Background: The Coronavirus disease 2019 (COVID-19) pandemic has led to widespread implementation of public health measures, such as stay-at-home orders, social distancing, and masking mandates. In addition to decreasing spread of severe acute respiratory syndrome coronavirus 2, these measures also impact the transmission of seasonal viral pathogens, which are common triggers of chronic obstructive pulmonary disease (COPD) exacerbations. Whether reduced viral prevalence mediates reduction in COPD exacerbation rates is unknown.
Methods: We performed retrospective analysis of data from a large, multicenter health care system to assess admission trends associated with community viral prevalence and with initiation of COVID-19 pandemic control measures. We applied difference-in-differences analysis to compare season-matched weekly frequency of hospital admissions for COPD prior to and after implementation of public health measures for COVID-19. Community viral prevalence was estimated using regional Centers for Disease Control and Prevention test positivity data and correlated to COPD admissions.
Results: Data involving 4422 COPD admissions demonstrated a season-matched 53% decline in COPD admissions during the COVID-19 pandemic, which correlated to community viral burden (r = 0.73; 95% confidence interval, 0.67-0.78) and represented a 36% greater decline over admission frequencies observed in other medical conditions less affected by respiratory viral infections (incidence rate ratio 0.64; 95% confidence interval, 0.57-0.71, P < .001). The post-COVID-19 decline in COPD admissions was most pronounced in patients with fewer comorbidities and without recurrent admissions.
Conclusion: The implementation of public health measures during the COVID-19 pandemic was associated with decreased COPD admissions. These changes are plausibly explained by reduced prevalence of seasonal respiratory viruses.
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http://dx.doi.org/10.1016/j.amjmed.2021.05.008 | DOI Listing |
BMC Infect Dis
December 2024
Institute for Health Technology Assessment (IATS/CNPq), R. Ramiro Barcelos, 2350, Porto Alegre, Rio Grande do Sul, Brazil.
Background: The Covid-19 pandemic caused a negative impact on other infectious diseases control, prevention, and treatment. Consequently, low and middle-income countries suffer from other endemic diseases, such as tuberculosis. This study was designed to compare Covid-19 manifestations and outcomes between patients with previously treated tuberculosis and controls without this condition.
View Article and Find Full Text PDFRespir Res
December 2024
H. Barrie Fairley Scholar of the Interdepartmental Division of Critical Care Medicine, University Health Network, Toronto, ON, Canada.
Background: The trend over time and across different geographical areas of outcomes and management with noninvasive ventilation or invasive mechanical ventilation in patients admitted for acute exacerbations of chronic obstructive pulmonary disease and treated with ventilatory support is unknown. The purpose of this study was to describe outcomes and identify variables associated with survival for patients admitted to an intensive care unit (ICU) with acute exacerbation of chronic obstructive pulmonary disease [aeCOPD] who received noninvasive or invasive mechanical ventilation worldwide.
Methods: Retrospective, multi-national, and multicenter studies, including four observational cohort studies, were carried out in 1998, 2004, 2010, and 2016 for the VENTILAGROUP following the same methodology.
J Clin Med
December 2024
Department of Pneumology, Universitary Hospital Vall d'Hebron/Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, 08035 Barcelona, Spain.
Early, mild and young COPD concepts are not clearly defined and are often used interchangeably to refer to the onset of the disease. : To describe and compare the characteristics of mild, young and early COPD in a large sample of COPD from primary and secondary care. : Pooled analysis of individual data from four multicenter observational studies of patients with stable COPD (≥40 years, FEV/FVC < 0.
View Article and Find Full Text PDFAm J Transl Res
November 2024
Department of Emergency Medicine, The Affiliated Jiangning Hospital of Nanjing Medical University Nanjing 211100, Jiangsu, China.
Objective: This study aims to investigate the the content of CD3CD56 Natural Killer (NK) cells in peripheral blood and the serum interleukin-2 (IL-2) and interleukin-8 (IL-8) levels in patients with acute exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD) complicated by respiratory failure (RF). Besides, their diagnostic and prognostic values for AECOPD combined with RF were also explored.
Methods: This retrospective study included patients from the Affiliated Jiangning Hospital of Nanjing Medical University between December 2021 and December 2023.
Cureus
November 2024
Emergency Medicine, Duzce University School of Medicine, Düzce, TUR.
Purpose Our aim was to analyse the Emergency Department (ED) admissions of patients aged 90 years and older (nonagenarians) and to provide the literature with data showing the needs and characteristics of this highly vulnerable group in the ED. Methods This was a retrospective, single-centre observational study from Türkiye. A total of 18,225 patients aged 65 years and older, who were admitted to the ED between January 1, 2022, and December 31, 2023, were identified and included in the study.
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