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
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...
| Autores: | , , , , , , , , , , , |
|---|---|
| Tipo de documento: | artigo |
| Estado: | Versão publicada |
| Data de publicação: | 2022 |
| País: | España |
| Recursos: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositório: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:10230/54205 |
| Acesso em linha: | http://hdl.handle.net/10230/54205 http://dx.doi.org/10.3390/jcm11071752 |
| Access Level: | Acceso aberto |
| Palavra-chave: | COVID-19 Complications Healthcare quality Hospital admissions Impact In-hospital mortality Lockdown |
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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 SpainDomingo, LaiaComas Serrano, MercèJansana Riera, AnnaLouro, JavierTizón-Marcos, HelenaCos, Maria LourdesRoquer, JaumeChillarón Jordan, Juan JoséCirera Lorenzo, IsabelPascual Guàrdia, Sergi, 1979-Sala i Serra, MariaCastells, XavierCOVID-19ComplicationsHealthcare qualityHospital admissionsImpactIn-hospital mortalityLockdownFew 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.MDPI202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/54205http://dx.doi.org/10.3390/jcm11071752reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésJ Clin Med. 2022 Mar 22;11(7):1752© 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/).https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/542052026-05-29T05:05:01Z |
| 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: a retrospective study of the first COVID-19 year in a university hospital in Spain |
| spellingShingle |
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 COVID-19 Complications Healthcare quality Hospital admissions Impact In-hospital mortality Lockdown |
| title_short |
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_full |
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_fullStr |
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_full_unstemmed |
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_sort |
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.creator.none.fl_str_mv |
Domingo, Laia Comas Serrano, Mercè Jansana Riera, Anna Louro, Javier Tizón-Marcos, Helena Cos, Maria Lourdes Roquer, Jaume Chillarón Jordan, Juan José Cirera Lorenzo, Isabel Pascual Guàrdia, Sergi, 1979- Sala i Serra, Maria Castells, Xavier |
| author |
Domingo, Laia |
| author_facet |
Domingo, Laia Comas Serrano, Mercè Jansana Riera, Anna Louro, Javier Tizón-Marcos, Helena Cos, Maria Lourdes Roquer, Jaume Chillarón Jordan, Juan José Cirera Lorenzo, Isabel Pascual Guàrdia, Sergi, 1979- Sala i Serra, Maria Castells, Xavier |
| author_role |
author |
| author2 |
Comas Serrano, Mercè Jansana Riera, Anna Louro, Javier Tizón-Marcos, Helena Cos, Maria Lourdes Roquer, Jaume Chillarón Jordan, Juan José Cirera Lorenzo, Isabel Pascual Guàrdia, Sergi, 1979- Sala i Serra, Maria Castells, Xavier |
| author2_role |
author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
COVID-19 Complications Healthcare quality Hospital admissions Impact In-hospital mortality Lockdown |
| topic |
COVID-19 Complications Healthcare quality Hospital admissions Impact In-hospital mortality Lockdown |
| 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 |
2022 2022 2022 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10230/54205 http://dx.doi.org/10.3390/jcm11071752 |
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http://hdl.handle.net/10230/54205 http://dx.doi.org/10.3390/jcm11071752 |
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Inglés |
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Inglés |
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J Clin Med. 2022 Mar 22;11(7):1752 |
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https://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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application/pdf application/pdf |
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MDPI |
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MDPI |
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reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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