Effect of covid-19 pandemic on in-hospital mortality

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Ramazan Ünal
Ramazan Güven
Dilek Atik
Ahmet Erdur
Ertuğrul Ak
Başar Cander

Abstract

Objective: This study aimed to examine the effect of the pandemic on hospital mortality and patient admission in four months since March 2020 when the Ministry of Health announced the first confirmed COVID-19 case in Turkey and the first wave occurred.


Material-Method: This research is a single-centre, retrospective, cross-sectional descriptive study. It covers the periods between March 01 and Jun 30 of 2018, 2019, and 2020.


Results: Between 2018-2020, 897522, 972799, and 395438 patients were admitted to our Hospital, respectively. It was observed that the number of admissions decreased by 55-60% in 2020 compared to the previous years (p=0.001). Moreover, 205318 (22.9%) of the admissions in 2018, 229278 (23.6%) of the admissions in 2019, and 1127293 (32%) of the admissions in 2020 were emergency room (ER) admissions. Especially in 2020, there was a significant increase in the overall in-hospital (p=0.001) and ER (p=0.001 mortality rates compared to previous years. In-hospital mortality was found to be higher, especially in patients with suspected COVID-19 (p=0.001). It was found that the number of deaths due to respiratory causes was significantly increased in 2020 compared to the previous years (p=0.001).


Conclusion: The COVID-19 pandemic has led to significant changes in mortality rates and causes of mortality compared to previous years. Although the pandemic has affected all healthcare systems, ER and intensive care units (ICU) are seriously affected.

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How to Cite
Ünal, R., Güven, R., Atik, D., Erdur, A., Ak, E., & Cander, B. (2021). Effect of covid-19 pandemic on in-hospital mortality. Medical Science and Discovery, 8(6), 389-393. https://doi.org/10.36472/msd.v8i6.561
Section
Research Article

References

1. WHO announces COVID-19 outbreak a pandemic [Internet]. World Health Organization; 2020 [cited 2020 Apr 11]. Available from: http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pandemic

2. Coronavirus disease (COVID-19) – World Health Organization [Internet]. Coronavirus disease (COVID-19) pandemic. 2021 [cited 2021 Jan 15]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

3. [Turkey Covid-19 Patient Table](in Turkish) [Internet]. 2021 [cited 2021 Jun 13]. Available from: https://covid19.saglik.gov.tr/

4. Murphy G, Hanken MA, Waters K. Electronic health records : changing the vision. undefined [Internet]. 1999 [cited 2021 Jun 13]; Available from: https://www.semanticscholar.org/paper/Electronic-health-records-%3A-changing-the-vision-Murphy-Hanken/36a33ed6e4328d35164f6a4b2fe79ff52cc006c8

5. George D, Mallery P. IBM SPSS statistics 25 step by step: a simple guide and reference. Fifteenth edition. New York ; London: Routledge, Taylor & Francis Group; 2019. 404 p.

6. The Republic of Turkey Ministry of Health. [Covid-19 Guide](in Turkish) [İnternet]. 2020 [cited 2020 Jul 16]. Available from: https://covid19.saglik.gov.tr/TR-66301/covid-19-rehberi.html

7. Krahwinkel W, Schuler E, Liebetrau M, Meier-Hellmann A, Zacher J, Kuhlen R, et al. The effect of peer review on mortality rates. Int J Qual Health Care. 2016 Oct;28(5):594–600.

8. Durmuş E, Güneysu F. Effect of COVID-19 on the admissions to the adult emergency department. J Contemp Clin Pract. 2020 Nov;6(2):58–63.

9. Durmuş E, Guneysu F. The Effect of Curfew Enforcement on Health Care Provision in COVID-19 Pandemic. j info kesehat. 2020 Dec 31;18(2):182–8.

10. Wever P, Borst D, Slieker K, Buenen N. COVID-19 in the Emergency Department of Bernhoven Hospital. Nederlands tijdschrift voor geneeskunde. 2020 Apr 2;164.

11. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020 Apr 7;323(13):1239–42.

12. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet. 2020 Feb;395(10223):497–506.

13. Grasselli G, Zangrillo A, Zanella A, Antonelli M, Cabrini L, Castelli A, et al. Baseline Characteristics and Outcomes of 1591 Patients Infected With SARS-CoV-2 Admitted to ICUs of the Lombardy Region, Italy. JAMA. 2020 Apr 28;323(16):1574–81.

14. Mi J, Zhong W, Huang C, Zhang W, Tan L, Ding L. Gender, age and comorbidities as the main prognostic factors in patients with COVID-19 pneumonia. Am J Transl Res. 2020;12(10):6537–48.

15. Jin J-M, Bai P, He W, Wu F, Liu X-F, Han D-M, et al. Gender Differences in Patients With COVID-19: Focus on Severity and Mortality. Front Public Health [Internet]. 2020 [cited 2021 Jun 13];8. Available from: https://www.frontiersin.org/articles/10.3389/fpubh.2020.00152/full

16. Palacios Cruz M, Santos E, Velázquez Cervantes MA, León Juárez M. COVID-19, una emergencia de salud pública mundial. Revista Clínica Española. 2021 Jan;221(1):55–61.

17. Biscayart C, Angeleri P, Lloveras S, Chaves T do SS, Schlagenhauf P, Rodríguez-Morales AJ. The next big threat to global health? 2019 novel coronavirus (2019-nCoV): What advice can we give to travellers? – Interim recommendations January 2020, from the Latin-American society for Travel Medicine (SLAMVI). Travel Medicine and Infectious Disease. 2020 Jan;33:101567.