A real world analysis of COVID-19 impact on hospitalizations in older adults with chronic conditions from an Italian region.

Aged COVID-19 / epidemiology Chronic Disease Databases, Factual Delivery of Health Care Hospitalization Humans

Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
12 08 2022
Historique:
received: 18 02 2022
accepted: 03 08 2022
entrez: 12 8 2022
pubmed: 13 8 2022
medline: 17 8 2022
Statut: epublish

Résumé

Healthcare delivery reorganization during the COVID-19 emergency may have had a significant impact on access to care for older adults with chronic conditions. We investigated such impact among all adults with chronic conditions aged ≥ 65 years, identified through the electronic health databases of two local health agencies-ATS Brianza and ATS Bergamo-from the Lombardy region, Italy. We considered hospitalizations for 2020 compared to the average 2017-2019 and quantified differences using rate ratios (RRs). Overall, in 2017-2019 there were a mean of 374,855 older adults with  ≥ 1 chronic condition per year in the two ATS and 405,371 in 2020. Hospitalizations significantly decreased from 84,624 (225.8/1000) in 2017-2019 to 78,345 (193.3/1000) in 2020 (RR 0.86). Declines were reported in individuals with many chronic conditions and for most Major Diagnostic Categories, except for diseases of the respiratory system. The strongest reductions were observed in hospitalizations for individuals with active tumours, particularly for surgical ones. Hospitalization rates increased in individuals with diabetes, likely due to COVID-19-related diseases. Although determinants of the decrease in demand and supply for care among chronic older adults are to be further explored, this raises awareness on their impacts on chronic patients' health in the medium and long run.

Identifiants

DOI: 10.1038/s41598-022-17941-2 PMID: 35962037 PMC: PMC9374749
pubmed: 35962037
doi: 10.1038/s41598-022-17941-2
pii: 10.1038/s41598-022-17941-2
pmc: PMC9374749
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

13704

Investigateurs

Cristina Bosetti (C)
Silvano Gallus (S)
Carlotta Micaela Jarach (CM)
Alessandra Lugo (A)
Chiara Stival (C)
Andrea Amerio (A)
Mario Amore (M)
Gianluca Serafini (G)
Roberto De Sena (R)
Simone Ghislandi (S)
David Stuckler (D)
Yuxi Wang (Y)
Marialaura Bonaccio (M)
Francesco Gianfagna (F)
Licia Iacoviello (L)
Giansanto Mosconi (G)
Anna Odone (A)
Carlo Signorelli (C)
Giacomo Vigezzi (G)
Luca Cavalieri d'Oro (LC)
Luca Paroni (L)
Marco Sala (M)
Magda Rognoni (M)
Roberta Ciampichini (R)
Alberto Zucchi (A)

Informations de copyright

© 2022. The Author(s).

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Auteurs

Cristina Bosetti (C)

Department of Oncology, Laboratory of Methodology for Clinical Research, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milan, Italy. cristina.bosetti@marionegri.it.

Magda Rognoni (M)

Epidemiology Unit, Agenzia per la Tutela della Salute della Brianza, Monza, Italy.

Roberta Ciampichini (R)

Agenzia per la Tutela della Salute di Bergamo, Bergamo, Italy.

Luca Paroni (L)

Epidemiology Unit, Agenzia per la Tutela della Salute della Brianza, Monza, Italy.

Marco Scala (M)

Epidemiology Unit, Agenzia per la Tutela della Salute della Brianza, Monza, Italy.

Luca Cavalieri d'Oro (LC)

Epidemiology Unit, Agenzia per la Tutela della Salute della Brianza, Monza, Italy.

Alberto Zucchi (A)

Agenzia per la Tutela della Salute di Bergamo, Bergamo, Italy.

Andrea Amerio (A)

Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, Università di Genova, Genoa, Italy.
IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

Licia Iacoviello (L)

Research Center in Epidemiology and Preventive Medicine (EPIMED), Department of Medicine and Surgery, University of Insubria, Varese, Italy.
Department of Epidemiology and Prevention, IRCCS Neuromed, Pozzilli, Italy.

Simone Ghislandi (S)

Department of Social Sciences and Politics, Bocconi University, Milan, Italy.

Anna Odone (A)

School of Medicine, University Vita-Salute San Raffaele, Milan, Italy.
Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.

David Stuckler (D)

Department of Social Sciences and Politics, Bocconi University, Milan, Italy.

Silvano Gallus (S)

Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › A real world analysis of COVID-19 impact on...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › A real world analysis of COVID-19 impact on...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie chronique › A real world analysis of COVID-19 impact on...
questionsmedicales.fr › Sciences de l'information › Mémorisation et recherche des informations › Bases de données comme sujet › Bases de données factuelles › A real world analysis of COVID-19 impact on...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › A real world analysis of COVID-19 impact on...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Hospitalisation › A real world analysis of COVID-19 impact on...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › A real world analysis of COVID-19 impact on...