Emergency Department Utilization by In-hospital Healthcare Workers after COVID-19 Vaccination

J Korean Med Sci. 2021 Jul 12;36(27):e196. doi: 10.3346/jkms.2021.36.e196.

Abstract

Background: This is an observational study to analyze an emergency department (ED) utilization pattern of coronavirus disease 2019 (COVID-19) vaccinated in-hospital healthcare workers (HCWs).

Methods: We included 4,703 HCWs who were administered the first dose of the COVID-19 vaccine between March 4 and April 2, 2021, in a tertiary hospital in Korea where fast-track and post-vaccination cohort zone (PVCZ) were introduced in ED. We analyzed data of participants' age, sex, occupation, date and type of vaccination, and their clinical information using SPSS v25.0.

Results: The sample comprised HCWs, who received either the ChAdOx1 (n = 4,458) or the BNT162B2 (n = 245) vaccines; most participants were female (73.5%), and 81.1% were under 50 years old. Further, 153 (3.3%) visited the ED and reported experiencing fever (66.9%) and myalgia (56.1%). Additionally, 91 (59.5%) of them were in their 20s, and 106 (67.5%) were assigned to the PVCZ. Lastly, 107 (68.2%) of the patients received parenteral management. No patient required hospitalization.

Conclusion: In conclusion, vaccinated HCWs who visited the ED with adverse events had a high incidence of fever and a low likelihood of developing serious illnesses. As the COVID-19 vaccination program for Korean citizens continues to expand, strategies to minimize unnecessary ED overcrowding should be put into effect.

Keywords: COVID-19, Korea; Emergency Department; Vaccination.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Antiemetics / therapeutic use
  • Antipyretics / therapeutic use
  • BNT162 Vaccine
  • COVID-19 Testing / statistics & numerical data
  • COVID-19 Vaccines / adverse effects*
  • ChAdOx1 nCoV-19
  • Chills / chemically induced
  • Chills / epidemiology
  • Clinical Protocols
  • Emergency Service, Hospital / organization & administration
  • Emergency Service, Hospital / statistics & numerical data*
  • Female
  • Fever / chemically induced
  • Fever / drug therapy
  • Fever / epidemiology
  • Headache / chemically induced
  • Headache / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Myalgia / chemically induced
  • Myalgia / epidemiology
  • Nausea / chemically induced
  • Nausea / drug therapy
  • Nausea / epidemiology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Patient Readmission / statistics & numerical data
  • Personnel, Hospital / statistics & numerical data*
  • Republic of Korea
  • Retrospective Studies
  • Software Design
  • Tertiary Care Centers / statistics & numerical data
  • Triage
  • Vaccination / adverse effects*
  • Young Adult

Substances

  • Antiemetics
  • Antipyretics
  • COVID-19 Vaccines
  • ChAdOx1 nCoV-19
  • BNT162 Vaccine