Ali Ardalan, Homa Yusefi, Narges Rouhi, Ahad Banar, Sanaz Sohrabizadeh
Household disaster preparedness in the Islamic Republic of Iran: 2015 estimation
Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit
unprecedented increases hospital occupancy rates covid19 surges 2020 caused concern hospital care quality patients without covid19 examine changes hospital nonsurgical care quality patients without covid19 periods high low covid19 admissions crosssectional study used data 2019 2020 agency healthcare research qualitys healthcare cost utilization project state inpatient databases data obtained nonfederal acute care hospitals 36 states admissions 2019 2020 patients without diagnosis covid19 pneumonia risk selected quality indicators included data analysis performed january 1 2023 march 15 2024 hospital week 2020 categorized based number covid19 admissions per 100 beds less 10 10 49 50 99 100 149 150 greater main outcomes rates adverse outcomes selected quality indicators including pressure ulcers inhospital mortality acute myocardial infarction heart failure acute stroke gastrointestinal hemorrhage hip fracture percutaneous coronary intervention changes 2020 compared 2019 calculated level weekly covid19 admission rate adjusting casemix hospitalmonth fixed effects changes weeks high covid19 admissions 15 per 100 beds compared changes weeks low covid19 admissions 1 per 100 beds analysis included 19 111 629 discharges 503 female mean sd age 630 180 years 3283 hospitals 36 states weeks 18 48 2020 35 851 hospitalweeks 367 low covid19 admission rates 8094 83 high rates quality indicators patients without covid19 significantly worsened 2020 weeks high vs low covid19 admissions pressure ulcer rates increased 009 per 1000 admissions 95 ci 001017 per 1000 admissions relative change 243 heart failure mortality increased 040 per 100 admissions 95 ci 018063 per 100 admissions relative change 211 hip fracture mortality increased 040 per 100 admissions 95 ci 004077 per 100 admissions relative change 294 weighted mean mortality selected indicators increased 030 per 100 admissions 95 ci 014045 per 100 admissions relative change 106 crosssectional study covid19 surges associated declines hospital quality highlighting importance identifying implementing strategies maintain care quality periods high hospital use