HCA Healthcare Graduate Medical Education 2023 Research Days
Outcomes of Patients with COPD during the COVID Pandemic
Jacob Hentges
Julia Fashner
HCA Healthcare
01-01-2023
A scoping review of COVID-19's impact on healthcare delivery and health outcomes found disruptions in care delivery and a shift towards telemedicine(1). Another study found no significant change in th..
more »A scoping review of COVID-19's impact on healthcare delivery and health outcomes found disruptions in care delivery and a shift towards telemedicine(1). Another study found no significant change in the length of stay for patients admitted to the hospital for COPD exacerbation during the pandemic period compared to the pre-pandemic period(2).
We conducted a secondary analysis of HCA Florida St. Lucie Hospital data to compare the outcomes of patients with COPD before (Jan 2018 – Feb 2020) and during the COVID-19 pandemic (March 2020 – Dec 2021). The data included patients aged over 18 years who were diagnosed with COPD and did not have COVID-19 or dementia. We analyzed length of stay (LOS), ICU admission, and mortality on a monthly basis for the two time periods using chi-square and Fisher’s exact tests.
There was no significant difference in ICU admissions or mortality between the two time periods. The LOS did not differ for most months, except for statistically significant differences in January, June, and November (p
Our secondary analysis suggests that the COVID-19 pandemic may have had an indirect impact on LOS for patients with COPD, but not on ICU admission or mortality. However, further research is needed to fully understand the factors contributing to these trends.
1. Roy CM, Bollman EB, Carson LM, Northrop AJ, Jackson EF, Moresky RT. Assessing the indirect effects of COVID-19 on healthcare delivery, utilization and health outcomes: a scoping review. Eur J Public Health. 2021 Jul 13;31(3):634-640. doi: 10.1093/eurpub/ckab047. PMID: 33755130; PMCID: PMC8083627.
2. Poucineau J, Delory T, Lapidus N, Hejblum G, Chouaïd C, Le Coeur S, Khlat M. Hospital admissions and mortality for acute exacerbations of COPD during the COVID-19 pandemic: A nationwide study in France. Front Med (Lausanne). 2022 Sep 16;9:995016. doi: 10.3389/fmed.2022.995016. PMID: 36186789; PMCID: PMC9522972.
3. Jennifer Y. So, Nathan N. O'Hara, Blaine Kenaa, John G. Williams, Christopher L. deBorja, Julia F. Slejko, Zafar Zafari, Michael Sokolow, Paul Zimand, Meagan Deming, Jason Marx, Andrew N. Pollak, Robert M. Reed, Population Decline in COPD Admissions During the COVID-19 Pandemic Associated with Lower Burden of Community Respiratory Viral Infections, The American Journal of Medicine, Volume 134, Issue 10, 2021, Pages 1252-1259.e3, ISSN 0002-9343, https://doi.org/10.1016/j.amjmed.2021.05.008.
Poster
3866f3a8-d9fc-4d68-ad42-8dbb218d6786
ab670e88-645e-47df-9b88-fa4af62d5d13
East Florida
HCA Florida St. Lucie Hospital
Resident/Fellow
Family Medicine
use_pdf
Diseases
Family Medicine
Medical Specialties
Medicine and Health Sciences
Respiratory Tract Diseases
Virus Diseases
HCA Healthcare