Evidence map›Paper›PMID 35962037›Full record

ArticleScientific reports2022

A real world analysis of COVID-19 impact on hospitalizations in older adults with chronic conditions from an Italian region.

Cristina Bosetti, Magda Rognoni, Roberta Ciampichini, Luca Paroni, Marco Scala, Luca Cavalieri d'Oro, Alberto Zucchi, Andrea Amerio, Licia Iacoviello, Simone Ghislandi and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 1 country.

Cristina BosettiDepartment of Oncology, Laboratory of Methodology for Clinical Research, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milan, Italy. cristina.bosetti@marionegri.it.
Magda RognoniEpidemiology Unit, Agenzia per la Tutela della Salute della Brianza, Monza, Italy.
Roberta CiampichiniAgenzia per la Tutela della Salute di Bergamo, Bergamo, Italy.
Luca ParoniEpidemiology Unit, Agenzia per la Tutela della Salute della Brianza, Monza, Italy.
Marco ScalaEpidemiology Unit, Agenzia per la Tutela della Salute della Brianza, Monza, Italy.
Luca Cavalieri d'OroEpidemiology Unit, Agenzia per la Tutela della Salute della Brianza, Monza, Italy.
Alberto ZucchiAgenzia per la Tutela della Salute di Bergamo, Bergamo, Italy.
Andrea AmerioDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, Università di Genova, Genoa, Italy.
Licia IacovielloResearch Center in Epidemiology and Preventive Medicine (EPIMED), Department of Medicine and Surgery, University of Insubria, Varese, Italy.
Simone GhislandiDepartment of Social Sciences and Politics, Bocconi University, Milan, Italy.
Anna OdoneSchool of Medicine, University Vita-Salute San Raffaele, Milan, Italy.
David StucklerDepartment of Social Sciences and Politics, Bocconi University, Milan, Italy.
Silvano GallusDepartment of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Lost in Lombardia Project Investigators
Mario Negri Institute for Pharmacological Research · ITMinistero della Salute · ITBocconi University · ITUniversity of Bergamo · ITUniversity of Insubria · ITVita-Salute San Raffaele University · ITOspedale Policlinico San Martino · ITUniversity of Genoa · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare delivery reorganization during the COVID-19 emergency may have had a significant impact on access to care for older adults with chronic conditions. We investigated such impact among all adults with chronic conditions aged ≥ 65 years, identified through the electronic health databases of two local health agencies-ATS Brianza and ATS Bergamo-from the Lombardy region, Italy. We considered hospitalizations for 2020 compared to the average 2017-2019 and quantified differences using rate ratios (RRs). Overall, in 2017-2019 there were a mean of 374,855 older adults with  ≥ 1 chronic condition per year in the two ATS and 405,371 in 2020. Hospitalizations significantly decreased from 84,624 (225.8/1000) in 2017-2019 to 78,345 (193.3/1000) in 2020 (RR 0.86). Declines were reported in individuals with many chronic conditions and for most Major Diagnostic Categories, except for diseases of the respiratory system. The strongest reductions were observed in hospitalizations for individuals with active tumours, particularly for surgical ones. Hospitalization rates increased in individuals with diabetes, likely due to COVID-19-related diseases. Although determinants of the decrease in demand and supply for care among chronic older adults are to be further explored, this raises awareness on their impacts on chronic patients' health in the medium and long run.

Indexed as

COVID-19AgedChronic DiseaseDatabases, FactualDelivery of Health CareHospitalizationHumans

Identifiers

PMID35962037
PMCPMC9374749
OpenAlexW4291145633

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.