Research Article

Changes in Emergency Department Performance during Strike of Junior Physicians in Korea

Table 1

Characteristics of patients who visited the emergency department during the strike and control periods.

Strike periodControl period value

Total visits1,1211,496
Male gender582 (51.9)782 (52.3)0.888
Age (years)56 (42–74)55 (41–72)0.188

Cause of visit0.016
 Disease964 (86.0)1229 (82.2)
 Injury137 (12.2)240 (16.0)
 Poisoning11 (1.0)21 (1.4)
 Other9 (0.8)6 (0.4)

Route of visit0.173
 FD ambulances374 (33.4)457 (30.5)
 OPD25 (2.2)29 (1.9)
 Transferred193 (17.2)303 (20.3)
 Walk-in or other529 (47.2)707 (47.3)

KTAS<0.001
 110 (0.9)11 (0.7)
 294 (8.4)121 (8.1)
 3654 (58.8)726 (48.7)
 4297 (26.7)526 (35.3)
 558 (5.2)106 (7.1)

Consciousness0.376
 Alert1034 (92.2)1401 (93.6)
 Verbal response43 (3.8)53 (3.5)
 Pain response29 (2.6)25 (1.7)
 Unresponsive15 (1.3)17 (1.1)

Vitals signs
 Systolic BP (mmHg)120 (110–140)120 (110–140)0.440
 Diastolic BP (mmHg)80 (70–90)80 (70–90)0.939
 Heart rate (min−1)86 (78–100)84.5 (77–100)0.087
 Respiratory rate (min−1)20 (20–21)20 (20–22)0.861
 Body temperature (°C)36.6 (36.5–37.2)36.7 (36.5–37.1)0.927
 Pulse oxygen saturation98 (96–98)98 (97–99)<0.001

Hospital admission535 (47.8)690 (46.2)0.422
Mortality26 (2.5)35 (2.6)0.891
EDLOS (min)326 (123–318)359 (147–391)<0.001

Injury includes trauma, environmental injury, burns, and submersions. Mortality includes mortality in the emergency department and after admission and expected death after discharge. Numbers in parentheses represent percentage or interquartile ranges. FD: fire department; OPD: outpatient department; KTAS: Korean Triage and Acuity Scale; BP: blood pressure; EDLOS: emergency department length of stay.