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Temporal trends in hospitalizations and 30-day mortality in older patients during the COVID pandemic from March 2020 to July 2021

BACKGROUND: A reduction in mortality risk of COVID-19 throughout the first wave of the pandemic has been reported, but less is known about later waves. This study aimed to describe changes in hospitalizations and mortality of patients receiving inpatient geriatric care for COVID-19 or other causes d...

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Autores principales: Garcia-Ptacek, Sara, Xu, Hong, Annetorp, Martin, Jerlardtz, Viktoria Bäck, Cederholm, Tommy, Engström, Malin, Kivipelto, Miia, Lundberg, Lars Göran, Metzner, Carina, Olsson, Maria, Nyvang, Josefina Skogö, Sühl Öberg, Carina, Åkesson, Elisabet, Religa, Dorota, Eriksdotter, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501674/
https://www.ncbi.nlm.nih.gov/pubmed/37708110
http://dx.doi.org/10.1371/journal.pone.0291237
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author Garcia-Ptacek, Sara
Xu, Hong
Annetorp, Martin
Jerlardtz, Viktoria Bäck
Cederholm, Tommy
Engström, Malin
Kivipelto, Miia
Lundberg, Lars Göran
Metzner, Carina
Olsson, Maria
Nyvang, Josefina Skogö
Sühl Öberg, Carina
Åkesson, Elisabet
Religa, Dorota
Eriksdotter, Maria
author_facet Garcia-Ptacek, Sara
Xu, Hong
Annetorp, Martin
Jerlardtz, Viktoria Bäck
Cederholm, Tommy
Engström, Malin
Kivipelto, Miia
Lundberg, Lars Göran
Metzner, Carina
Olsson, Maria
Nyvang, Josefina Skogö
Sühl Öberg, Carina
Åkesson, Elisabet
Religa, Dorota
Eriksdotter, Maria
author_sort Garcia-Ptacek, Sara
collection PubMed
description BACKGROUND: A reduction in mortality risk of COVID-19 throughout the first wave of the pandemic has been reported, but less is known about later waves. This study aimed to describe changes in hospitalizations and mortality of patients receiving inpatient geriatric care for COVID-19 or other causes during the pandemic. METHODS: Patients 70 years and older hospitalized in geriatric hospitals in Stockholm for COVID-19 or other causes between March 2020-July 2021 were included. Data on the incidence of COVID-positive cases and 30-day mortality of the total ≥ 70-year-old population, in relation to weekly hospitalizations and mortality after hospital admissions were analyzed. Findings The total number of hospitalizations was 5,320 for COVID-19 and 32,243 for non-COVID-cases. In COVID-patients, the 30-day mortality rate was highest at the beginning of the first wave (29% in March-April 2020), reached 17% at the second wave peak (November-December) followed by 11–13% in the third wave (March-July 2021). The mortality in non-COVID geriatric patients showed a similar trend, but of lower magnitude (5–10%). During the incidence peaks, COVID-19 hospitalizations displaced non-COVID geriatric patients. INTERPRETATION: Hospital admissions and 30-day mortality after hospitalizations for COVID-19 increased in periods of high community transmission, albeit with decreasing mortality rates from wave 1 to 3, with a probable vaccination effect in wave 3. Thus, the healthcare system could not compensate for the high community spread of COVID-19 during the pandemic peaks, which also led to displacing care for non-COVID geriatric patients.
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spelling pubmed-105016742023-09-15 Temporal trends in hospitalizations and 30-day mortality in older patients during the COVID pandemic from March 2020 to July 2021 Garcia-Ptacek, Sara Xu, Hong Annetorp, Martin Jerlardtz, Viktoria Bäck Cederholm, Tommy Engström, Malin Kivipelto, Miia Lundberg, Lars Göran Metzner, Carina Olsson, Maria Nyvang, Josefina Skogö Sühl Öberg, Carina Åkesson, Elisabet Religa, Dorota Eriksdotter, Maria PLoS One Research Article BACKGROUND: A reduction in mortality risk of COVID-19 throughout the first wave of the pandemic has been reported, but less is known about later waves. This study aimed to describe changes in hospitalizations and mortality of patients receiving inpatient geriatric care for COVID-19 or other causes during the pandemic. METHODS: Patients 70 years and older hospitalized in geriatric hospitals in Stockholm for COVID-19 or other causes between March 2020-July 2021 were included. Data on the incidence of COVID-positive cases and 30-day mortality of the total ≥ 70-year-old population, in relation to weekly hospitalizations and mortality after hospital admissions were analyzed. Findings The total number of hospitalizations was 5,320 for COVID-19 and 32,243 for non-COVID-cases. In COVID-patients, the 30-day mortality rate was highest at the beginning of the first wave (29% in March-April 2020), reached 17% at the second wave peak (November-December) followed by 11–13% in the third wave (March-July 2021). The mortality in non-COVID geriatric patients showed a similar trend, but of lower magnitude (5–10%). During the incidence peaks, COVID-19 hospitalizations displaced non-COVID geriatric patients. INTERPRETATION: Hospital admissions and 30-day mortality after hospitalizations for COVID-19 increased in periods of high community transmission, albeit with decreasing mortality rates from wave 1 to 3, with a probable vaccination effect in wave 3. Thus, the healthcare system could not compensate for the high community spread of COVID-19 during the pandemic peaks, which also led to displacing care for non-COVID geriatric patients. Public Library of Science 2023-09-14 /pmc/articles/PMC10501674/ /pubmed/37708110 http://dx.doi.org/10.1371/journal.pone.0291237 Text en © 2023 Garcia-Ptacek et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Garcia-Ptacek, Sara
Xu, Hong
Annetorp, Martin
Jerlardtz, Viktoria Bäck
Cederholm, Tommy
Engström, Malin
Kivipelto, Miia
Lundberg, Lars Göran
Metzner, Carina
Olsson, Maria
Nyvang, Josefina Skogö
Sühl Öberg, Carina
Åkesson, Elisabet
Religa, Dorota
Eriksdotter, Maria
Temporal trends in hospitalizations and 30-day mortality in older patients during the COVID pandemic from March 2020 to July 2021
title Temporal trends in hospitalizations and 30-day mortality in older patients during the COVID pandemic from March 2020 to July 2021
title_full Temporal trends in hospitalizations and 30-day mortality in older patients during the COVID pandemic from March 2020 to July 2021
title_fullStr Temporal trends in hospitalizations and 30-day mortality in older patients during the COVID pandemic from March 2020 to July 2021
title_full_unstemmed Temporal trends in hospitalizations and 30-day mortality in older patients during the COVID pandemic from March 2020 to July 2021
title_short Temporal trends in hospitalizations and 30-day mortality in older patients during the COVID pandemic from March 2020 to July 2021
title_sort temporal trends in hospitalizations and 30-day mortality in older patients during the covid pandemic from march 2020 to july 2021
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501674/
https://www.ncbi.nlm.nih.gov/pubmed/37708110
http://dx.doi.org/10.1371/journal.pone.0291237
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