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Observational Study
How COVID-19 has changed the unselected medical take: an observational study.
- Kai Man Alexander Ho, Ananthi Anandhakrishnan, Arun Mahay, Yiwen Soo, Laurence B Lovat, and Andrew P Rochford.
- Newham University Hospital, London, UK and University College London, London, UK alexander.ho@ucl.ac.uk.
- Clin Med (Lond). 2020 Nov 1; 20 (6): e229e233e229-e233.
IntroductionCOVID-19 has had a profound effect on the NHS. Little information has been published as to how the unselected medical take has been affected.MethodsWe retrospectively reviewed patients who were referred to general medicine during March 2020. We compared clinical outcomes of patients with and without COVID-19.Results814 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).ConclusionsCOVID-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.© 2020 Royal College of Physicians 2020. All rights reserved.
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