• Login
    View Item 
    •   UMB Digital Archive
    • UMB Open Access Articles
    • UMB Open Access Articles
    • View Item
    •   UMB Digital Archive
    • UMB Open Access Articles
    • UMB Open Access Articles
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Decline in COPD Admissions During the COVID-19 Pandemic Associated with Lower Burden of Community Respiratory Viral Infections

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Publisher version
    View Source
    Access full-text PDFOpen Access
    View Source
    Check access options
    Check access options
    Author
    So, Jennifer Y
    O'Hara, Nathan N
    Kenaa, Blaine
    Williams, John G
    deBorja, Christopher L
    Slejko, Julia F
    Zafari, Zafar
    Sokolow, Michael
    Zimand, Paul
    Deming, Meagan
    Marx, Jason
    Pollak, Andrew N
    Reed, Robert M
    Show allShow less

    Date
    2021-06-12
    Journal
    American Journal of Medicine
    Publisher
    Elsevier Ltd.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1016/j.amjmed.2021.05.008
    http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8196237/
    Abstract
    Background: The 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 SARS-CoV2, these measures also impact the transmission of seasonal viral pathogens, which are common triggers of 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 healthcare system to assess admission trends associated with community viral prevalence and with initiation of COVID-19 pandemic control measures. We applied difference-in-differences (DiD) analysis to compare season-matched weekly frequency of hospital admissions for COPD before and after implementation of public health measures for COVID-19. Community viral prevalence was estimated using regional Center for Disease Control and Prevention test positivity data and correlated to COPD admissions. Results: Data involving 4,422 COPD admissions demonstrated a season-matched 53% decline in COPD admissions during COVID-19 pandemic, which correlated to community viral burden (r=0.73; 95% CI: 0.67 to 0.78) and represented a 36% greater decline over admission frequencies observed in other medical conditions less affected by respiratory viral infections (IRR, 0.64; 95% CI, 0.57 to 0.71, p<0.001). 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.
    Rights/Terms
    Copyright © 2021 Elsevier Ltd. All rights reserved.
    Keyword
    COPD
    COVID
    community viral infections
    exacerbations
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/16043
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.amjmed.2021.05.008
    Scopus Count
    Collections
    UMB Coronavirus Publications
    UMB Open Access Articles

    entitlement

    Related articles

    • Reduction in hospitalised COPD exacerbations during COVID-19: A systematic review and meta-analysis.
    • Authors: Alqahtani JS, Oyelade T, Aldhahir AM, Mendes RG, Alghamdi SM, Miravitlles M, Mandal S, Hurst JR
    • Issue date: 2021
    • Masking for COVID-19 Is Associated with Decreased Emergency Department Utilization for Non-COVID Viral Illnesses and Respiratory Conditions in Maryland.
    • Authors: Dezman ZDW, Stryckman B, Zachrison KS, Conrad RM, Marcozzi D, Pimentel L, Samuels-Kalow M, Cairns CB
    • Issue date: 2021 Oct
    • Significant reduction in hospital admissions for acute exacerbation of chronic obstructive pulmonary disease in Hong Kong during coronavirus disease 2019 pandemic.
    • Authors: Chan KPF, Ma TF, Kwok WC, Leung JKC, Chiang KY, Ho JCM, Lam DCL, Tam TCC, Ip MSM, Ho PL
    • Issue date: 2020 Sep
    • Reduction in Hospitalizations for Respiratory Diseases during the First COVID-19 Wave in Greece.
    • Authors: Kyriakopoulos C, Gogali A, Exarchos K, Potonos D, Tatsis K, Apollonatou V, Loukides S, Papiris S, Sigala I, Katsaounou P, Aggelidis M, Fouka E, Porpodis K, Kontakiotis T, Sampsonas F, Karampitsakos T, Tzouvelekis A, Bibaki E, Karagiannis K, Antoniou K, Tzanakis N, Dimeas I, Daniil Z, Gourgoulianis K, Kouratzi M, Steiropoulos P, Antonakis E, Papanikolaou IC, Ntritsos G, Kostikas K
    • Issue date: 2021
    • Impact of COVID-19 on Hospital Admissions for COPD Exacerbation: Lessons for Future Care.
    • Authors: Lawless M, Burgess M, Bourke S
    • Issue date: 2022 Jan 1
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.