Evidence map›Paper›PMID 37708110›Full record

ArticlePloS one2023

Temporal trends in hospitalizations and 30-day mortality in older patients during the COVID pandemic from March 2020 to July 2021.

Sara Garcia-Ptacek, Hong Xu, Martin Annetorp, Viktoria Bäck Jerlardtz, Tommy Cederholm, Malin Engström, Miia Kivipelto, Lars Göran Lundberg, Carina Metzner, Maria Olsson and 5 more

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Disparities in COVID-19-Related Mortality Among Older Adults With Alzheimer's Disease and Related Dementias: Variations Over Time.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Observational
  2. Article
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

15 authors.

Sara Garcia-PtacekDepartment of Neurobiology, Division of Clinical Geriatrics, Karolinska Institutet, Care Sciences and Society, Stockholm, Sweden.
Hong XuDepartment of Neurobiology, Division of Clinical Geriatrics, Karolinska Institutet, Care Sciences and Society, Stockholm, Sweden.ORCID 0000-0002-7266-3431
Martin AnnetorpTheme Inflammation and Aging, Karolinska University Hospital, Stockholm, Sweden.
Viktoria Bäck JerlardtzDepartment of Geriatric Medicine, Jakobsbergsgeriatriken, Stockholm, Sweden.
Tommy CederholmDepartment of Neurobiology, Division of Clinical Geriatrics, Karolinska Institutet, Care Sciences and Society, Stockholm, Sweden.
Malin EngströmDepartment of Geriatric Medicine, Sabbatsbergsgeriatriken, Stockholm, Sweden.
Miia KivipeltoDepartment of Neurobiology, Division of Clinical Geriatrics, Karolinska Institutet, Care Sciences and Society, Stockholm, Sweden.
Lars Göran LundbergDepartment of Geriatric Medicine, Dalengeriatriken Aleris Närsjukvård AB, Stockholm, Sweden.
Carina MetznerTheme Inflammation and Aging, Karolinska University Hospital, Stockholm, Sweden.
Maria OlssonDepartment of Geriatric Medicine, Capio Geriatrik Löwet, Stockholm, Sweden.
Josefina Skogö NyvangDepartment of Geriatric Medicine, Capio Geriatrik Nacka AB, Nacka, Sweden.
Carina Sühl ÖbergDepartment of Geriatric Medicine, Handengeriatriken, Aleris Närsjukvård AB, Stockholm, Sweden.
Elisabet ÅkessonDepartment of Neurobiology, Division of Neurogeriatrics, Karolinska Institutet, Care Sciences and Society, Stockholm, Sweden.
Dorota ReligaDepartment of Neurobiology, Division of Clinical Geriatrics, Karolinska Institutet, Care Sciences and Society, Stockholm, Sweden.
Maria EriksdotterDepartment of Neurobiology, Division of Clinical Geriatrics, Karolinska Institutet, Care Sciences and Society, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA reduction in mortality risk of COVID-19 throughout the first wave of the pandemic has been reported, but less is known about later waves. This study aimed to describe changes in hospitalizations and mortality of patients receiving inpatient geriatric care for COVID-19 or other causes during the pandemic.

methodsPatients 70 years and older hospitalized in geriatric hospitals in Stockholm for COVID-19 or other causes between March 2020-July 2021 were included. Data on the incidence of COVID-positive cases and 30-day mortality of the total ≥ 70-year-old population, in relation to weekly hospitalizations and mortality after hospital admissions were analyzed. Findings The total number of hospitalizations was 5,320 for COVID-19 and 32,243 for non-COVID-cases. In COVID-patients, the 30-day mortality rate was highest at the beginning of the first wave (29% in March-April 2020), reached 17% at the second wave peak (November-December) followed by 11-13% in the third wave (March-July 2021). The mortality in non-COVID geriatric patients showed a similar trend, but of lower magnitude (5-10%). During the incidence peaks, COVID-19 hospitalizations displaced non-COVID geriatric patients.

interpretationHospital admissions and 30-day mortality after hospitalizations for COVID-19 increased in periods of high community transmission, albeit with decreasing mortality rates from wave 1 to 3, with a probable vaccination effect in wave 3. Thus, the healthcare system could not compensate for the high community spread of COVID-19 during the pandemic peaks, which also led to displacing care for non-COVID geriatric patients.

Indexed as

COVID-19AgedHospitalizationHumansPandemicsPatientsProbability

Identifiers

PMID37708110
PMCPMC10501674

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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.