A real world analysis of COVID-19 impact on hospitalizations in older adults with chronic conditions from an Italian region
Abstract Healthcare delivery reorganization during the COVID-19 emergency may have had a significant impact on access to care for older adults with chronic conditions. We investigated such impact among all adults with chronic conditions aged ≥ 65 years, identified through the electronic health datab...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-08-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-17941-2 |
| _version_ | 1828300283480899584 |
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| author | Cristina Bosetti Magda Rognoni Roberta Ciampichini Luca Paroni Marco Scala Luca Cavalieri d’Oro Alberto Zucchi Andrea Amerio Licia Iacoviello Simone Ghislandi Anna Odone David Stuckler Silvano Gallus Lost in Lombardia Project Investigators |
| author_facet | Cristina Bosetti Magda Rognoni Roberta Ciampichini Luca Paroni Marco Scala Luca Cavalieri d’Oro Alberto Zucchi Andrea Amerio Licia Iacoviello Simone Ghislandi Anna Odone David Stuckler Silvano Gallus Lost in Lombardia Project Investigators |
| author_sort | Cristina Bosetti |
| collection | DOAJ |
| description | Abstract Healthcare delivery reorganization during the COVID-19 emergency may have had a significant impact on access to care for older adults with chronic conditions. We investigated such impact among all adults with chronic conditions aged ≥ 65 years, identified through the electronic health databases of two local health agencies—ATS Brianza and ATS Bergamo—from the Lombardy region, Italy. We considered hospitalizations for 2020 compared to the average 2017–2019 and quantified differences using rate ratios (RRs). Overall, in 2017–2019 there were a mean of 374,855 older adults with ≥ 1 chronic condition per year in the two ATS and 405,371 in 2020. Hospitalizations significantly decreased from 84,624 (225.8/1000) in 2017–2019 to 78,345 (193.3/1000) in 2020 (RR 0.86). Declines were reported in individuals with many chronic conditions and for most Major Diagnostic Categories, except for diseases of the respiratory system. The strongest reductions were observed in hospitalizations for individuals with active tumours, particularly for surgical ones. Hospitalization rates increased in individuals with diabetes, likely due to COVID-19-related diseases. Although determinants of the decrease in demand and supply for care among chronic older adults are to be further explored, this raises awareness on their impacts on chronic patients’ health in the medium and long run. |
| first_indexed | 2024-04-13T13:07:04Z |
| format | Article |
| id | doaj.art-13c0b6af52774f58830b4366483eddb0 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-13T13:07:04Z |
| publishDate | 2022-08-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-13c0b6af52774f58830b4366483eddb02022-12-22T02:45:43ZengNature PortfolioScientific Reports2045-23222022-08-011211810.1038/s41598-022-17941-2A real world analysis of COVID-19 impact on hospitalizations in older adults with chronic conditions from an Italian regionCristina Bosetti0Magda Rognoni1Roberta Ciampichini2Luca Paroni3Marco Scala4Luca Cavalieri d’Oro5Alberto Zucchi6Andrea Amerio7Licia Iacoviello8Simone Ghislandi9Anna Odone10David Stuckler11Silvano Gallus12Lost in Lombardia Project InvestigatorsDepartment of Oncology, Laboratory of Methodology for Clinical Research, Istituto di Ricerche Farmacologiche Mario Negri IRCCSEpidemiology Unit, Agenzia per la Tutela della Salute della BrianzaAgenzia per la Tutela della Salute di BergamoEpidemiology Unit, Agenzia per la Tutela della Salute della BrianzaEpidemiology Unit, Agenzia per la Tutela della Salute della BrianzaEpidemiology Unit, Agenzia per la Tutela della Salute della BrianzaAgenzia per la Tutela della Salute di BergamoDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, Università di GenovaResearch Center in Epidemiology and Preventive Medicine (EPIMED), Department of Medicine and Surgery, University of InsubriaDepartment of Social Sciences and Politics, Bocconi UniversitySchool of Medicine, University Vita-Salute San RaffaeleDepartment of Social Sciences and Politics, Bocconi UniversityDepartment of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCSAbstract Healthcare delivery reorganization during the COVID-19 emergency may have had a significant impact on access to care for older adults with chronic conditions. We investigated such impact among all adults with chronic conditions aged ≥ 65 years, identified through the electronic health databases of two local health agencies—ATS Brianza and ATS Bergamo—from the Lombardy region, Italy. We considered hospitalizations for 2020 compared to the average 2017–2019 and quantified differences using rate ratios (RRs). Overall, in 2017–2019 there were a mean of 374,855 older adults with ≥ 1 chronic condition per year in the two ATS and 405,371 in 2020. Hospitalizations significantly decreased from 84,624 (225.8/1000) in 2017–2019 to 78,345 (193.3/1000) in 2020 (RR 0.86). Declines were reported in individuals with many chronic conditions and for most Major Diagnostic Categories, except for diseases of the respiratory system. The strongest reductions were observed in hospitalizations for individuals with active tumours, particularly for surgical ones. Hospitalization rates increased in individuals with diabetes, likely due to COVID-19-related diseases. Although determinants of the decrease in demand and supply for care among chronic older adults are to be further explored, this raises awareness on their impacts on chronic patients’ health in the medium and long run.https://doi.org/10.1038/s41598-022-17941-2 |
| spellingShingle | Cristina Bosetti Magda Rognoni Roberta Ciampichini Luca Paroni Marco Scala Luca Cavalieri d’Oro Alberto Zucchi Andrea Amerio Licia Iacoviello Simone Ghislandi Anna Odone David Stuckler Silvano Gallus Lost in Lombardia Project Investigators A real world analysis of COVID-19 impact on hospitalizations in older adults with chronic conditions from an Italian region Scientific Reports |
| title | A real world analysis of COVID-19 impact on hospitalizations in older adults with chronic conditions from an Italian region |
| title_full | A real world analysis of COVID-19 impact on hospitalizations in older adults with chronic conditions from an Italian region |
| title_fullStr | A real world analysis of COVID-19 impact on hospitalizations in older adults with chronic conditions from an Italian region |
| title_full_unstemmed | A real world analysis of COVID-19 impact on hospitalizations in older adults with chronic conditions from an Italian region |
| title_short | A real world analysis of COVID-19 impact on hospitalizations in older adults with chronic conditions from an Italian region |
| title_sort | real world analysis of covid 19 impact on hospitalizations in older adults with chronic conditions from an italian region |
| url | https://doi.org/10.1038/s41598-022-17941-2 |
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