The Impact of the Second Wave of the COVID-19 Pandemic on Non-COVID Hospital Care in a Tertiary Hospital in Spain
Abstract
:1. Introduction
2. Materials and Methods
2.1. Setting and Context
2.2. Study Periods
2.3. Data Collection and Variables
2.4. Data Analysis
3. Results
3.1. Number of Hospitalizations
3.2. Characteristics of Hospitalized Patients
3.3. Mortality
3.4. Changes in Non-COVID Patient Characteristics According to APR-DRGs
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Period 1 (Dates Corresponding to the Second Wave of the Pandemic in Seville in 2020, vs. Same Time Period in 2018–2019) | Period 2 (Dates Corresponding to the Period of Excess Mortality in Andalusia during the Second Wave of the Pandemic in 2020, vs. Same Time Period in 2018–2019) | |||||
---|---|---|---|---|---|---|
2020 | 2018–2019 | p Value | 2020 | 2018–2019 | p Value | |
Total admissions, n | 18,260 | 44,877 | 11,760 | 30,292 | ||
Average annual admissions, n | 18,260 | 22,439 | <0.001 | 11,760 | 15,146 | <0.001 |
Sex (male), n (%) | 8344 (45.7) | 21,023 (46.8) | 0.008 | 5333 (45.3) | 14,215 (46.9) | 0.003 |
Age, mean ± SD | 50.10 ± 24.76 | 48.77 ± 25.16 | <0.001 | 49.99 ± 24.67 | 48.99 ± 25.16 | <0.001 |
Emergency admissions, n (%) | 11,067 (60.60) | 24,647 (54.92) | <0.001 | 7198 (61.2) | 16,473 (54.4) | <0.001 |
Days of hospitalization, mean ± SD | 7.02 ± 11.67 | 6.74 ± 12.14 | 0.008 | 7.15 ± 12.42 | 6.68 ± 11.56 | <0.001 |
Days of hospitalization in ICU, mean ± SD | 0.74 ± 6.38 | 0.70 ± 5.38 | 0.495 | 0.73 ± 6.59 | 0.71 ± 5.48 | 0.793 |
Medical APR DRG, n (%) | 10,947 (60.00) | 26,345 (58.7) | 0.004 | 7130 (60.6) | 17,553 (57.9) | <0.001 |
Severity APR-DRG level, mean ± SD | 1.79 ± 0.84 | 1.72 ± 0.79 | <0.001 | 1.80 ± 0.84 | 1.71 ± 0.79 | <0.001 |
Mortality APR-DRG level, mean ± SD | 1.51 ± 0.77 | 1.44 ± 0.73 | <0.001 | 1.52 ± 0.78 | 1.44 ± 0.73 | <0.001 |
APR-DRG weight, mean ± SD | 0.92 ± 1.13 | 1.17 ± 1.36 | <0.001 | 0.92 ± 1.12 | 1.17 ± 1.34 | <0.001 |
APR-DRG-adjusted LOS index, mean ± SD | 0.94 ±1.18 | 0.94 ± 1.31 | 0.978 | 0.95 ± 1.35 | 0.94 ± 1.47 | 0.440 |
Deaths at hospital, n (%) | 899 (4.9) | 1753 (3.9) | <0.001 | 608 (5.2) | 1190 (3.9) | <0.001 |
2020 | 2019 | 2018 | p Value | |
---|---|---|---|---|
Admissions in VRUH | 19,830 | 22,499 | 22,378 | <0.001 |
Non-COVID | 18,260 | 22,499 | 22,378 | |
COVID | 1570 | n/a | n/a | |
In-hospital deaths | 1165 | 876 | 887 | |
Non-COVID | 899 | 876 | 887 | |
COVID | 266 | n/a | n/a | |
In-hospital mortality per 100 admissions | 5.9 | 3.9 | 3.9 | <0.001 |
Non-COVID | 4.9 | 3.9 | 3.9 | <0.001 |
COVID | 16.9 | n/a | n/a |
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Gasch-Illescas, A.; Andrade-Arroyo, M.; Vallejo-Vaz, A.J.; Praena-Fernández, J.M.; Guerrero, J.A.; Calderón, E.J.; Pollán, M.; Medrano, F.J. The Impact of the Second Wave of the COVID-19 Pandemic on Non-COVID Hospital Care in a Tertiary Hospital in Spain. J. Clin. Med. 2023, 12, 5507. https://doi.org/10.3390/jcm12175507
Gasch-Illescas A, Andrade-Arroyo M, Vallejo-Vaz AJ, Praena-Fernández JM, Guerrero JA, Calderón EJ, Pollán M, Medrano FJ. The Impact of the Second Wave of the COVID-19 Pandemic on Non-COVID Hospital Care in a Tertiary Hospital in Spain. Journal of Clinical Medicine. 2023; 12(17):5507. https://doi.org/10.3390/jcm12175507
Chicago/Turabian StyleGasch-Illescas, Antonia, María Andrade-Arroyo, Antonio J. Vallejo-Vaz, Juan M. Praena-Fernández, José A. Guerrero, Enrique J. Calderón, Marina Pollán, and Francisco J. Medrano. 2023. "The Impact of the Second Wave of the COVID-19 Pandemic on Non-COVID Hospital Care in a Tertiary Hospital in Spain" Journal of Clinical Medicine 12, no. 17: 5507. https://doi.org/10.3390/jcm12175507