The trend of mortality rates following hospitals downgrading and closures due to outbreak of COVID‐19 in Fars province: A comparative cohort study
Abstract Background and Aims Hospitals are one of the most important healthcare centers for providing the patients with different medical needs. Several different factors might cause hospitals to downgrade their services or departments or close down overall. One of the most multifaceted reasons for...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-02-01
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| Series: | Health Science Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/hsr2.1850 |
| _version_ | 1797221152855162880 |
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| author | Mohammad Javad Fallahi Sarvin Seifbehzad Mehran Fereidooni Amirmohammad Farrokhi Keivan Ranjbar Reza Shahriarirad |
| author_facet | Mohammad Javad Fallahi Sarvin Seifbehzad Mehran Fereidooni Amirmohammad Farrokhi Keivan Ranjbar Reza Shahriarirad |
| author_sort | Mohammad Javad Fallahi |
| collection | DOAJ |
| description | Abstract Background and Aims Hospitals are one of the most important healthcare centers for providing the patients with different medical needs. Several different factors might cause hospitals to downgrade their services or departments or close down overall. One of the most multifaceted reasons for hospital downgrading or closure is infectious disease outbreaks. In this regard, we aimed to evaluate the effects of hospital closure and downgrading due to the COVID‐19 pandemic on the mortality rate of the people residing in Fars province, Iran. Methods We gathered mortality information, including the cause of death, age, sex, place, and time of death of all deceased cases occurring during a period of 3 years, from February 20, 2018 to March 2021 from the forensic medicine and also the Department of Biostatistics in Shiraz University of Medical Sciences. Results A total of 71,331 deaths have been reported since 2018 through the first quarter of 2021, with 57.9% of total mortality cases attributed to male gender. The total mortality counts ranged from 4229 to 9809 deaths per quarter, from which the minimum rate was reported in the first quarter of 2018 and the maximum in the fourth quarter of 2020. Based on the causes of death, diseases of the circulatory system were shown to be the all‐time most frequent cause of death, accounting for a total of 42.8% of recorded deaths, followed by neoplasms (9.77%) and diseases of the respiratory system (9.45%). Conclusion Although the large number of deaths at the time of the pandemic are immediately due to COVID‐19 infection, deaths due to a notable number of other causes have had a significant increase which, along with the specific trend of place and causes of death, shows that the downgrading and closure of hospitals have had a significant impact on overall population mortality. |
| first_indexed | 2024-03-07T19:01:27Z |
| format | Article |
| id | doaj.art-7cdd396d38bb4e608bbfeb8845ff2580 |
| institution | Directory Open Access Journal |
| issn | 2398-8835 |
| language | English |
| last_indexed | 2024-04-24T13:00:54Z |
| publishDate | 2024-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj.art-7cdd396d38bb4e608bbfeb8845ff25802024-04-05T11:41:32ZengWileyHealth Science Reports2398-88352024-02-0172n/an/a10.1002/hsr2.1850The trend of mortality rates following hospitals downgrading and closures due to outbreak of COVID‐19 in Fars province: A comparative cohort studyMohammad Javad Fallahi0Sarvin Seifbehzad1Mehran Fereidooni2Amirmohammad Farrokhi3Keivan Ranjbar4Reza Shahriarirad5Thoracic and Vascular Surgery Research Center Shiraz University of Medical Sciences Shiraz IranStudent Research Committee Shiraz University of Medical Sciences Shiraz IranLegal Medicine Research Center Legal Medicine Organization Tehran IranTrauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital Shiraz University of Medical Sciences Shiraz IranThoracic and Vascular Surgery Research Center Shiraz University of Medical Sciences Shiraz IranThoracic and Vascular Surgery Research Center Shiraz University of Medical Sciences Shiraz IranAbstract Background and Aims Hospitals are one of the most important healthcare centers for providing the patients with different medical needs. Several different factors might cause hospitals to downgrade their services or departments or close down overall. One of the most multifaceted reasons for hospital downgrading or closure is infectious disease outbreaks. In this regard, we aimed to evaluate the effects of hospital closure and downgrading due to the COVID‐19 pandemic on the mortality rate of the people residing in Fars province, Iran. Methods We gathered mortality information, including the cause of death, age, sex, place, and time of death of all deceased cases occurring during a period of 3 years, from February 20, 2018 to March 2021 from the forensic medicine and also the Department of Biostatistics in Shiraz University of Medical Sciences. Results A total of 71,331 deaths have been reported since 2018 through the first quarter of 2021, with 57.9% of total mortality cases attributed to male gender. The total mortality counts ranged from 4229 to 9809 deaths per quarter, from which the minimum rate was reported in the first quarter of 2018 and the maximum in the fourth quarter of 2020. Based on the causes of death, diseases of the circulatory system were shown to be the all‐time most frequent cause of death, accounting for a total of 42.8% of recorded deaths, followed by neoplasms (9.77%) and diseases of the respiratory system (9.45%). Conclusion Although the large number of deaths at the time of the pandemic are immediately due to COVID‐19 infection, deaths due to a notable number of other causes have had a significant increase which, along with the specific trend of place and causes of death, shows that the downgrading and closure of hospitals have had a significant impact on overall population mortality.https://doi.org/10.1002/hsr2.1850COVID‐19hospitalmortalitypandemicpolicy |
| spellingShingle | Mohammad Javad Fallahi Sarvin Seifbehzad Mehran Fereidooni Amirmohammad Farrokhi Keivan Ranjbar Reza Shahriarirad The trend of mortality rates following hospitals downgrading and closures due to outbreak of COVID‐19 in Fars province: A comparative cohort study Health Science Reports COVID‐19 hospital mortality pandemic policy |
| title | The trend of mortality rates following hospitals downgrading and closures due to outbreak of COVID‐19 in Fars province: A comparative cohort study |
| title_full | The trend of mortality rates following hospitals downgrading and closures due to outbreak of COVID‐19 in Fars province: A comparative cohort study |
| title_fullStr | The trend of mortality rates following hospitals downgrading and closures due to outbreak of COVID‐19 in Fars province: A comparative cohort study |
| title_full_unstemmed | The trend of mortality rates following hospitals downgrading and closures due to outbreak of COVID‐19 in Fars province: A comparative cohort study |
| title_short | The trend of mortality rates following hospitals downgrading and closures due to outbreak of COVID‐19 in Fars province: A comparative cohort study |
| title_sort | trend of mortality rates following hospitals downgrading and closures due to outbreak of covid 19 in fars province a comparative cohort study |
| topic | COVID‐19 hospital mortality pandemic policy |
| url | https://doi.org/10.1002/hsr2.1850 |
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