasim Al Khatib, Ahmed Abdulmomen, Ismael Qushmaq, Ahmed Mady, Othman Solaiman, Abdulsalam M. Al-Aithan, Rajaa Al-Radda
Critical Care Medicine.2017; 45(10): 1683. CrossRef
Healthcare worker infected with Middle East Respiratory Syndrome during cardiopulmonary resuscitation in Korea, 2015
Hae-Sung Nam, Mi-Yeon Yeon, Jung Wan Park, Jee-Young Hong, Ji Woong Son
Epidemiology and Health.2017; 39: e2017052. CrossRef
Recombinant Receptor-Binding Domains of Multiple Middle East Respiratory Syndrome Coronaviruses (MERS-CoVs) Induce Cross-Neutralizing Antibodies against Divergent Human and Camel MERS-CoVs and Antibody Escape Mutants
Wanbo Tai, Yufei Wang, Craig A. Fett, Guangyu Zhao, Fang Li, Stanley Perlman, Shibo Jiang, Yusen Zhou, Lanying Du, Terence S. Dermody
Journal of Virology.2017;[Epub] CrossRef
CD8 + T Cells and Macrophages Regulate Pathogenesis in a Mouse Model of Middle East Respiratory Syndrome
Christopher M. Coleman, Jeanne M. Sisk, Gabor Halasz, Jixin Zhong, Sarah E. Beck, Krystal L. Matthews, Thiagarajan Venkataraman, Sanjay Rajagopalan, Christos A. Kyratsous, Matthew B. Frieman, Julie K. Pfeiffer
Journal of Virology.2017;[Epub] CrossRef
A novel neutralizing monoclonal antibody targeting the N-terminal domain of the MERS-CoV spike protein
Yingzhu Chen, Shuai Lu, Hao Jia, Yao Deng, Jianfang Zhou, Baoying Huang, Yueyang Yu, Jiaming Lan, Wenling Wang, Yongliang Lou, Kun Qin, Wenjie Tan
Emerging Microbes & Infections.2017; 6(1): 1. CrossRef
Transmission among healthcare worker contacts with a Middle East respiratory syndrome patient in a single Korean centre
T. Kim, J. Jung, S.-M. Kim, D.-W. Seo, Y.S. Lee, W.Y. Kim, K.S. Lim, H. Sung, M.-N. Kim, Y.P. Chong, S.-O. Lee, S.-H. Choi, Y.S. Kim, J.H. Woo, S.-H. Kim
Clinical Microbiology and Infection.2016; 22(2): e11. CrossRef
Drivers of MERS-CoV transmission: what do we know?
Jaffar A. Al-Tawfiq, Ziad A. Memish
Expert Review of Respiratory Medicine.2016; 10(3): 331. CrossRef
Vaccines for the prevention against the threat of MERS-CoV
Lanying Du, Wanbo Tai, Yusen Zhou, Shibo Jiang
Expert Review of Vaccines.2016; 15(9): 1123. CrossRef
JSIPC in The Future, Based on Its History of 30 Years
Kohya SHIBA
Japanese Journal of Infection Prevention and Control.2016; 31(1): 1. CrossRef
Emerging infectious diseases: Focus on infection control issues for novel coronaviruses (Severe Acute Respiratory Syndrome-CoV and Middle East Respiratory Syndrome-CoV), hemorrhagic fever viruses (Lassa and Ebola), and highly pathogenic avian influenza vi
David J. Weber, William A. Rutala, William A. Fischer, Hajime Kanamori, Emily E. Sickbert-Bennett
American Journal of Infection Control.2016; 44(5): e91. CrossRef
Diagnosis for Imported Cases of Emerging and Reemerging Infectious Diseases in Korea
Miae Lee
The Ewha Medical Journal.2016; 39(2): 37. CrossRef
Extensive Viable Middle East Respiratory Syndrome (MERS) Coronavirus Contamination in Air and Surrounding Environment in MERS Isolation Wards
Sung-Han Kim, So Young Chang, Minki Sung, Ji Hoon Park, Hong Bin Kim, Heeyoung Lee, Jae-Phil Choi, Won Suk Choi, Ji-Young Min
Clinical Infectious Diseases.2016; 63(3): 363. CrossRef
Toward Developing a Preventive MERS-CoV Vaccine—Report from a Workshop Organized by the Saudi Arabia Ministry of Health and the International Vaccine Institute, Riyadh, Saudi Arabia, November 14–15, 2015
Jean-Louis Excler, Christopher J. Delvecchio, Ryan E. Wiley, Marni Williams, In-Kyu Yoon, Kayvon Modjarrad, Mohamed Boujelal, Vasee S. Moorthy, Ahmad Salah Hersi, Jerome H. Kim
Emerging Infectious Diseases.2016;[Epub] CrossRef
Outbreaks of Middle East Respiratory Syndrome in Two Hospitals Initiated by a Single Patient in Daejeon, South Korea
Sun Hee Park, Yeon-Sook Kim, Younghee Jung, Soo young Choi, Nam-Hyuk Cho, Hye Won Jeong, Jung Yeon Heo, Ji Hyun Yoon, Jacob Lee, Shinhye Cheon, Kyung Mok Sohn
