Document Detail


Declining emergency department visits and costs during the severe acute respiratory syndrome (SARS) outbreak.
MedLine Citation:
PMID:  16440068     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The immediate and long-term impact of severe acute respiratory syndrome (SARS) outbreak on emergency department (ED) visits and hospital expenditures for these visits has not been thoroughly investigated. The objectives of this retrospective observational study investigated the impact of SARS outbreak on ED visits and the cost of these visits in a designated SARS medical center. METHODS: Data related to the total number of ED visits and their costs were collected for the SARS epidemic period in 2003 and the same period in the preceding year in 2002. Data collected included total number of ED visits, services provided, triage categories, and total expenditures for all patients. Data for before and during the outbreak were retrieved and compared. RESULTS: At the peak of the SARS epidemic, the reduction in daily ED visits reached 51.6% of pre-epidemic numbers (p < 0.01). In pediatric, trauma and non-trauma patients, the maximum mean decreases in number of visits were 80.0% (p < 0.01), 57.6% (p < 0.01) and 40.8% (p < 0.01), respectively. In triage 1, 2 and 3 patients, the maximum mean decreases were 18.1% (p < 0.01), 55.9% (p < 0.01) and 53.7% (p < 0.01), respectively. The maximum decrease in total costs was 37.7% (p < 0.01). The maximum mean costs per patient increased 35.9% (p < 0.01). The proportions of increases in mean costs for each patient were attributed to laboratory investigations (31.4%), radiography (21.9%) and medications (29.5%). CONCLUSION: The SARS outbreak resulted in a marked reduction in the number of ED visits which persisted for 3 months after the end of the epidemic. Total cost of treating individual patients showed a simultaneous marked increase, while overall operational costs in the ED showed a marked decrease. The increased total cost for each patient was attributed to the increased number of diagnostic procedures to screen for possible SARS in the ED.
Authors:
Hsien-Hao Huang; David Hung-Tsang Yen; Wei-Fong Kao; Lee-Min Wang; Chun-I Huang; Chen-Hsen Lee
Related Documents :
17479318 - The cost of laparoscopic myotomy versus pneumatic dilatation for esophageal achalasia.
15000418 - Impact of rivastigmine on costs and on time spent in caregiving for families of patient...
1745618 - Fixed-rate reimbursement fails to cover costs for patients with delayed graft function.
21036548 - Increasing escitalopram dose is associated with fewer discontinuations than switch or c...
10535378 - Minimally invasive treatment of esophageal diverticula.
15069728 - Comparison of treatment outcomes between biliary plastic stent placements with and with...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  105     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-01-27     Completed Date:  2006-02-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  China    
Other Details:
Languages:  eng     Pagination:  31-7     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Taipei Veterans General Hospital, College of Medicine, National Yang-Ming University, Taipei, Taiwan, R.O.C.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Emergency Service, Hospital / economics*,  utilization*
Hospital Costs / statistics & numerical data*
Humans
Retrospective Studies
Severe Acute Respiratory Syndrome / epidemiology*
Taiwan / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Age transition of tuberculosis patients in Taiwan, 1957-2001.
Next Document:  Febrile convulsions: development and validation of a questionnaire to measure parental knowledge, at...