ArticleThe Lancet regional health. Western Pacific2023
Hospitalizations and mortality during the first year of the COVID-19 pandemic in Hong Kong, China: An observational study.
Article in The Lancet regional health. Western Pacific, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Health Equity After a Colorectal Cancer Screening Program.JAMA health forum · 2026Article
- Indirect effect of the COVID-19 pandemic on cardiovascular diseases incidence, mortality, and healthcare use among patients with hypertension but without SARS-CoV-2 infection in Hong Kong: an interrupted time series analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Estimating changes in life expectancy in Hong Kong during the COVID-19 pandemic: a longitudinal ecological study.The Lancet regional health. Western Pacific · 2025Article
- Comparison of excess deaths and laboratory-confirmed COVID-19 deaths during a large Omicron epidemic in 2022 in Hong Kong.Journal of global health · 2025Article
- Population-based study on hospital admissions for pediatric status asthmaticus: from before to after the COVID-19 pandemic.Frontiers in pediatrics · 2025Article
- Trends and characteristics of hospitalisation and mortality among centenarians in old-age homes and communities: a territory-wide study in Hong Kong, 2012-2021.BMJ public health · 2025Article
- Health system resilience during the COVID-19 pandemic: A comparative analysis of disruptions in care from 32 countries.Health services research · 2024Article
- Suicide in Hong Kong during the COVID-19 pandemic: an observational study.BMJ public health · 2024Article
- Observational
- Identifying the most at-risk age-group and longitudinal trends of drug allergy labeling amongst 7.3 million individuals in Hong Kong.BMC medicine · 2024Article
- Article
- Serum butyrylcholinesterase as a marker of COVID-19 mortality: Results of the monocentric prospective observational study.Chemico-biological interactions · 2023Observational
- Flaws and uncertainties in pandemic global excess death calculations.European journal of clinical investigation · 2023Review
- What Really Happened During the Massive SARS-CoV-2 Omicron Wave in China?JAMA internal medicine · 2023Article
- Advances in Computational and Bioinformatics Tools and Databases for Designing and Developing a Multi-Epitope-Based Peptide Vaccine.International journal of peptide research and therapeutics · 2023Review
- Change in disease burden associated with influenza and air pollutants during the COVID-19 pandemic in Hong Kong.Digital healthArticle
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Hong Kong followed a strict COVID-19 elimination strategy in 2020. We estimated the impact of the COVID-19 pandemic responses on all-cause and cause-specific hospitalizations and deaths in 2020. Methods: Interrupted time-series analysis using negative binomial regression accounting for seasonality and long-term trend was used on weekly 2010-2020 data to estimate the change in hospitalization risk and excess mortality occurring both within and out of hospitals. Findings: In 2020, as compared to a 2010-2019 baseline, we observed an overall reduction in all-cause hospitalizations, and a concurrent increase in deaths. The overall hospitalization reduction (per 100,000 population) was 4809 (95% CI: 4692, 4926) in 2020, with respiratory diseases (632, 95% CI: 607, 658) and cardiovascular diseases (275, 95% CI: 264, 286) contributing most. The overall excess mortality (per 100,000 population) was 25 (95% CI: 23, 27) in 2020, mostly among individuals with pre-existing cardiovascular diseases (12, 95% CI: 11, 13). A reduction in excess in-hospital mortality (-10 per 100,000, 95% CI: -12, -8) was accompanied by an increase in excess out-of-hospital mortality (32, 95% CI: 29, 34). Interpretation: The COVID-19 pandemic might have caused indirect impact on population morbidity and mortality likely through changed healthcare seeking particularly in youngest and oldest individuals and those with cardiovascular diseases. Better healthcare planning is needed during public health emergencies with disruptions in healthcare services. Funding: Health and Medical Research Fund, Collaborative Research Fund, AIR@InnoHK and RGC Senior Research Fellow Scheme, Hong Kong.
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