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Hospitalisation during lockdown-patients' beds-eye views

Kyu Hyun Lee1, Bernard Wong2, Seif El-Jack3

  • 1Cardiology Trainee, Department of Cardiology, Waiteamatā District Health Board, Auckland.

The New Zealand Medical Journal
|June 21, 2022
PubMed

Insights

COVID-19 lockdowns deterred hospital visits for non-COVID illnesses. Patients, especially those over 70, delayed seeking care due to fear of contracting the virus during their hospital admission.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Global COVID-19 pandemic and associated lockdowns significantly altered healthcare-seeking behaviors.
  • Patient apprehension regarding hospital exposure to SARS-CoV-2 (COVID-19) is a hypothesized reason for reduced non-COVID hospital presentations.

Purpose of the Study:

  • To investigate patient concerns about pandemic-related risks influencing hospital admission decisions.
  • To explore the impact of lockdown measures on patients' willingness to present to hospitals for non-COVID conditions.

Main Methods:

  • A cross-sectional study utilizing an inpatient questionnaire administered to cardiology and coronary care unit patients during Level 4 lockdown.
  • The questionnaire comprised six questions assessing patient perceptions of lockdown's influence on hospital presentation.

Main Results:

  • Out of 91 participants, 20 (22%) reported delayed or affected decisions to present to the hospital due to lockdown.
  • A statistically significant difference was observed in delayed presentation between younger (<70 years) and older (>70 years) patients (32% vs. 10%, p=0.011).

Conclusions:

  • Patient apprehension regarding COVID-19 risks was a significant factor in delaying hospital presentations.
  • These concerns may contribute to the observed decrease in hospital admission rates during the pandemic.
Abstract

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