Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID Patients : A Retrospective Study of the First COVID-19 Year in a University Hospital in Spain
Domingo, Laia (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Comas Serrano, Mercè (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Jansana, Anna (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Louro, Javier (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Tizón-Marcos, Helena (Centro de Investigación Biomédica en Red en Enfermedades Cardiovasculares)
Cos, Maria Lourdes (Institut Hospital del Mar d'Investigacions Mèdiques)
Roquer González, Jaume (Universitat Pompeu Fabra)
Chillaron, Juan Jose (Institut Hospital del Mar d'Investigacions Mèdiques)
Cirera, Isabel (Institut Hospital del Mar d'Investigacions Mèdiques)
Pascual-Guàrdia, Sergi (Centro de Investigación Biomédica en Red de Enfermedades Respiratorias)
Sala, Maria (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Castells, Xavier (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Universitat Autònoma de Barcelona

Data:	2022
Resum:	Few studies have assessed the impact of the COVID-19 pandemic on non-COVID diseases and healthcare quality. We aimed to evaluate changes in rates of hospitalisations, complications, in-hospital mortality, and readmissions among patients with non-COVID diseases during a one-year period after the pandemic onset. From March 2018 to February 2021 a retrospective observational study of hospital admissions in a university hospital in Spain was conducted. Non-COVID hospitalisations admitted through the emergency department were compared between the pre-COVID period (n = 28,622) and the COVID period (n = 11,904). We assessed rate ratios (RaR), comparing the weekly number of admissions and risk ratios (RR) to examine rates of complications, in-hospital mortality, readmissions, and severity. Statistical significance was set at p < 0. 05. The weekly admission rate dropped by 20. 8% during the complete lockdown. We observed significant reductions in admissions related to diseases of the respiratory system and circulatory system. Admissions for endocrine and metabolic diseases increased. The complication rates increased (RR = 1. 21, 95% CI: 1. 05;1. 4), while in-hospital mortality rates held steady during the COVID period (RR = 1. 09, 95% CI: 0. 98;1. 2). Hospital efforts to maintain quality and safety standards despite disruptions translated into a moderate increase in complications but not in in-hospital mortality. Reduced hospitalisations for conditions requiring timely treatment may have significant public health consequences.
Ajuts:	Instituto de Salud Carlos III PI21/00058 Instituto de Salud Carlos III RD16/0001/0013 Instituto de Salud Carlos III RD21/0016/0020
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	COVID-19 ; Impact ; Healthcare quality ; Lockdown ; Hospital admissions ; Complications ; In-hospital mortality
Publicat a:	Journal of clinical medicine, Vol. 11 (march 2022) , ISSN 2077-0383

DOI: 10.3390/jcm11071752
PMID: 35407360

15 p, 541.4 KB

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