Impact of the First COVID-19 Pandemic Wave on Hospitalizations and Deaths Caused by Geriatric Syndromes in France: A Nationwide Study

被引:8
|
作者
Torres, Marion J. [1 ,6 ]
Coste, Joel [1 ]
Canoui-Poitrine, Florence [2 ,3 ]
Pouchot, Jacques [4 ]
Rachas, Antoine [5 ]
Carcaillon-Bentata, Laure [1 ]
机构
[1] French Publ Hlth Agcy, Sante Publ France, St Maurice, France
[2] Univ Paris Est Creteil, INSERM, IMRB, Creteil, France
[3] Hop Henri Mondor, AP HP, Serv Sante Publ, Creteil, France
[4] Univ Paris, Hop Europeen Georges Pompidou, AP HP, Serv Med Interne, Paris, France
[5] French Natl Hlth Insurance Cnam, Dept Strategy Studies & Stat, Paris, France
[6] French Publ Hlth Agcy, Direct Noncommunicable Dis & Injuries, 12 Rue Val dOsne, F-94415 St Maurice, France
来源
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES | 2023年 / 78卷 / 09期
关键词
COVID-19; Geriatric syndrome; Hospitalization; Mortality; Routine health facility data; HEALTH-CARE SERVICES; POPULATION; MORTALITY; LOCKDOWN;
D O I
10.1093/gerona/glad032
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background The fear of contracting coronavirus disease 2019 (COVID-19) and the preventive measures taken during the health crisis affected both people's lifestyles and the health system. This nationwide study aimed to investigate the impact of the first wave of the COVID-19 pandemic on hospitalizations and mortality related to geriatric syndromes (GS) in older adults in France. Methods The French National Health Data System was used to compare hospital admissions (excluding the main diagnosis of COVID-19) and mortality rates (using multiple-cause and initial-cause analyses, and both including or excluding confirmed/probable COVID-19) related to 10 different GS (dementia, other cognitive disorders and symptoms, delirium/disorientation, depression, undernutrition/malnutrition, dehydration, pressure ulcer, incontinence, fall/injury and femoral neck fracture) from January to September 2020 to rates observed in previous years. Analyses were stratified by age, sex, place of residence or place of death, and region. Results Hospitalization rates for all GS decreased during the first lockdown compared to the same periods in 2017-19 (from -59% for incontinence to -13% for femoral neck fractures). A dose-response relationship was observed between reduced hospitalizations and COVID-19-related mortality rates. Conversely, for almost all GS studied, excess mortality without COVID-19 was observed during this lockdown compared to 2015-17 (from +74% for delirium/disorientation to +8% for fall/injury), especially in nursing homes and at home. Conclusions In France, during the first lockdown, a substantial decrease in hospitalizations for GS was accompanied by excess mortality. This decline in the use of services, which persisted beyond lockdown, may have a mid- and long-term impact on older adults' health.
引用
收藏
页码:1612 / 1626
页数:15
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