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논문 기본 정보

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학술저널
저자정보
Lee Sun Young (Seoul National University Hospital) 송경준 (서울특별시보라매병원) Lim Chun Soo (Seoul National University College of Medicine) Kim Byeong Gwan (Seoul Metropolitan Government-Seoul National University Boramae Medical Center) Chai Young Jun (Seoul Metropolitan Government-Seoul National University Boramae Medical Center) Lee Jung-Kyu (Seoul Metropolitan Government-Seoul National University Boramae Medical Center) Kim Su Hwan (Seoul Metropolitan Government-Seoul National University Boramae Medical Center) 임혁재 (서울대학교병원)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.35 No.40
발행연도
2020.1
수록면
1 - 13 (13page)

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Background: In response to the disaster of coronavirus disease 2019 (COVID-19) pandemic, Seoul Metropolitan Government (SMG) established a patient facility for mild condition patients other than hospital. This study was conducted to investigate the operation and necessary resources of a community treatment center (CTC) operated in Seoul, a metropolitan city with a population of 10 million. Methods: To respond COVID-19 epidemic, the SMG designated 5 municipal hospitals as dedicated COVID-19 hospitals and implemented one CTC cooperated with the Boramae Municipal Hospital for COVID-19 patients in Seoul. As a retrospective cross-sectional observational study, retrospective medical records review was conducted for patients admitted to the Seoul CTC. The admission and discharge route of CTC patients were investigated. The patient characteristics were compared according to route of discharge whether the patient was discharged to home or transferred to hospital. To report the operation of CTC, the daily mean number of tests (reverse transcription polymerase chain reaction and chest X-ray) and consultations by medical staffs were calculated per week. The list of frequent used medications and who used medication most frequently were investigated. Results: Until May 27 when the Seoul CTC was closed, 26.5% (n = 213) of total 803 COVID-19 patients in Seoul were admitted to the CTC. It was 35.7% (n = 213) of 597 newly diagnosed patients in Seoul during the 11 weeks of operation. The median length of stay was 21 days (interquartile range, 12–29 days). A total of 191 patients (89.7%) were discharged to home after virologic remission and 22 (10.3%) were transferred to hospital for further treatment. Fifty percent of transferred patients were within a week since CTC admission. Daily 2.5–3.6 consultations by doctors or nurses and 0.4–0.9 tests were provided to one patient. The most frequently prescribed medication was symptomatic medication for COVID-19 (cough/ sputum and rhinorrhea). The next ranking was psychiatric medication for sleep problem and depression/anxiety, which was prescribed more than digestive drug. Conclusion: In the time of an infectious disease disaster, a metropolitan city can operate a temporary patient facility such as CTC to make a surge capacity and appropriately allocate scarce medical resource.
#COVID-19 #Community Treatment Center #Surge Capacity #Disaster

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참고문헌 (36)

참고문헌 신청
Noji EK / 1997 / The historical development of public health responses to disaster / Disasters 21(4):366~376 google schola 2018 / Disaster medical services / Ann Emerg Med 72(4):e39 google schola Hui EK / 2006 / Reasons for the increase in emerging and re-emerging viral infectious diseases / Microbes Infect 8(3):905~916 google schola Writing Committee of the WHO Consultation on Clinical Aspects of Pandemic (H1N1) 2009 Influenza / 2010 / Clinical aspects of pandemic 2009influenza A (H1N1) virus infection / N Engl J Med 362(18):1708~1719 google schola Lee N / 2003 / A major outbreak of severe acute respiratory syndrome in Hong Kong / N Engl J Med 348(20):1986~1994 google schola

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