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Emergency hospital admissions, prognosis, and population mortality in Norway during the first wave of the Covid-19 epidemic
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- Jodal, Henriette C. (author)
- Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Norway
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- Juul, Frederik E. (author)
- Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Norway
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- Barua, Ishita (author)
- Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Norway
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- Bretthauer, Michael (author)
- Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Norway
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- Kalager, Mette (author)
- Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Norway
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- Løberg, Magnus (author)
- Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Norway
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- Emilsson, Louise, 1982- (author)
- Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of General Practice, University of Oslo, Norway; Vårdcentralen Värmlands Nysäter & Center for Clinical Research, Region Värmland, Sweden; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden
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(creator_code:org_t)
- 2022-05-12
- 2022
- English.
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In: Scandinavian Journal of Public Health. - : Sage Publications. - 1403-4948 .- 1651-1905. ; 50:6, s. 795-802
- Related links:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- BACKGROUND: During the first wave of the Covid-19 epidemic, a national lockdown was established in Norway, and inhabitants were asked to contact healthcare only if absolutely necessary. We investigated hospital admissions and mortality due to non-Covid-19 disease during the lockdown compared to previous years.METHODS: We compared the number of emergency admissions and in-hospital fatality for diagnoses probably unaffected (acute myocardial infarction, acute abdominal conditions, cerebrovascular diseases) and affected by the lockdown (infections, injuries) in the South-Eastern Health Region of Norway during weeks 12-22, 2020, compared to the mean of the same period in the years 2017-2019. We also compared population mortality March-May 2020, to the mean of the same period in years 2017-2019.RESULTS: A total of 280,043 emergency admissions were observed; 20,911 admissions probably unaffected, and 30,905 admissions probably affected by the lockdown. Admissions due to diagnoses probably unaffected was reduced by 12% (95% confidence interval (CI) 9-15%), compared to 2017-2019. Admissions for diagnoses probably affected was reduced by 30% (95% CI 28-32%). There was a 34% reduction in in-hospital fatality due to acute myocardial infarction (95% CI 4-56%), 19% due to infections (95% CI 1-33%), and no change for the other diagnoses, compared to 2017-2019. The risk of in-hospital mortality to total mortality was lower for acute myocardial infarction (relative risk 0.85, 95% CI 0.73-0.99) and injuries (relative risk 0.83, 95% CI 0.70-0.98).CONCLUSIONS: Even though fewer patients were admitted to hospital, there was no increase in in-hospital fatality or population mortality, indicating that those who were most in need still received adequate care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Covid-19
- emergency medicine
- health policies
- internal medicine
- public health
- surgery
Publication and Content Type
- ref (subject category)
- art (subject category)
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