Infection & Chemotherapy.2016; 48(2): 99. CrossRef
Epidemiologic Parameters of the Middle East Respiratory Syndrome Outbreak in Korea, 2015
Sun Hee Park, Woo Joo Kim, Jin-Hong Yoo, Jung-Hyun Choi
Infection & Chemotherapy.2016; 48(2): 108. CrossRef
Institutional Preparedness to Prevent Future Middle East Respiratory Syndrome Coronavirus-Like Outbreaks in Republic of Korea
Min Huok Jeon, Tae Hyong Kim
Infection & Chemotherapy.2016; 48(2): 75. CrossRef
Contact Tracing for Imported Case of Middle East Respiratory Syndrome, China, 2015
Min Kang, Tie Song, Haojie Zhong, Jie Hou, Jun Wang, Jiansen Li, Jie Wu, Jianfeng He, Jinyan Lin, Yonghhui Zhang
Emerging Infectious Diseases.2016; 22(9): 1644. CrossRef
The global spread of Middle East respiratory syndrome: an analysis fusing traditional epidemiological tracing and molecular phylodynamics
Jae Min, Eleonora Cella, Massimo Ciccozzi, Antonello Pelosi, Marco Salemi, Mattia Prosperi
Global Health Research and Policy.2016;[Epub] CrossRef
MERS-CoV at the Animal–Human Interface: Inputs on Exposure Pathways from an Expert-Opinion Elicitation
Anna L. Funk, Flavie Luce Goutard, Eve Miguel, Mathieu Bourgarel, Veronique Chevalier, Bernard Faye, J. S. Malik Peiris, Maria D. Van Kerkhove, Francois Louis Roger
Frontiers in Veterinary Science.2016;[Epub] CrossRef
A recombinant receptor-binding domain of MERS-CoV in trimeric form protects human dipeptidyl peptidase 4 (hDPP4) transgenic mice from MERS-CoV infection
Wanbo Tai, Guangyu Zhao, Shihun Sun, Yan Guo, Yufei Wang, Xinrong Tao, Chien-Te K. Tseng, Fang Li, Shibo Jiang, Lanying, Du, Yusen Zhou
Virology.2016; 499: 375. CrossRef
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Hasan M. Al-Dorzi, Abdulaziz S. Aldawood, Raymond Khan, Salim Baharoon, John D. Alchin, Amal A. Matroud, Sameera M. Al Johany, Hanan H. Balkhy, Yaseen M. Arabi
Annals of Intensive Care.2016;[Epub] CrossRef
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Soon Young Lee, Hee Jung Yang, Gawon Kim, Hae-Kwan Cheong, Bo Youl Choi
Epidemiology and Health.2016; : e2016051. CrossRef
Urgent Call for Research on Middle East Respiratory Syndrome (MERS) in Korea
Sung-il Cho
Journal of Preventive Medicine and Public Health.2015; 48(4): 179. CrossRef
“The Duty to Prevent” during an epidemic situation like 2015 Korean MERS outbreak
Jong-Myon Bae
Epidemiology and Health.2015; 37: e2015037. CrossRef
Epidemiologic features of the first MERS outbreak in Korea: focus on Pyeongtaek St. Mary’s Hospital
Kyung Min Kim, Moran Ki, Sung-il Cho, Minki Sung, Jin Kwan Hong, Hae-Kwan Cheong, Jong-Hun Kim, Sang-Eun Lee, Changhwan Lee, Keon-Joo Lee, Yong-Shik Park, Seung Woo Kim, Bo Youl Choi
Epidemiology and Health.2015; 37: e2015041. CrossRef
Implementation of Quaternary Prevention in the Korean Healthcare System: Lessons From the 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea
Jong-Myon Bae
Journal of Preventive Medicine and Public Health.2015; 48(6): 271. CrossRef
A New Measure for Assessing the Public Health Response to a Middle East Respiratory Syndrome Coronavirus Outbreak
Sung-il Cho
Journal of Preventive Medicine and Public Health.2015; 48(6): 277. CrossRef
The first case of the 2015 Korean Middle East Respiratory Syndrome outbreak
Yong-Shik Park, Changhwan Lee, Kyung Min Kim, Seung Woo Kim, Keon-Joo Lee, Jungmo Ahn, Moran Ki
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Epidemiology and challenges on the Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak in Korea, 2015
Moo-Sik Lee
Korean Journal of Health Education and Promotion.2015; 32(3): 1. CrossRef
Human Coronavirus 229E Remains Infectious on Common Touch Surface Materials
Sarah L. Warnes, Zoë R. Little, C. William Keevil, Rita Colwell
mBio.2015;[Epub] CrossRef

