Trends in non-COVID-19 hospitalizations prior to and during the COVID-19 pandemic period, United States, 2017 â€" 2021.

Autor: Cassell K; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven CT, USA., Zipfel CM; Department of Biology, Georgetown University, Washington DC, USA., Bansal S; Department of Biology, Georgetown University, Washington DC, USA., Weinberger DM; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven CT, USA.
Jazyk: angličtina
Zdroj: MedRxiv : the preprint server for health sciences [medRxiv] 2022 Apr 28. Date of Electronic Publication: 2022 Apr 28.
DOI: 10.1101/2022.04.26.22274301
Abstrakt: COVID-19 pandemic-related shifts in healthcare utilization, in combination with trends in non-COVID-19 disease transmission and NPI use, had clear impacts on infectious and chronic disease hospitalization rates. Using a national healthcare billing database (C19RDB), we estimated the monthly incidence rate ratio of hospitalizations between March 2020 and June 2021 according to 19 ICD-10 diagnostic chapters and 189 subchapters. The majority of hospitalization causes showed an immediate decline in incidence during March 2020. Hospitalizations for diagnoses such as reproductive neoplasms, hypertension, and diabetes returned to pre-pandemic norms in incidence during late 2020 and early 2021, while others, like those for infectious respiratory disease, never returned to pre-pandemic norms. These results are crucial for contextualizing future research, particularly time series analyses, utilizing surveillance and hospitalization data for non-COVID-19 disease. Our assessment of subchapter level primary hospitalization codes offers new insight into trends among less frequent causes of hospitalization during the COVID-19 pandemic.
Databáze: MEDLINE