Demographics of Covid-19 hospitalisations and related fatality risk patterns
Bibliographic Data
| ID | 21467937 |
|---|---|
| Authors | Daniela Ghio (0000-0002-0580-0205, European Commission, corresponding author), Simona Bignami (0000-0002-8246-3046, Université de Montréal), Nikolaos I Stilianakis (0000-0002-3808-265X, Friedrich-Alexander-Universität Erlangen-Nürnberg) |
| Year | 2022 |
| Volume | 126 |
| Issue | 10 |
| Pages | 945-955 |
| Publication date | 2022-10-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy (JOURNAL) |
| Journal identifiers | ISSN: 0168-8510 • E-ISSN: 1872-6054 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.healthpol.2022.07.005 |
| PMID | 35927091 |
| OpenAlex | W4286751370 |
| Language | EN |
| Citations received | 4 |
| References cited | 22 |
The assessment of hospitalisations and intensive care is crucial for planning health care resources needed over the course of the coronavirus disease 2019 (COVID-19) pandemic. Nonetheless, comparative empirical assessments of COVID-19 hospitalisations and related fatality risk patterns on a large scale are lacking. This paper exploits anonymised, individual-level data on SARS-CoV-2 confirmed infections collected and harmonized by the European Centre for Disease Prevention and Control to profile the demographics of COVID-19 hospitalised patients across nine European countries during the first pandemic wave (February - June 2020). We estimate the role of demographic factors for the risk of in-hospital mortality, and present a case study exploring individuals' comorbidities based on a subset of COVID-19 hospitalised patients available from the Dutch health system. We find that hospitalisation rates are highest among individuals with confirmed SARS-CoV-2 infection who are not only older than 70 years, but also 50-69 years. The latter group has a longer median time between COVID-19 symptoms' onset and hospitalisation than those aged 70+ years. Men have higher hospitalisation rates than women at all ages, and particularly above age 50. Consistently, men aged 50-59 years have a probability of hospitalisation almost double than women do. Although the gender imbalance in hospitalisation remains above age 70, the gap between men and women narrows at older ages. Comorbidities play a key role in explaining selection effects of COVID-19 confirmed positive cases requiring hospitalisation. Our study contributes to the evaluation of the COVID-19 burden on the demand of health-care during emergency phases. Assessing intensity and timing dimensions of hospital admissions, our findings allow for a better understanding of COVID-19 severe outcomes. Results point to the need of suitable calibrations of epidemiological projections and (re)planning of health services, enhancing preparedness to deal with infectious disease outbreaks
Case fatality rate · Comorbidity · Demographics · Disease · Health care · Pandemic · COVID-19 and healthcare impacts · COVID-19 Clinical Research Studies · COVID-19 epidemiological studies · Demography · Medicine · Epidemiology · Internal Medicine · Pediatrics
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| Citations per year | 1 |
|---|---|
| Citation span | 2022 - 2024 (3) |
| Highly cited | No |