{
  "abstract": "Background/Objectives: Limited emergency-care resources require priorities based not only on mortality rates or death counts but also on the potential mortality reduction under explicit targets. We applied the age- and sex-standardized domestic short- and mid-term components of a stepwise treatable-death framework across severe emergency conditions in Korea. Methods: This retrospective nationwide study used NEDIS aggregate data from 16 regions during 2018–2022. The 20 conditions with the highest numbers of in-hospital deaths were represented as 17 groups by replacing sepsis (A41), bacterial pneumonia (J15), pneumonia of unspecified organism (J18), and pneumonitis due to solids and liquids (J69) with an extended-sepsis composite. Treatable deaths were the positive difference between observed and target-based expected deaths. National rates in 10-year age-group and sex strata were applied to regional distributions. The short-term target assumed that regions with an age- and sex-standardized mortality ratio (SMR) above 1.0 achieved the national reference level (SMR = 1.0), whereas the mid-term target assumed that all regions achieved the lowest regional SMR for the corresponding condition and year. Five-year cumulative estimates were the primary outcome measure. Results: Across the 17 groups, summed condition-level patient counts totaled 3,384,529 and in-hospital deaths totaled 357,404 (ratio of summed death counts to summed patient counts, 10.56%). Five-year cumulative short-term estimates were highest for extended sepsis (2387), bronchus and lung cancer (1984), and cardiac arrest (1662). Mid-term estimates were highest for cardiac arrest (21,547), extended sepsis (19,340), and severe trauma (7010). Conclusions: After accounting for regional differences in age and sex distributions, extended sepsis remained the condition with the largest short-term and the second-largest mid-term treatable-death burden, supporting its consideration for further policy-priority evaluation. Each treatable-death estimate is an operational policy-scenario estimate rather than an estimate of causally preventable mortality.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Emergency Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam 13497, Republic of Korea",
    "National Emergency Medical Center, National Medical Center, Seoul 04564, Republic of Korea"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Moon Jeongmin"
    },
    {
      "affs": [
        1
      ],
      "name": "Chaelin Yoon"
    },
    {
      "affs": [
        0
      ],
      "name": "Jeong Ho Hyun"
    },
    {
      "affs": [
        0
      ],
      "name": "Soo Hyun Park"
    },
    {
      "affs": [
        0
      ],
      "name": "Kyuseok Kim",
      "orcid": "0000-0002-7991-9428"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/841kdrjgtxmth.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15207848",
  "fulltext_url": "https://europepmc.org/articles/PMC13705308",
  "id": "841kdrjgtxmth",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://www.mdpi.com/2077-0383/15/20/7848",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2711|Emergency and Acute Care Studies"
    ]
  ],
  "openalex": "W7221504055",
  "pdf_url": "https://europepmc.org/articles/PMC13705308?pdf=render",
  "pmcid": "PMC13705308",
  "pmid": "42941366",
  "published": "2026-10-12",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/841kdrjgtxmth.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:00Z",
      "native_id": "10.3390/jcm15207848",
      "source": "crossref",
      "url": "https://www.mdpi.com/2077-0383/15/20/7848"
    },
    {
      "first_seen": "2026-10-30T12:22:12Z",
      "native_id": "MED:42941366",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42941366"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2711|Emergency and Acute Care Studies",
      "subfield": "general"
    }
  ],
  "title": "Prioritizing Emergency Medical Conditions for Health Policy Using a Stepwise Treatable-Death Framework: A Nationwide Analysis in Korea, 2018–2022",
  "title_text": "Prioritizing Emergency Medical Conditions for Health Policy Using a Stepwise Treatable-Death Framework: A Nationwide Analysis in Korea, 2018–2022",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:22:12Z",
  "url": "https://research.draconitic.com/paper/841kdrjgtxmth",
  "venue": "Journal of Clinical Medicine",
  "versions": []
}