Original Articles

Admission route and use of invasive procedures during hospitalization for acute myocardial infarction: analysis of 2007-2011 National Health Insurance database: Hyungseon Yeom, Dae Ryong Kang, Seong Kyung Cho, Seung Won Lee, Dong-Ho Shin, Hyeon Chang Kim; Epidemiol Health. 2015;37:e2015022. Published online May 1, 2015; DOI: https://doi.org/10.4178/epih/e2015022

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Abstract Summary PDF

Abstract

OBJECTIVES
The goal of this study was to investigate trends in admission to the emergency department and the use of invasive or surgical procedures during hospitalization for acute myocardial infarction (AMI) in Korea.

METHODS

The National Health Insurance (NHI) claims database between 2007 and 2011 was used. We identified all admission claims that included codes from the tenth revision of the International Classification of Diseases beginning with I21 as the primary or secondary diagnosis. Information about the admission route, admission date, discharge date, and whether coronary artery angiography, angioplasty, or bypass surgery was performed was also obtained from the NHI database.

RESULTS

Of the 513,886 relevant admission claims over the five years encompassed by this study, 295,001 discrete episodes of admission for AMI were identified by analyzing the date and length of each admission and the interval between admissions. The number of AMI admissions gradually decreased from 66,883 in 2007 to 47,656 in 2011. The number and proportion of admissions through the emergency department also decreased from 38,118 (57.0%) in 2007 to 24,001 (50.4%) in 2011. However, during the same period, admissions in which invasive or surgical procedures were performed increased from 15,342 (22.9%) to 17,505 (36.7%).

CONCLUSIONS

The reported numbers of emergency department visits and admissions for AMI decreased from 2007 to 2011. However, only a small portion of the patients underwent invasive or surgical procedures during hospitalization, although the number of admissions involving invasive or surgical procedures has increased. These findings suggest that simply counting the number of admission claims cannot provide valid information on trends in AMI occurrence.

Summary

Korean summary
급성심근경색 환자의 급성기 의료이용행태를 조사하기 위해 2007년부터 2011년까지 급성심근경색증 진단명(ICD-10 코드 I21.x)을 포함하는 입원 청구자료 513,886건을 분석하였다. 총 295,001건의 독립된 입원 에피소드를 추출하여 분석한 결과, 5년동안 전체 입원건수와 응급실 경유 입원건수는 감소한 반면, 진단 또는 치료 목적의 침습적 시술을 동반한 입원은 증가하였다. 건강보험청구자료를 이용하여 급성심근경색증 발생 규모를 파악할 때, 진단명만으로는 정확한 추계가 어려우며 관련 시술 등의 의료이용 정보를 추가하는 것이 필요할 것이다.

