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[Preprint]. 2022 Apr 28:2022.04.26.22274301.
doi: 10.1101/2022.04.26.22274301.

Trends in non-COVID-19 hospitalizations prior to and during the COVID-19 pandemic period, United States, 2017 – 2021

Kelsie Cassell  1 , Casey M Zipfel  2 , Shweta Bansal  2 , Daniel M Weinberger  1
Affiliations

Trends in non-COVID-19 hospitalizations prior to and during the COVID-19 pandemic period, United States, 2017 – 2021

Kelsie Cassell et al. medRxiv. .

Update in

Abstract

COVID-19 pandemic-related shifts in healthcare utilization, in combination with trends in non-COVID-19 disease transmission and NPI use, had clear impacts on infectious and chronic disease hospitalization rates. Using a national healthcare billing database (C19RDB), we estimated the monthly incidence rate ratio of hospitalizations between March 2020 and June 2021 according to 19 ICD-10 diagnostic chapters and 189 subchapters. The majority of hospitalization causes showed an immediate decline in incidence during March 2020. Hospitalizations for diagnoses such as reproductive neoplasms, hypertension, and diabetes returned to pre-pandemic norms in incidence during late 2020 and early 2021, while others, like those for infectious respiratory disease, never returned to pre-pandemic norms. These results are crucial for contextualizing future research, particularly time series analyses, utilizing surveillance and hospitalization data for non-COVID-19 disease. Our assessment of subchapter level primary hospitalization codes offers new insight into trends among less frequent causes of hospitalization during the COVID-19 pandemic.

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Figures

Figure 1.
Figure 1.
Time series of observed hospitalizations per diagnostic chapter by month and year (solid line) with model predicted case counts (dashed line) and confidence intervals (grey).
Figure 2A
Figure 2A
Estimated IRR per subchapter and month grouped according to hierarchical clustering, Jan 2020 to Jun 2021
Figure 2B
Figure 2B
Estimated IRR per subchapter and month grouped according to hierarchical clustering (clusters C and D), Jan 2020 to Jun 2021
See this image and copyright information in PMC

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