Evidence map›Paper›PMID 35966962›Full record

Observational studyF1000Research2021

Comparing the first and second waves of COVID-19 in a tertiary university hospital in Barcelona.

Yolima Cossio, Marta-Beatriz Aller, Maria José Abadias, Jose-Manuel Domínguez, Maria-Soledad Romea, Maria-Àngels Barba, Maria-Isabel Rodríguez, Antonio Roman, Albert Salazar

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in F1000Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Observational
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

9 authors at 2 institutions in 1 country.

Yolima CossioHospital Universitari Vall d'Hebron, Barcelona, Spain.ORCID 0000-0002-8810-444X
Marta-Beatriz AllerHospital Universitari Vall d'Hebron, Barcelona, Spain.
Maria José AbadiasHospital Universitari Vall d'Hebron, Barcelona, Spain.
Jose-Manuel DomínguezHospital Universitari Vall d'Hebron, Barcelona, Spain.
Maria-Soledad RomeaHospital Universitari Vall d'Hebron, Barcelona, Spain.
Maria-Àngels BarbaHospital Universitari Vall d'Hebron, Barcelona, Spain.
Maria-Isabel RodríguezHospital Universitari Vall d'Hebron, Barcelona, Spain.
Antonio RomanHospital Universitari Vall d'Hebron, Barcelona, Spain.
Albert SalazarHospital Universitari Vall d'Hebron, Barcelona, Spain.
Vall d'Hebron Institut de Recerca · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospitals have constituted the limiting resource of the healthcare systems for the management of the COVID-19 pandemic. As the pandemic progressed, knowledge of the disease improved, and healthcare systems were expected to be more adapted to provide a more efficient response. The objective of this research was to compare the flow of COVID-19 patients in emergency rooms and hospital wards, between the pandemic's first and second waves at the University Hospital of Vall d'Hebron (Barcelona, Spain), and to compare the profiles, severity and mortality of COVID-19 patients between the two waves.

methodsA retrospective observational analysis of COVID-19 patients attending the hospital from February 24 to April 26, 2020 (first wave) and from July 24, 2020, to May 18, 2021 (second wave) was carried out. We analysed the data of the electronic medical records on patient demographics, comorbidity, severity, and mortality.

resultsThe daily number of COVID-19 patients entering the emergency rooms (ER) dropped by 65% during the second wave compared to the first wave. During the second wave, patients entering the ER were significantly younger (61 against 63 years old p<0.001) and less severely affected (39% against 48% with a triage level of resuscitation or emergency; p<0.001). ER mortality declined during the second wave (1% against 2%; p<0.000). The daily number of hospitalised COVID-19 patients dropped by 75% during the second wave. Those hospitalised during the second wave were more severely affected (20% against 10%; p<0.001) and were referred to the intensive care unit (ICU) more frequently (21% against 15%; p<0.001). Inpatient mortality showed no significant difference between the two waves.

conclusionsChanges in the flow, severity and mortality of COVID-19 patients entering this tertiary hospital during the two waves may reflect a better adaptation of the health care system and the improvement of knowledge on the disease.

Indexed as

COVID-19Influenza A Virus, H1N1 SubtypeInfluenza, HumanHospitalizationHospitals, UniversityHumansMiddle AgedPandemicsRetrospective StudiesTertiary Care Centerscovid-19hospital managementtertiary hospital

Identifiers

PMID35966962
PMCPMC9350435
OpenAlexW3215899830

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.