Citations

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Measles Outbreak among Institutional Infants after Hospital Infection.: Hyung Cheol Park, Eun Young Park, Sun Hee Cho, Young Jun Choi, Hyun Kyun Ki, Young Hwa Jung, Kyung Rye Moon, So Yeon Ryu, Ki Soon Kim; Korean J Epidemiol. 2001;23(1):50-58.

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Abstract PDF: Abstract
PURPOSE
S: This study was to investigate the source of infection, mode of transmission and incidence of a measles outbreak among infants living in a Gwangju welfare institution in July 2000.
METHODS
The information about 63 children was collected through the nurses interview and blood sampling and laryngopharyngeal swab were conducted to the children. In addition, an epidemiologic survey was performed to confirm the infection dissemination route.
RESULTS
Before the outbreak, two children living at the institution were admitted to a university hospital for other health problems. These children shared a room with a 5 year old diagnosed with meningitis who was later diagnosed as having measles after rashes appeared. The two children developed measles after returning to their institution and the infection spread to other children in the institution. Among 63 children observed, 14 children(22.2%) developed measles, secondary attack rate of measles due to index cases was 19.7%. And 78.6% of the patients were between 4 and 8 months old. The room where the index case lived showed an attack rate of 81.8%, which is a much higher rate compared to other rooms. The attack rate among boys(26.0%) was higher than that of girls(12.5%), but it was not statistically significant.
CONCLUSIONS
This outbreak was considered to be a nosocomial infection, where the index cases were admitted to a hospital, infected and the infection spread to children. Further studies are necessary to find out the maternal antibody levels of infants of post-vaccinated mothers and the optimal age for measles vaccination.; Summary

A study on epidemiologic characteristics and factors associated with excess hospitalization of the patients injured by traffic accident.: Mi Woon Kim, Joung Soon Kim, Min Kyung Lim; Korean J Epidemiol. 1998;20(2):279-287.

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Abstract PDF: Abstract
The occurrence of injuries and death caused by traffic accidents have been increasing during last few decades in Korea, which resulted in enormous personal, social and economic loss in terms of death, disability, labour days and medical costs incurred for treatment. Generally, it is well known and even became an hot sociopolitical issue that the duration of hospital stay for traffic accident patients are much longer than that of other patients with the similar condition. The objective of the study is to find out epidemiologic characreristics and management pattern of traffic accident patients in a general hospital of medium-sized, industrialized town. This study was carried out on 177 cases injured by motor vehicle accidents, who were admitted and treated in a general hospital from Feb. 1, 1997 to Sept. 30, 1997. The results obtained are as followings: The most of the patients(44%) were 20-30 years old age group although the occurrence of injuries was more frequent among older ages, 50's for male and 60's for female being 2.1 times more frequent among male. The traffic accidents occurred most frequently(14.1%) in the morning(06:00-08:00) and afternoon(14:00-16:00), and on Saturdays(20.3%); the (14.1% traffic accidents were frequent during weekends for passengers whereas it was more frequent during weekdays for pedestrian. Old and child pedestrians were most vulnerable subjects to traffic accidents. The most common site injured was head(19.9%) and the injury types were fracture of lower extremity(9.3%), skull fracture(8.6%) and rib fracture(8.6%) for both sexes; rib fractures/thoracic spine fractures(12.0%) for female and tibia/ fibula fractures(11.6%) for male. Mean days of hospital stay presumptively judged by the doctor who examined, made diagnosis and admitted the patient was 43.8 days compare to 38.4 days of actual mean days of hospitalixation. On the other hand, the optimal mean days of hospital stay for the patients determined by two doctors independently was estimated to be 26.6 days. Thus the difference between actual days of hospitalization and optimal days of hospitalization was 11.7 days, which can be regarded as excess hospitalization days. It consists 30.5% of actual hospitalization days, an enormous waste of resources. The only factor associated with this excess hospitalization was payment responsibility for the hospital cost; when the hospitalization expenses are to be paid by the person inflicted the injury there were always excess days of hospitalization regardless of insurance status.; Summary

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