• Miles C Allison, Nicholas A Doyle, Giles Greene, Arif Mahmood, Myer Glickman, Aine K Jones, and Paul E Mizen.
• Royal Gwent Hospital, Newport, UK miles.allison@wales.nhs.uk.
• Clin Med (Lond). 2021 Mar 1; 21 (2): e171e178e171-e178.

AbstractLarge reductions in emergency department attendances and hospitalisations with non-COVID acute medical illness early during the pandemic were attributed to reluctance to seek medical help and higher referral thresholds. Here, we compare acute medical admissions with a comparison cohort from 2017. Deaths in the same geographic area were examined, and Wales-wide deaths during these 4 weeks in 2020 were compared with a seasonally matched period in 2019. There were 528 patients admitted with non-COVID illness in 2020, versus 924 in 2017 (a reduction of 43%). Deaths from non-COVID causes increased by 10.9% compared with 2017, over half this rise being from neurological causes including stroke and dementia. While far fewer patients required hospitalisation as medical emergencies, rises in local non-COVID deaths proved small. Wales-wide non-COVID deaths rose by just 1% compared with 2019. The findings suggest that changes in population behaviour and lifestyle during lockdown brought about unforeseen health benefits.© Royal College of Physicians 2021. All rights reserved.

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