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The Impact of the Second Wave of the COVID-19 Pandemic on Non-COVID Hospital Care in a Tertiary Hospital in Spain.
Gasch-Illescas, Antonia; Andrade-Arroyo, María; Vallejo-Vaz, Antonio J; Praena-Fernández, Juan M; Guerrero, José A; Calderón, Enrique J; Pollán, Marina; Medrano, Francisco J.
Afiliación
  • Gasch-Illescas A; Service de Santé Étudiants, Campus Arras, University of Artois, 62000 Arras, France.
  • Andrade-Arroyo M; Escuela Internacional de Doctorado, University of Seville, 41004 Seville, Spain.
  • Vallejo-Vaz AJ; Infectious and Immune System Diseases, Epidemiology and Public Health, Instituto de Biomedicina de Sevilla, IBIS, Hospital Universitario Virgen del Rocío, CSIC, University of Seville, 41013 Seville, Spain.
  • Praena-Fernández JM; Servicio de Medicina Interna, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain.
  • Guerrero JA; Department of Medicine, Faculty of Medicine, University of Seville, 41013 Seville, Spain.
  • Calderón EJ; Clinical Epidemiology and Vascular Risk, Instituto de Biomedicina de Sevilla, IBIS, Hospital Universitario Virgen del Rocío, Consejo Superior de Investigaciones Científicas, CSIC, University of Seville, 41013 Seville, Spain.
  • Pollán M; Department of Statistics and Operations Research, University of Granada, 18071 Granada, Spain.
  • Medrano FJ; Servicio de Documentación Clínica, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
J Clin Med ; 12(17)2023 Aug 24.
Article en En | MEDLINE | ID: mdl-37685572
In 2020, Spain ranked fourth among European countries with the highest excess mortality due to COVID-19 disease. This study evaluates the impact of the COVID-19 pandemic on non-COVID patients in a tertiary hospital during the second pandemic wave in Spain (22 June 2020-6 December 2020). Data from Virgen del Rocío University Hospital in Seville during that timeframe were compared with the data from the same period in the preceding two years (2018-2019). Between-group comparisons were performed using the Chi-squared test, Student's t-test, or Mann-Whitney U tests, as appropriate. A total of 63,137 non-COVID patients were included in this study. During the second pandemic wave, a 19% decrease was observed in the annual number of non-COVID admissions overall (18,260 vs. 22,439, p < 0.001), but a 10% increase in the proportion of emergency admissions (60.6% vs. 54.93%, p < 0.001), a higher severity level of patients (1.79 vs. 1.72, p < 0.001), a longer in-hospital stay (7.02 vs. 6.74 days, p < 0.001), a 26% increase in non-COVID mortality (4.9% vs. 3.9%, p < 0.001), and a 50% increase in global mortality (5.9 vs. 3.9, p < 0.001) were also observed. In terms of both medical and surgical diagnoses, a significant reduction in the number of admissions and an increase in in-hospital mortality were observed. These results demonstrate the significant impact of the pandemic on hospital care, similar to what was previously observed during the initial wave in the same hospital. Our findings emphasize the need to include non-COVID patients when assessing the broad impact of the pandemic on healthcare, beyond its direct effects on COVID-19 patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Suiza