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Lockdown Britain: Evidence for reduced incidence and severity of some non-COVID acute medical illnesses.
Allison, Miles C; Doyle, Nicholas A; Greene, Giles; Mahmood, Arif; Glickman, Myer; Jones, Aine K; Mizen, Paul E.
  • Allison MC; Royal Gwent Hospital, Newport, UK miles.allison@wales.nhs.uk.
  • Doyle NA; Royal Gwent Hospital, Newport, UK.
  • Greene G; Knowledge Directorate, Cardiff, UK.
  • Mahmood A; Aneurin Bevan University Health Board Headquarters, Newport, UK.
  • Glickman M; methods and international, Office for National Statistics, Newport, UK.
  • Jones AK; Princess of Wales Hospital, Bridgend, UK.
  • Mizen PE; Royal Gwent Hospital, Newport, UK.
Clin Med (Lond) ; 21(2): e171-e178, 2021 Mar.
Article in English | MEDLINE | ID: covidwho-1150975
ABSTRACT
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Clin Med (Lond) Year: 2021 Document Type: Article Affiliation country: Clinmed.2020-0586

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Clin Med (Lond) Year: 2021 Document Type: Article Affiliation country: Clinmed.2020-0586