Covid-19大流行对瑞士非Covid-19肺炎和慢性阻塞性肺病恶化住院治疗的影响:2020/2021年与2015-2019年全国数据比较。

IF 8.5 Q1 RESPIRATORY SYSTEM Pneumonia Pub Date : 2024-10-25 DOI:10.1186/s41479-024-00150-y
Carla Bürke, Florent Baty, Frank Rassouli, Martin H Brutsche, Werner C Albrich
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引用次数: 0

摘要

背景:在 Covid-19 大流行期间采取的保护措施对肺炎的发病率产生了显著影响。然而,瑞士缺乏非 SARS-CoV-2 引起的肺炎和慢性阻塞性肺病急性加重(AECOPD)住院治疗的系统数据。我们的目的是比较 2020/2021 年和疫情流行前几年因这些疾病住院的发生率:这项回顾性研究调查了瑞士联邦统计局公开发布的住院数据库中,2015 年至 2021 年期间以 ICD-10 编码为主要诊断的非 SARS-19 肺炎和 AECOPD 住院病例。急性冠状动脉综合征(ACS)和中风住院病例作为对照。比较了2020/2021年与2015-2019年平均每月住院发生率、住院时间(LOS)和死亡率的变化:结果:AECOPD 和肺炎的住院发生率在 2015 年至 2019 年期间呈现季节性变化,随后在 2020/2021 年出现了显著且几乎相同的下降(发生率比 [IRR] 0.59,95% CI:0.45-0.77,p 结论:Covedo 项目实施的前两年,AECOPD 和肺炎的住院发生率出现了季节性变化,随后在 2020/2021 年出现了显著且几乎相同的下降:Covid-19大流行的头两年,瑞士的AECOPD和非Covid-19肺炎住院发病率明显下降。这种效果很可能与以社会为基础的、起初非常有力的社会隔离措施有关。
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Effect of the Covid-19 pandemic on hospitalizations for non-Covid-19-pneumonia and exacerbations of chronic obstructive pulmonary diseases in Switzerland: comparison of national data between 2020/2021 and 2015-2019.

Background: Protective measures applied during the Covid-19 pandemic had a marked impact on the incidence of pneumonia. However, systematic data are lacking for hospitalizations for pneumonia and acute exacerbations of chronic obstructive lung diseases (AECOPD) not caused by SARS-CoV-2 in Switzerland. We aimed to compare the incidences of hospitalization for these entities between 2020/2021 and prepandemic years.

Methods: This retrospective study examined all nationwide hospitalizations for non-Covid-19-pneumonia and AECOPD listed as primary diagnoses based on ICD-10 codes between 2015 and 2021 in a publicly available hospitalization database of the Swiss Federal Statistical Office. Hospitalizations for acute coronary syndrome (ACS) and stroke were used as controls. Changes of monthly incidences of hospitalizations, length of stay (LOS) and mortality were compared between 2020/2021 and the average of 2015-2019.

Results: The incidences of hospitalizations for AECOPD and for pneumonia showed seasonal variations from 2015 to 2019 followed by significant and almost identical decreases in 2020/2021 (incidence rate ratio [IRR] 0.59, 95% CI: 0.45-0.77, p < 0.001, and IRR: 0.62, 95% CI: 0.52-0.74, p < 0.001, respectively). Hospital-mortality was slightly higher in 2020/2021 for AECOPD (2015-2019: 3.8%; 2020/2021: 4.2%, odds ratio [OR] 1.24, 95% CI: 1.07-1.44, p = 0.004) and for pneumonia (2015-2019: 4.5%, 2020/2021: 4.6%, odds ratio [OR] 1.17, 95% CI: 1.07-1.28, p < 0.001). Median LOS slightly decreased for AECOPD (2015-2019: 8 [IQR: 5-14] days; 2020/2021: 7 [IQR: 4-13] days, Wilcoxon test: p < 0.001) but slightly increased for pneumonia (2015-2019: 7 [IQR: 4-11] days; 2020/2021: 7 [IQR: 4-13] days, Wilcoxon test: p < 0.001). Throughout 2020/2021, there were no significant fluctuations observed in the incidences of ACS and stroke. (IRR: 0.98, 95% CI: 0.83-1.16, p = 0.810, IRR: 0.96, 95% CI: 0.81-1.14, p = 0.636, respectively).

Conclusion: The first two years of the Covid-19 pandemic showed a marked decrease in incidences in AECOPD and non-Covid-19 pneumonia hospitalizations in Switzerland. It is likely that this effect is associated with the society-based, at first vigorous, social distancing measures.

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来源期刊
Pneumonia
Pneumonia RESPIRATORY SYSTEM-
自引率
1.50%
发文量
7
审稿时长
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