Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID Patients

Domingo, Laia|||0000-0003-4420-0891; Comas Serrano, Mercè|||0000-0003-1926-2740; Jansana, Anna|||0000-0001-8504-1618; Louro, Javier|||0000-0002-2985-3301; Tizón-Marcos, Helena|||0000-0001-7942-9413; Cos, Maria Lourdes; Roquer González, Jaume|||0000-0001-5992-2606; Chillaron, Juan Jose|||0000-0002-8096-1703; Cirera, Isabel|||0000-0002-8342-6474; Pascual-Guardia, Sergi|||0000-0002-6567-0916; Sala, Maria|||0000-0002-9955-8746; Castells, Xavier|||0000-0002-2528-0382

Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID Patients

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 pand...

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Autores:	Domingo, Laia\|\|\|0000-0003-4420-0891, Comas Serrano, Mercè\|\|\|0000-0003-1926-2740, Jansana, Anna\|\|\|0000-0001-8504-1618, Louro, Javier\|\|\|0000-0002-2985-3301, Tizón-Marcos, Helena\|\|\|0000-0001-7942-9413, Cos, Maria Lourdes, Roquer González, Jaume\|\|\|0000-0001-5992-2606, Chillaron, Juan Jose\|\|\|0000-0002-8096-1703, Cirera, Isabel\|\|\|0000-0002-8342-6474, Pascual-Guardia, Sergi\|\|\|0000-0002-6567-0916, Sala, Maria\|\|\|0000-0002-9955-8746, Castells, Xavier\|\|\|0000-0002-2528-0382
Tipo de recurso:	artículo
Fecha de publicación:	2022
País:	España
Institución:	Universitat Autònoma de Barcelona
Repositorio:	Dipòsit Digital de Documents de la UAB
Idioma:	inglés
OAI Identifier:	oai:ddd.uab.cat:258099
Acceso en línea:	https://ddd.uab.cat/record/258099 https://dx.doi.org/urn:doi:10.3390/jcm11071752
Access Level:	acceso abierto
Palabra clave:	COVID-19 Impact Healthcare quality Lockdown Hospital admissions Complications In-hospital mortality

