Lockdown Britain: Evidence for reduced incidence and severity of some non-COVID acute medical illnesses
Autor: | Miles C. Allison, Paul E Mizen, Arif Mahmood, Giles Greene, Myer Glickman, Nicholas A Doyle, Aine K Jones |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Referral Epidemiology Population 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Humans Medicine Dementia 030212 general & internal medicine education Pandemics Stroke Original Research education.field_of_study Wales business.industry Incidence Incidence (epidemiology) COVID-19 General Medicine Emergency department medicine.disease United Kingdom Hospitalization Quarantine Emergency medicine Cohort business |
Zdroj: | Clin Med (Lond) |
ISSN: | 1473-4893 1470-2118 |
Popis: | Large reductions in emergency department attendances and hospitalisations with non-COVID acute medical illness early during the pandemic were attributed to reluctance to seek medical help and higher referral thresholds. Here, we compare acute medical admissions with a comparison cohort from 2017. Deaths in the same geographic area were examined, and Wales-wide deaths during these 4 weeks in 2020 were compared with a seasonally matched period in 2019. There were 528 patients admitted with non-COVID illness in 2020, versus 924 in 2017 (a reduction of 43%). Deaths from non-COVID causes increased by 10.9% compared with 2017, over half this rise being from neurological causes including stroke and dementia. While far fewer patients required hospitalisation as medical emergencies, rises in local non-COVID deaths proved small. Wales-wide non-COVID deaths rose by just 1% compared with 2019. The findings suggest that changes in population behaviour and lifestyle during lockdown brought about unforeseen health benefits. |
Databáze: | OpenAIRE |
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