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Title: Identifying patterns in unplanned hospital admissions during the COVID-19 pandemic: a single-centre retrospective study.
Austin Authors: Goel, Vishal ;Chan, R Kimberley;Smibert, Olivia C ;Holmes, Natasha E ;Marhoon, Nada ;Bach, Cindy-Anne T;Trubiano, Jason ;Jones, Nicholas R
Affiliation: Data Analytics Research and Evaluation (DARE) Centre
General Medicine
Infectious Diseases
School of Medicine, University of Melbourne, Melbourne, Victoria, Australia
National Centre for Infections in Cancer, Peter MacCallum Cancer Centre Melbourne, Melbourne, Victoria, Australia
Issue Date: Jun-2021
Publication information: Internal Medicine Journal 2021; 51(6): 868-872
Abstract: Countries with a high prevalence of COVID-19 have identified a reduction in crude hospital admission rates for non-COVID-19 conditions during the pandemic. There remains a paucity of such data from lower prevalence countries, including Australia. To describe the patterns of unplanned hospital daily admission rates during the COVID-19 pandemic in a major Australian metropolitan hospital, with a focus on acute medical presentations including acute coronary syndrome (ACS), stroke and falls. This single-centre retrospective analysis analysed hospital admission episodes between 1 March and 30 April 2020 (COVID-19-era) and compared this to a historical cohort during the same period between 2017 and 2019 (pre-COVID-19). Information collected included total admission rates and patient characteristics for ACS, stroke and falls patients. A total of 12 278 unplanned admissions was identified across the study period. The daily admission rate was lower in the COVID-19-era compared with pre-COVID-19 (46.59 vs 51.56 days, P < 0.001). There was also a reduced average daily admission rate for falls (7.79 vs 9.95 days, P < 0.001); however, similar admission rates for ACS (1.52 vs 1.49 days, P = 0.83) and stroke (1.56 vs 1.76 days, P = 0.33). Public health interventions have been effective in reducing domestic cases of COVID-19 in Australia. At our tertiary metropolitan hospital, we have observed a significant reduction in unplanned hospital admission rates during the COVID-19-era, particularly for falls. Public health messaging needs to focus on educating the public how to seek medical care safely and promptly in the context of the ongoing COVID-19 crisis.
DOI: 10.1111/imj.15075
ORCID: 0000-0002-6786-4941
Journal: Internal Medicine Journal
PubMed URL: 34155754
Type: Journal Article
Subjects: Australia
accidental falls
acute coronary syndrome
Appears in Collections:Journal articles

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