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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

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dc.contributor.author Domingo, Laia
dc.contributor.author Comas Serrano, Mercè
dc.contributor.author Jansana Riera, Anna
dc.contributor.author Louro, Javier
dc.contributor.author Tizón-Marcos, Helena
dc.contributor.author Cos, Maria Lourdes
dc.contributor.author Roquer, Jaume
dc.contributor.author Chillarón Jordan, Juan José
dc.contributor.author Cirera Lorenzo, Isabel
dc.contributor.author Pascual Guàrdia, Sergi, 1979-
dc.contributor.author Sala, Maria
dc.contributor.author Castells, Xavier
dc.date.accessioned 2022-09-29T07:05:41Z
dc.date.available 2022-09-29T07:05:41Z
dc.date.issued 2022
dc.identifier.citation Domingo L, Comas M, Jansana A, Louro J, Tizón-Marcos H, Cos ML, Roquer J, Chillarón JJ, Cirera I, Pascual-Guàrdia S, Sala M, Castells X. 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. J Clin Med. 2022 Mar 22;11(7):1752. DOI: 10.3390/jcm11071752
dc.identifier.issn 2077-0383
dc.identifier.uri http://hdl.handle.net/10230/54205
dc.description.abstract 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.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartof J Clin Med. 2022 Mar 22;11(7):1752
dc.rights © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
dc.rights.uri https://creativecommons.org/licenses/by/4.0/
dc.title 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
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.3390/jcm11071752
dc.subject.keyword COVID-19
dc.subject.keyword Complications
dc.subject.keyword Healthcare quality
dc.subject.keyword Hospital admissions
dc.subject.keyword Impact
dc.subject.keyword In-hospital mortality
dc.subject.keyword Lockdown
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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