UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

How COVID-19 has changed the unselected medical take: an observational study

Ho, KMA; Anandhakrishnan, A; Mahay, A; Soo, Y; Lovat, LB; Rochford, AP; (2020) How COVID-19 has changed the unselected medical take: an observational study. Clinical Medicine 10.7861/clinmed.2020-0483. (In press). Green open access

[thumbnail of clinmed.2020-0483.full.pdf]
Preview
Text
clinmed.2020-0483.full.pdf - Published version

Download (254kB) | Preview

Abstract

INTRODUCTION: COVID-19 has had a profound effect on the NHS. Little information has been published as to how the unselected medical take has been affected. METHODS: We retrospectively reviewed patients who were referred to general medicine during March 2020. We compared clinical outcomes of patients with and without COVID-19. RESULTS: 814 patients were included, comprising 777 unique patients. On average, 26 patients were admitted per day. 38% of admitted patients were suspected of COVID-19, with greater numbers of COVID-19 patients in the second half compared to the first half of the month (p<0.001). Logistic regression analyses showed suspected COVID-19 was an independent predictor for inpatient mortality (odds ratio [OR] = 6.09, p<0.001) and 30-day mortality (OR = 4.66, p<0.001). CONCLUSIONS: COVID-19 patients had worse clinical outcomes and increased healthcare use compared to non-COVID-19 patients. Our study highlights some of the challenges in healthcare provision faced during this pandemic.

Type: Article
Title: How COVID-19 has changed the unselected medical take: an observational study
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.7861/clinmed.2020-0483
Publisher version: https://doi.org/10.7861/clinmed.2020-0483
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: COVID-19, SARS-CoV-2, medical admissions, medical take
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention
URI: https://discovery.ucl.ac.uk/id/eprint/10111532
Downloads since deposit
5Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item