Impact of the first wave of the COVID-19 pandemic on non-COVID inpatient care in southern Spain.
Impact of the first wave of the COVID-19 pandemic on non-COVID inpatient care in southern Spain.
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DOI：
10.1038/s41598-023-28831-6
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发表时间：
2023-01-30
影响因子：
4.6
通讯作者：
Medrano, Francisco J.
中科院分区：
文献类型：
--
作者：
Gasch-Illescas, Antonia;Calle-Serrano, Marta;Vallejo-Vaz, Antonio J.;Praena-Fernandez, Juan M.;Guerrero, Jose A.;Calderon, Enrique J.;Pollan, Marina;Medrano, Francisco J.
我们评估了第一波COVID-19大流行对非covid住院率、非covid死亡率、与非covid死亡率相关的因素以及入院非covid患者概况的变化的影响。我们使用西班牙最小基本数据集，根据诊断相关组对诊断进行分组。将2020年第一波（2月27日/ 6月7日）住院的患者总数为10,594例（3%为COVID-19； 97%为非COVID-19）与2017-2019年同期住院的患者（平均年入院人数：14,037）进行比较。我们发现，与大流行前相比，在第一波大流行期间，非covid患者的住院率（22%）和手术住院率（33%）下降，非covid患者的住院死亡率增加了25.7%。在正式宣布的该地区超额死亡率分期（3月17日/ 4月20日）期间，医院内非covid - 19死亡率甚至更高（比大流行前年份高出58.7%）。在第一波大流行期间（与大流行前相比）住院的非covid - 19患者年龄较大，且更多为男性，住院时间更长，疾病严重程度更高。与大流行前几年的住院治疗相比，2020年第一波大流行期间的住院治疗是非covid - 19死亡率的独立危险因素（HR 1.30, 95% CI 1.07-1.57, p = 0.008），反映了大流行对住院患者的负面影响。
We assessed the impact of the first wave of COVID-19 pandemic on non-COVID hospital admissions, non-COVID mortality, factors associated with non-COVID mortality, and changes in the profile of non-COVID patients admitted to hospital. We used the Spanish Minimum Basic Data Set with diagnosis grouped according to the Diagnostic Related Groups. A total of 10,594 patients (3% COVID-19; 97% non-COVID) hospitalised during the first wave in 2020 (27-February/07-June) were compared with those hospitalised within the same dates of 2017–2019 (average annual admissions: 14,037). We found a decrease in non-COVID medical (22%) and surgical (33%) hospitalisations and a 25.7% increase in hospital mortality among non-COVID patients during the first pandemic wave compared to pre-pandemic years. During the officially declared sub-period of excess mortality in the area (17-March/20-April, in-hospital non-COVID mortality was even higher (58.7% higher than the pre-pandemic years). Non-COVID patients hospitalised during the first pandemic wave (compared to pre-pandemic years) were older, more frequently men, with longer hospital stay and increased disease severity. Hospitalisation during the first pandemic wave in 2020, compared to hospitalisation during the pre-pandemic years, was an independent risk factor for non-COVID mortality (HR 1.30, 95% CI 1.07–1.57, p = 0.008), reflecting the negative impact of the pandemic on hospitalised patients.
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影响因子：
3.9
作者：
Caminiti C;Maglietta G;Meschi T;Ticinesi A;Silva M;Sverzellati N
通讯作者：
Sverzellati N
影响因子：
4
作者：
Hubert H;Baert V;Beuscart JB;Chazard E
通讯作者：
Chazard E
DOI：
10.1016/j.jhin.2021.12.007
发表时间：
2022-03
期刊：
The Journal of hospital infection
影响因子：
--
作者：
Cai Y;Kwek S;Tang SSL;Saffari SE;Lum E;Yoon S;Ansah JP;Matchar DB;Kwa AL;Ang KA;Thumboo J;Ong MEH;Graves N
通讯作者：
Graves N
影响因子：
1.9
作者：
Ochoa Sangrador, Carlos;Garmendia Leiza, José Ramón;Andrés de Llano, Jesús María
通讯作者：
Andrés de Llano, Jesús María
影响因子：
168.9
作者：
Pollan, Marina;Perez-Gomez, Beatriz;Yotti, Raquel
通讯作者：
Yotti, Raquel