Kazakova Sophia V, Baggs James, Parra Gemma, Yusuf Hussain, Romano Sebastian D, Ko Jean Y, Harris Aaron M, Wolford Hannah, Rose Ashley, Reddy Sujan C, Jernigan John A
Epidemiology Research and Innovation Branch, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
CDC COVID-19 Response Team, Atlanta, Georgia, USA.
J Hosp Med. 2022 Dec;17(12):984-989. doi: 10.1002/jhm.12955. Epub 2022 Aug 29.
The disruptions of the coronavirus disease 2019 (COVID-19) pandemic impacted the delivery and utilization of healthcare services with potential long-term implications for population health and the hospital workforce. Using electronic health record data from over 700 US acute care hospitals, we documented changes in admissions to hospital service areas (inpatient, observation, emergency room [ER], and same-day surgery) during 2019-2020 and examined whether surges of COVID-19 hospitalizations corresponded with increased inpatient disease severity and death rate. We found that in 2020, hospitalizations declined by 50% in April, with greatest declines occurring in same-day surgery (-73%). The youngest patients (0-17) experienced largest declines in ER, observation, and same-day surgery admissions; inpatient admissions declined the most among the oldest patients (65+). Infectious disease admissions increased by 52%. The monthly measures of inpatient case mix index, length of stay, and non-COVID death rate were higher in all months in 2020 compared with respective months in 2019.
2019年冠状病毒病（COVID-19）大流行造成的破坏影响了医疗服务的提供和利用，对人群健康和医院工作人员可能产生长期影响。利用来自700多家美国急症护理医院的电子健康记录数据，我们记录了2019年至2020年期间医院服务区（住院、观察、急诊室[ER]和当日手术）入院情况的变化，并研究了COVID-19住院人数的激增是否与住院疾病严重程度和死亡率的增加相对应。我们发现，2020年4月住院人数下降了50%，当日手术下降幅度最大（-73%）。最年轻的患者（0至17岁）在急诊、观察和当日手术入院人数下降幅度最大；65岁及以上的老年患者住院人数下降最多。传染病入院人数增加了52%。与2019年各月相比，2020年所有月份的住院病例组合指数、住院时间和非COVID死亡率的月度指标均更高。
