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In-hospital admissions and deaths in the context of the COVID-19 pandemic, in Romania.
Vladescu, Cristian; Ciutan, Marius; Rafila, Alexandru.
  • Vladescu C; Prof. Dr., MD, PhD, National School of Public Health Management and Professional Development, No. 31 Vaselor Street, Bucharest, Romania and University Titu Maiorescu Bucharest, Romania.
  • Ciutan M; Dr. Marius Ciutan, National School of Public Health Management and Professional Development Bucharest, No. 31 Vaselor Street, Bucharest, Romania.
  • Rafila A; Prof. Dr., MD, PhD, Alexandru Rafila, National Institute for Infectious Diseases "Prof. Dr. Matei Balș", No. 1 Dr. Calistrat Grozovici street, Bucharest, Romania and Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Germs ; 12(2): 169-179, 2022 Jun.
Article in English | MEDLINE | ID: covidwho-2033510
ABSTRACT

Introduction:

The COVID-19 pandemic context led to a relevant burden on essential sectors of society; hospital sector capacity is tested in this period.

Methods:

A cross-sectional study of admissions in hospitals reporting DRG data for 2018-2020. Trend analysis of admissions and deaths in hospitals was carried out for identifying annual patterns and deviations from the 2010-2020 trend. Data aggregated by year, month, diagnosis, death in hospital. Graph analysis for time and diagnosis comparisons and correlation identifying associations.

Results:

There is an annual change in admission and death patterns recorded in Romanian hospitals. An important contraction in number of acute hospital admissions was recording during the COVID-19 pandemic; patients' hesitancy to seek healthcare and limited capacity to treat patients other than COVID-19 patients due to legal regulations limiting the admissions number could explain this pattern of admission only for serious condition or emergency surgery. In Romania excess deaths in second half 2020 was generally greater than COVID-19 deaths. Overall, excess mortality between March and December 2020 was more than double than reported COVID-19 deaths. The same mortality pattern persists, but with significant decreases for some diagnoses.

Conclusions:

The Romanian healthcare system has been challenged due to COVID-19 pandemic, leading to temporary reorganization of hospitals with consequences on all acute care diagnostics and therapeutic pathways. It is a challenge to identify causes of reduced inpatient treatment rates and to provide evidence on hospital activity for understanding future optimal management of patients with COVID-19, but also with other acute and chronic conditions.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Randomized controlled trials Language: English Journal: Germs Year: 2022 Document Type: Article Affiliation country: Germs.2022.1320

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Randomized controlled trials Language: English Journal: Germs Year: 2022 Document Type: Article Affiliation country: Germs.2022.1320