Comparison of the Mortality of Non-COVID Hospitalized Patients during the COVID Pandemic: A Retrospective Cohort Study in a Tertiary Medical Center in Israel

Rotem Tal Ben Ishay, Kobi Faierstein, Haim Mayan, Noya Shilo*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: At the beginning of 2020, the coronavirus disease 2019 (COVID-19) pandemic presented a new burden on health-care systems. Objectives: To evaluate the impact of the COVID-19 pandemic on the outcome of non-COVID patients in Israel. Methods: We conducted a retrospective observational cohort study at a tertiary medical center in Israel. From December 2018 until June 2022, 6796 patients were hospitalized in the in-ternal medicine wards. Patients were grouped based on their admission date: admitted during COVID waves (waves group), admitted between waves (interim group), and admitted during the same months in the previous year (former-year group). Results: Mortality during hospitalization and 30-day mortality were higher in the waves group compared to the interim and former-year groups (41.4% vs. 30.5% and 24%, 19.4% vs. 17.9% and 12.9%, P< 0.001). In addition, 1-year mortality was higher in the interim group than in the waves and former-year group (39.1 % vs. 32.5% and 33.4%, P- 0.002). There were significant differences in the readmissions, both at 1 year and total num-ber. The waves group had higher rates of mechanical ventila-tion and noradrenaline administration during hospitalization. Moreover, the waves group exhibited higher troponin levels, lower hemoglobin levels, and more abnormalities in liver and kidney function. Conclusions: Hospitalized non-COVID patients experienced worse outcomes during the peaks of the pandemic compared to the nadirs and the preceding year, perhaps due to the limit-ed availability of resources. These results underscore the im-portance of preparing for large-scale threats and implement-ing effective resource allocation policies.

Original languageEnglish
Pages (from-to)655-661
Number of pages7
JournalIsrael Medical Association Journal
Volume25
Issue number10
StatePublished - Oct 2023

Keywords

  • coronavirus disease 2019 (COVID-19)
  • epidemiology
  • health policy
  • hospitalization
  • internal medicine

Fingerprint

Dive into the research topics of 'Comparison of the Mortality of Non-COVID Hospitalized Patients during the COVID Pandemic: A Retrospective Cohort Study in a Tertiary Medical Center in Israel'. Together they form a unique fingerprint.

Cite this