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Pregled bibliografske jedinice broj: 1162529

The Impact of COVID-19 on Hospital Admissions in Croatia


Kalanj, Karolina; Marshal, Ric; Karol, Karl; Kujundžić Tiljak, Mirjana; Orešković, Stjepan
The Impact of COVID-19 on Hospital Admissions in Croatia // Frontiers in Public Health, 9 (2021), 720948, 11 doi:10.3389/fpubh.2021.720948 (međunarodna recenzija, članak, ostalo)


CROSBI ID: 1162529 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
The Impact of COVID-19 on Hospital Admissions in Croatia

Autori
Kalanj, Karolina ; Marshal, Ric ; Karol, Karl ; Kujundžić Tiljak, Mirjana ; Orešković, Stjepan

Izvornik
Frontiers in Public Health (2296-2565) 9 (2021); 720948, 11

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, ostalo

Ključne riječi
COVID-19 ; pandemic ; health system response ; hospital admissions ; AR-DRG ; data transparency

Sažetak
Background: The COVID-19 pandemic disrupted hospital care, as hospitals had to deal with a highly infectious virus, while at the same time continuing to fulfill the ongoing health service needs of their communities. This study examines the direct effects of COVID-19 on the delivery of inpatient care in Croatia. Materials and Methods: The research is a retrospective, comparative analysis of the hospital admission rate across all Diagnosis Related Group (DRG) classes before and during the pandemic. It is based on DRG data from all non-specialized acute hospitals in Croatia, which account for 96% of national inpatient activity. The study also used COVID-19 data from the Croatian Institute of Public Health (CIPH). Results: The results show a 21% decrease in the total number of admissions [incident rate ratio (IRR) 0.8, p < 0.0001] across the hospital network during the pandemic in 2020, with the greatest drop occurring in April, when admissions plunged by 51%. The decrease in activity occurred in non-elective DRG classes such as cancers, stroke, major chest procedures, heart failure, and renal failure. Coinciding with this reduction however, there was a 37% increase (IRR 1.39, p < 0.0001) in case activity across six COVID- 19 related DRG classes. Conclusions: The reduction in hospital inpatient activity during 2020, can be attributed to a number of factors such as lock-downs and quarantining, reorganization of hospital operations, the rationing of the medical workforce, and the reluctance of people to seek hospital care. Further research is needed to examine the consequences of disruption to hospital care in Croatia. Our recommendation is to invest multidisciplinary effort in reviewing response procedures to emergencies such as COVID-19 with the aim of minimizing their impact on other, and equally important community health care needs.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Javno zdravstvo i zdravstvena zaštita



POVEZANOST RADA


Ustanove:
Nastavni zavod za javno zdravstvo "Dr. Andrija Štampar",
Klinički bolnički centar Zagreb

Poveznice na cjeloviti tekst rada:

Pristup cjelovitom tekstu rada doi www.frontiersin.org

Citiraj ovu publikaciju:

Kalanj, Karolina; Marshal, Ric; Karol, Karl; Kujundžić Tiljak, Mirjana; Orešković, Stjepan
The Impact of COVID-19 on Hospital Admissions in Croatia // Frontiers in Public Health, 9 (2021), 720948, 11 doi:10.3389/fpubh.2021.720948 (međunarodna recenzija, članak, ostalo)
Kalanj, K., Marshal, R., Karol, K., Kujundžić Tiljak, M. & Orešković, S. (2021) The Impact of COVID-19 on Hospital Admissions in Croatia. Frontiers in Public Health, 9, 720948, 11 doi:10.3389/fpubh.2021.720948.
@article{article, year = {2021}, pages = {11}, DOI = {10.3389/fpubh.2021.720948}, chapter = {720948}, keywords = {COVID-19, pandemic, health system response, hospital admissions, AR-DRG, data transparency}, journal = {Frontiers in Public Health}, doi = {10.3389/fpubh.2021.720948}, volume = {9}, issn = {2296-2565}, title = {The Impact of COVID-19 on Hospital Admissions in Croatia}, keyword = {COVID-19, pandemic, health system response, hospital admissions, AR-DRG, data transparency}, chapternumber = {720948} }
@article{article, year = {2021}, pages = {11}, DOI = {10.3389/fpubh.2021.720948}, chapter = {720948}, keywords = {COVID-19, pandemic, health system response, hospital admissions, AR-DRG, data transparency}, journal = {Frontiers in Public Health}, doi = {10.3389/fpubh.2021.720948}, volume = {9}, issn = {2296-2565}, title = {The Impact of COVID-19 on Hospital Admissions in Croatia}, keyword = {COVID-19, pandemic, health system response, hospital admissions, AR-DRG, data transparency}, chapternumber = {720948} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • Social Science Citation Index (SSCI)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


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