Comparison between COVID‑19 outcomes in the first 3 waves of the pandemic: a reference hospital report

Monika Bociąga-Jasik1,2, Wiktoria Wojciechowska2,3, Michał Terlecki2,3

  • 1Department of Infectious Diseases and Tropical Medicine, Jagiellonian University Medical College, Kraków, Poland

Insights

Hospitalized COVID-19 patients showed evolving characteristics and outcomes across pandemic waves. Increased death rates and risk factors were observed in later waves, indicating shifts in disease impact and management.

Area of Science:

  • Medical research
  • Epidemiology
  • Public health

Background:

  • The COVID-19 pandemic evolved through distinct waves, each potentially impacting patient demographics and clinical outcomes.
  • Understanding these changes is crucial for adapting healthcare strategies and improving patient care during public health crises.

Purpose of the Study:

  • To analyze and compare the clinical characteristics and outcomes of patients hospitalized with COVID-19 during the first three pandemic waves.
  • To identify factors influencing in-hospital mortality across these consecutive waves.

Main Methods:

  • Retrospective analysis of medical records from 5191 COVID-19 patients admitted to a designated COVID-19 hospital between March 2020 and May 2021.
  • Comparison of patient demographics, inflammatory markers, oxygen saturation, and mortality rates across three defined pandemic waves.

Main Results:

  • Significant differences were observed in patient age, sex distribution, inflammatory marker levels, and oxygen saturation between waves 1, 2, and 3.
  • Hospital death rates increased progressively from 10.4% in wave 1 to 19.8% in wave 2 and 20.3% in wave 3.
  • Advanced age, male sex, comorbidities (cardiovascular, chronic kidney disease), elevated C-reactive protein, and later wave hospitalization were identified as risk factors for in-hospital death.

Conclusions:

  • Consecutive COVID-19 waves exhibited distinct patient characteristics and clinical outcomes.
  • These observed differences likely reflect evolving medical and organizational factors, including changes in isolation policies, hospitalization criteria, and treatment strategies.
  • The findings underscore the dynamic nature of the pandemic and the need for adaptive healthcare responses.
Abstract

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