Research Article

Analysis of the Adequacy of Prehospital Emergency Medical Services Use of Patients Who Visited Emergency Departments in Korea from 2016 to 2018: Data from the National Emergency Department Information System

Table 2

General characteristics of patients’ comparison by ambulance use group, n (%).

Appropriate EMS usageAppropriate no EMS usageUnderuseOveruse

KTAS (1, 2, 3) and ambulanceKTAS (4, 5) and no ambulanceKTAS (1, 2, 3) and no ambulanceKTAS (4, 5) and ambulance
2,408,875 (13.16)9,259,706 (50.6)5,147,352 (28.13)1,482,602 (8.10)
Age mean ± S.D58.20 ± 22.8739.60 ± 26.8934.15 ± 23.9039.60 ± 26.89
Male (%)53.8149.8351.2849.83

Disposition
Discharge1,047,286 (7.41%)8,329,024 (58.95%)3,638,366 (25.75%)1,114,266 (7.89%)
Transfer out124,558 (43.77%)46,651 (16.39%)76,138 (26.75%)37,240 (13.09%)
Admission1,143,853 (30.74%)849,406 (22.83%)1,407,848 (37.84%)319,687 (8.59%)
Death86,919 (87.41%)461 (0.46%)11,132 (11.20%)922 (0.93%)
None6,259 (9.66%)34,164 (52.74%)13,868 (21.41%)10,487 (16.19%)

Insurance type
Public1,952,420 (12.12%)8,334,443 (51.73%)4,763,491 (29.57%)1,061,109 (6.59%)
Automobile118,930 (16.53%)335,009 (46.55%)62,799 (8.73%)202,931 (28.20%)
Industrial injury9,539 (21.81%)22,486 (51.41%)7,282 (16.65%)4,433 (10.13%)
Private5 (10.42%)22 (45.83%)17 (35.42%)4 (8.33%)
Medical care type 1231,391 (27.51%)280,350 (33.33%)192,303 (22.86%)137,025 (16.29%)
Medical care type 226,265 (15.44%)82,748 (48.64%)39,595 (23.27%)21,515 (12.65%)
Self-pay56,839 (18.62%)147,984 (48.49%)56,179 (18.41%)44,213 (14.49%)
Others11,047 (13.35%)41,938 (50.68%)20,062 (24.24%)9,705 (11.73%)
Unknown2,439 (9.97%)14,726 (60.21%)5,624 (23.00%)1,667 (6.82%)

Disease or injury
Disease1,882,159 (14.43%)5,935,077 (45.51%)4,536,214 (34.78%)689,162 (5.28%)
Injury509,152 (10.12%)3,183,726 (63.29%)562,849 (11.19%)774,762 (15.40%)
Unknown17,564 (7.79%)140,903 (62.50%)48,289 (21.42%)18,678 (8.29%)

Route of arrival
Direct1,853,679 (11.41%)8,696,332 (53.53%)4,335,211 (26.69%)1,360,492 (8.37%)
Transfer in552,549 (31.92%)431,373 (24.92%)626,772 (36.20%)120,542 (6.96%)
Referral from outpatient1,618 (0.54%)118,864 (39.65%)178,317 (59.48%)970 (0.32%)
Others825 (18.72%)1,709 (38.77%)1,422 (32.26%)452 (10.25%)
Unknown204 (1.17%)11,428 (65.65%)5,630 (32.34%)146 (0.84%)

Mode of transport
Public EMS1,828,405 (57.80%)001,334,809 (42.2%)
Other hospital ambulances142,140 (77.28%)0041,789 (22.72%)
Private ambulance service438,330 (80.53%)00106,004 (19.47%)
Public transportation (e.g., police car)011,943 (62.83%)7,066 (37.17%)0
Aeromedical transport04,834 (36.56%)8,387 (63.44%)0
Other cars09,112,394 (64.31%)5,056,599 (35.69%)0
Walk-in0106,108 (65.81%)55,117 (34.19%)0
Others012,534 (47.32%)13,956 (52.68%)0
Unknown011,893 (65.63%)6,227 (34.37%)0

Type of emergency medical centers
Regional centers890,035 (16.74%)2,275,717 (42.81%)1,787,642 (33.63%)362,725 (6.82%)
Local centers1,426,363 (12.35%)6,050,092 (52.40%)3,074,910 (26.63%)994,295 (8.61%)
Local institutions92,477 (6.44%)933,897 (65.00%)284,800 (19.82%)125,582 (8.74%)

Initial triage level
1166,114 (84.69%)030,030 (15.31%)0
2549,418 (51.93%)0508,539 (48.07%)0
31,693,343 (26.87%)04,608,783 (73.13%)0
407,347,225 (85.02%)01,294,064 (14.98%)
501,912,481 (91.03%)0188,538 (8.97%)

KTAS: Korean Triage and Acuity Scale.