Impact of the first wave of the COVID-19 pandemic on non-COVID inpatient care in southern Spain
Abstract We assessed the impact of the first wave of COVID-19 pandemic on non-COVID hospital admissions, non-COVID mortality, factors associated with non-COVID mortality, and changes in the profile of non-COVID patients admitted to hospital. We used the Spanish Minimum Basic Data Set with diagnosis...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-01-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-28831-6 |
| _version_ | 1811171770282016768 |
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| author | Antonia Gasch-Illescas Marta Calle-Serrano Antonio J. Vallejo-Vaz Juan M. Praena-Fernández Jose A. Guerrero Enrique J. Calderón Marina Pollán Francisco J. Medrano |
| author_facet | Antonia Gasch-Illescas Marta Calle-Serrano Antonio J. Vallejo-Vaz Juan M. Praena-Fernández Jose A. Guerrero Enrique J. Calderón Marina Pollán Francisco J. Medrano |
| author_sort | Antonia Gasch-Illescas |
| collection | DOAJ |
| description | Abstract We assessed the impact of the first wave of COVID-19 pandemic on non-COVID hospital admissions, non-COVID mortality, factors associated with non-COVID mortality, and changes in the profile of non-COVID patients admitted to hospital. We used the Spanish Minimum Basic Data Set with diagnosis grouped according to the Diagnostic Related Groups. A total of 10,594 patients (3% COVID-19; 97% non-COVID) hospitalised during the first wave in 2020 (27-February/07-June) were compared with those hospitalised within the same dates of 2017–2019 (average annual admissions: 14,037). We found a decrease in non-COVID medical (22%) and surgical (33%) hospitalisations and a 25.7% increase in hospital mortality among non-COVID patients during the first pandemic wave compared to pre-pandemic years. During the officially declared sub-period of excess mortality in the area (17-March/20-April, in-hospital non-COVID mortality was even higher (58.7% higher than the pre-pandemic years). Non-COVID patients hospitalised during the first pandemic wave (compared to pre-pandemic years) were older, more frequently men, with longer hospital stay and increased disease severity. Hospitalisation during the first pandemic wave in 2020, compared to hospitalisation during the pre-pandemic years, was an independent risk factor for non-COVID mortality (HR 1.30, 95% CI 1.07–1.57, p = 0.008), reflecting the negative impact of the pandemic on hospitalised patients. |
| first_indexed | 2024-04-10T17:20:43Z |
| format | Article |
| id | doaj.art-9306db2844854d558601d9e01bd63201 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-10T17:20:43Z |
| publishDate | 2023-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-9306db2844854d558601d9e01bd632012023-02-05T12:08:44ZengNature PortfolioScientific Reports2045-23222023-01-0113111010.1038/s41598-023-28831-6Impact of the first wave of the COVID-19 pandemic on non-COVID inpatient care in southern SpainAntonia Gasch-Illescas0Marta Calle-Serrano1Antonio J. Vallejo-Vaz2Juan M. Praena-Fernández3Jose A. Guerrero4Enrique J. Calderón5Marina Pollán6Francisco J. Medrano7Prevention in Health and Longevity Centre, Institut Pasteur de LilleInternal Medicine Service, Virgen del Rocío University HospitalClinical Epidemiology and Vascular Risk, Institute of Biomedicine of Seville (IBiS) (Virgen del Rocío University Hospital, University of Seville, Junta de Andalucía, and Spanish Scientific Research Council-CSIC)Department of Statistics and Operations Research, University of GranadaClinical Documentation Service, Virgen del Rocío University HospitalInstitute of Biomedicine of Seville (IBiS) (Virgen del Rocío University Hospital, University of Seville, Junta de Andalucía, and Spanish Scientific Research Council-CSIC)Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERSP)Institute of Biomedicine of Seville (IBiS) (Virgen del Rocío University Hospital, University of Seville, Junta de Andalucía, and Spanish Scientific Research Council-CSIC)Abstract We assessed the impact of the first wave of COVID-19 pandemic on non-COVID hospital admissions, non-COVID mortality, factors associated with non-COVID mortality, and changes in the profile of non-COVID patients admitted to hospital. We used the Spanish Minimum Basic Data Set with diagnosis grouped according to the Diagnostic Related Groups. A total of 10,594 patients (3% COVID-19; 97% non-COVID) hospitalised during the first wave in 2020 (27-February/07-June) were compared with those hospitalised within the same dates of 2017–2019 (average annual admissions: 14,037). We found a decrease in non-COVID medical (22%) and surgical (33%) hospitalisations and a 25.7% increase in hospital mortality among non-COVID patients during the first pandemic wave compared to pre-pandemic years. During the officially declared sub-period of excess mortality in the area (17-March/20-April, in-hospital non-COVID mortality was even higher (58.7% higher than the pre-pandemic years). Non-COVID patients hospitalised during the first pandemic wave (compared to pre-pandemic years) were older, more frequently men, with longer hospital stay and increased disease severity. Hospitalisation during the first pandemic wave in 2020, compared to hospitalisation during the pre-pandemic years, was an independent risk factor for non-COVID mortality (HR 1.30, 95% CI 1.07–1.57, p = 0.008), reflecting the negative impact of the pandemic on hospitalised patients.https://doi.org/10.1038/s41598-023-28831-6 |
| spellingShingle | Antonia Gasch-Illescas Marta Calle-Serrano Antonio J. Vallejo-Vaz Juan M. Praena-Fernández Jose A. Guerrero Enrique J. Calderón Marina Pollán Francisco J. Medrano Impact of the first wave of the COVID-19 pandemic on non-COVID inpatient care in southern Spain Scientific Reports |
| title | Impact of the first wave of the COVID-19 pandemic on non-COVID inpatient care in southern Spain |
| title_full | Impact of the first wave of the COVID-19 pandemic on non-COVID inpatient care in southern Spain |
| title_fullStr | Impact of the first wave of the COVID-19 pandemic on non-COVID inpatient care in southern Spain |
| title_full_unstemmed | Impact of the first wave of the COVID-19 pandemic on non-COVID inpatient care in southern Spain |
| title_short | Impact of the first wave of the COVID-19 pandemic on non-COVID inpatient care in southern Spain |
| title_sort | impact of the first wave of the covid 19 pandemic on non covid inpatient care in southern spain |
| url | https://doi.org/10.1038/s41598-023-28831-6 |
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