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spelling	Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID PatientsA Retrospective Study of the First COVID-19 Year in a University Hospital in SpainDomingo, Laia\|\|\|0000-0003-4420-0891Comas Serrano, Mercè\|\|\|0000-0003-1926-2740Jansana, Anna\|\|\|0000-0001-8504-1618Louro, Javier\|\|\|0000-0002-2985-3301Tizón-Marcos, Helena\|\|\|0000-0001-7942-9413Cos, Maria LourdesRoquer González, Jaume\|\|\|0000-0001-5992-2606Chillaron, Juan Jose\|\|\|0000-0002-8096-1703Cirera, Isabel\|\|\|0000-0002-8342-6474Pascual-Guardia, Sergi\|\|\|0000-0002-6567-0916Sala, Maria\|\|\|0000-0002-9955-8746Castells, Xavier\|\|\|0000-0002-2528-0382COVID-19ImpactHealthcare qualityLockdownHospital admissionsComplicationsIn-hospital mortalityFew 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.Universitat Autònoma de Barcelona 22022-01-0120222022-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/258099https://dx.doi.org/urn:doi:10.3390/jcm11071752reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengInstituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI21/00058Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 RD16/0001/0013Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 RD21/0016/0020open accesshttp://purl.org/coar/access_right/c_abf2Aquest 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.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2580992026-06-06T12:50:31Z
dc.title.none.fl_str_mv	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
title	Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID Patients
spellingShingle	Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID Patients Domingo, Laia\|\|\|0000-0003-4420-0891 COVID-19 Impact Healthcare quality Lockdown Hospital admissions Complications In-hospital mortality
title_short	Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID Patients
title_full	Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID Patients
title_fullStr	Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID Patients
title_full_unstemmed	Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID Patients
title_sort	Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID Patients
dc.creator.none.fl_str_mv	Domingo, Laia\|\|\|0000-0003-4420-0891 Comas Serrano, Mercè\|\|\|0000-0003-1926-2740 Jansana, Anna\|\|\|0000-0001-8504-1618 Louro, Javier\|\|\|0000-0002-2985-3301 Tizón-Marcos, Helena\|\|\|0000-0001-7942-9413 Cos, Maria Lourdes Roquer González, Jaume\|\|\|0000-0001-5992-2606 Chillaron, Juan Jose\|\|\|0000-0002-8096-1703 Cirera, Isabel\|\|\|0000-0002-8342-6474 Pascual-Guardia, Sergi\|\|\|0000-0002-6567-0916 Sala, Maria\|\|\|0000-0002-9955-8746 Castells, Xavier\|\|\|0000-0002-2528-0382
author	Domingo, Laia\|\|\|0000-0003-4420-0891
author_facet	Domingo, Laia\|\|\|0000-0003-4420-0891 Comas Serrano, Mercè\|\|\|0000-0003-1926-2740 Jansana, Anna\|\|\|0000-0001-8504-1618 Louro, Javier\|\|\|0000-0002-2985-3301 Tizón-Marcos, Helena\|\|\|0000-0001-7942-9413 Cos, Maria Lourdes Roquer González, Jaume\|\|\|0000-0001-5992-2606 Chillaron, Juan Jose\|\|\|0000-0002-8096-1703 Cirera, Isabel\|\|\|0000-0002-8342-6474 Pascual-Guardia, Sergi\|\|\|0000-0002-6567-0916 Sala, Maria\|\|\|0000-0002-9955-8746 Castells, Xavier\|\|\|0000-0002-2528-0382
author_role	author
author2	Comas Serrano, Mercè\|\|\|0000-0003-1926-2740 Jansana, Anna\|\|\|0000-0001-8504-1618 Louro, Javier\|\|\|0000-0002-2985-3301 Tizón-Marcos, Helena\|\|\|0000-0001-7942-9413 Cos, Maria Lourdes Roquer González, Jaume\|\|\|0000-0001-5992-2606 Chillaron, Juan Jose\|\|\|0000-0002-8096-1703 Cirera, Isabel\|\|\|0000-0002-8342-6474 Pascual-Guardia, Sergi\|\|\|0000-0002-6567-0916 Sala, Maria\|\|\|0000-0002-9955-8746 Castells, Xavier\|\|\|0000-0002-2528-0382
author2_role	author author author author author author author author author author author
dc.contributor.none.fl_str_mv	Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv	COVID-19 Impact Healthcare quality Lockdown Hospital admissions Complications In-hospital mortality
topic	COVID-19 Impact Healthcare quality Lockdown Hospital admissions Complications In-hospital mortality
description	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.
publishDate	2022
dc.date.none.fl_str_mv	2 2022-01-01 2022 2022-01-01
dc.type.none.fl_str_mv	Article http://purl.org/coar/resource_type/c_6501 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	https://ddd.uab.cat/record/258099 https://dx.doi.org/urn:doi:10.3390/jcm11071752
url	https://ddd.uab.cat/record/258099 https://dx.doi.org/urn:doi:10.3390/jcm11071752
dc.language.none.fl_str_mv	Inglés eng
language_invalid_str_mv	Inglés
language	eng
dc.relation.none.fl_str_mv	Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI21/00058 Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 RD16/0001/0013 Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 RD21/0016/0020
dc.rights.none.fl_str_mv	open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv	info:eu-repo/semantics/openAccess
rights_invalid_str_mv	open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv	openAccess
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dc.source.none.fl_str_mv	reponame:Dipòsit Digital de Documents de la UAB instname:Universitat Autònoma de Barcelona
instname_str	Universitat Autònoma de Barcelona
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Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID Patients

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