Declines in the utilization of hospital-based care during COVID-19 pandemic
Declines in the utilization of hospital-based care during COVID-19 pandemic
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DOI：
10.1002/jhm.12955
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发表时间：
2022-08-29
影响因子：
2.6
通讯作者：
Jernigan, John A.
中科院分区：
文献类型：
--
作者：
Kazakova, Sophia, V;Baggs, James;Jernigan, John A.
2019冠状病毒病（COVID-19）疫情的中断影响了医疗服务的提供和使用，对人口健康和医院员工队伍产生了潜在的长期影响。使用来自700多家美国急性护理医院的电子健康记录数据，我们记录了2019-2020年期间医院服务领域（住院，观察，急诊室[ER]和当天手术）的入院变化，并检查了COVID-19住院人数的激增是否与住院疾病严重程度和死亡率的增加相对应。我们发现，在2020年，4月份住院人数下降了50%，其中当天手术的下降幅度最大（-73%）。年龄最小的患者（0-17岁）的急诊、观察和当天手术入院率下降幅度最大;年龄最大的患者（65岁以上）的住院率下降幅度最大。传染病入院人数增加了52%。与二零一九年各月相比，二零二零年所有月份的住院病例组合指数、住院时间及非COVID死亡率的月度指标均较高。
The disruptions of the coronavirus disease 2019 (COVID-19) pandemic impacted the delivery and utilization of healthcare services with potential long-term implications for population health and the hospital workforce. Using electronic health record data from over 700 US acute care hospitals, we documented changes in admissions to hospital service areas (inpatient, observation, emergency room [ER], and same-day surgery) during 2019-2020 and examined whether surges of COVID-19 hospitalizations corresponded with increased inpatient disease severity and death rate. We found that in 2020, hospitalizations declined by 50% in April, with greatest declines occurring in same-day surgery (-73%). The youngest patients (0-17) experienced largest declines in ER, observation, and same-day surgery admissions; inpatient admissions declined the most among the oldest patients (65+). Infectious disease admissions increased by 52%. The monthly measures of inpatient case mix index, length of stay, and non-COVID death rate were higher in all months in 2020 compared with respective months in 2019.