Evaluation of In-Hospital and Community-Based Healthcare Utilization and Costs During the Coronavirus 2019 (COVID-19) Pandemic in Alberta, Canada: A Population-Based Descriptive Study DOI Creative Commons
Kathy Liu, Elissa Rennert‐May,

Zuying Zhang

и другие.

Health Services Insights, Год журнала: 2024, Номер 17

Опубликована: Янв. 1, 2024

Background: Assessing the financial burden of COVID-19 is important for planning health services and resource allocation to inform future pandemic response. Objectives: This study examines changing dynamics in healthcare utilization patterns costs from a public perspective during Alberta, Canada. Design: Population-based descriptive study. Methods: All adult patients over age 18 years who had laboratory-confirmed diagnosis Canada March 1, 2020 December 15, 2021. We described demographic information community- hospital-based costs. compared changes each outcome throughout first four waves pandemic. Results: Among 255,037 patients, hospitalization incurred significantly higher ( N = 20,603; aRR 755.51; marginal cost: $21,738.17 CAD; P < .01). Wave 2 recorded highest cost Emergency Department (ED) visits (aRR 1.10; $79.19 Compared Waves 2-4 all lower out-patient visits. 2’s in-patient that required ICU admission was than 1 0.75; −$24,142.47 .02). Conclusion: exerted heavy toll on services, this continue evolve. Utilization ED were particularly high. Severe infections requiring are more expensive non-hospitalized non-ICU hospital admits. Future studies should clarify specific factors, such as sociodemographic determinants, contribute evolving consumption trends holistically responses pandemics.

Язык: Английский

RESPIRATORY EFFECTS OF ELECTRONIC CIGARETTE USE IN INDIVIDUALS WHO NEVER SMOKED: A SYSTEMATIC REVIEW DOI Creative Commons
Grazia Caci, Arielle Selya, Giusy Rita Maria La Rosa

и другие.

Clinical Medicine, Год журнала: 2025, Номер unknown, С. 100295 - 100295

Опубликована: Фев. 1, 2025

Current evidence on whether electronic cigarettes (ECs) pose respiratory risks is unclear, due to confounding by cigarette smoking; among never-smoking individuals needed. Following a narrative review and critical appraisal, systematic assessed possible outcomes prospectively associated with EC use who never smoked. Bias risk was evaluated using Joanna Briggs Institute tool. Ten eligible studies examined of self-reported diagnosis, symptoms, lung function. Eight adults three youth (with overlap). Overall, seven showed no significant association between (P>.05). Evidence for coughing wheezing symptoms varied model specification. not severe outcomes, but may be mild coughing/wheezing. Further research needed larger samples, long-term follow-ups (>5 years), information detailed patterns use.

Язык: Английский

Процитировано

1
Analyzing COVID-19 and Air Pollution Effects on Pediatric Asthma Emergency Room Visits in Taiwan DOI Creative Commons
Yanlin Chen, Yen‐Yue Lin,

Pi-Wei Chin

и другие.

Toxics, Год журнала: 2024, Номер 12(1), С. 79 - 79

Опубликована: Янв. 17, 2024

(1) Background: An asthma exacerbation that is not relieved with medication typically requires an emergency room visit (ERV). The coronavirus disease 2019 (COVID-19) pandemic began in Taiwan January of 2020. influence the COVID-19 on pediatric ERVs was limited. Our aim to survey era; (2) Methods: Data were collected from health quality database Taiwanese National Health Insurance Administration 2021. Air pollution and climatic factors Taipei used evaluate these relationships. Changes rates assessed using logistic regression analysis. Poisson impact air climate change; (3) Results: rate declined different areas at hospital levels including medical centers, regional local hospitals. Some pollutants (particulate matter ≤ 2.5 µm, particulate 10 nitrogen dioxide, carbon monoxide) reduced during lockdown. Ozone increased relative risk (RR) period by 1.094 (95% CI: 1.095-1.12) per 1 ppb increase; (4) Conclusions: ozone has harmful effects. Based results, government could reduce number through healthcare programs, thereby promoting children's health.

Язык: Английский

Процитировано

4
Mode of delivery and birth outcomes before and during COVID-19 –A population-based study in Ontario, Canada DOI Creative Commons
Teresa To,

Jingqin Zhu,

Emilie Terebessy

и другие.

PLoS ONE, Год журнала: 2024, Номер 19(5), С. e0303175 - e0303175

Опубликована: Май 10, 2024

There is lack of clarity on whether pregnancies during COVID-19 resulted in poorer mode delivery and birth outcomes Ontario, Canada. We aimed to compare (C-section), (low birthweight, preterm birth, NICU admission), health services use (HSU, hospitalizations, ED visits, physician visits) pregnant Ontario women before (pandemic periods). further stratified for pre-existing chronic diseases (asthma, eczema, allergic rhinitis, diabetes, hypertension). Deliveries (Jun 2018–Feb 2020) (Jul 2020–Mar 2022) pandemic were from administrative data. used multivariable logistic regression analyses estimate adjusted odds ratios (aOR) outcomes, negative binomial rate (aRR) HSU. compared between pre-pandemic periods. Possible interactions study periods covariates also examined. 323,359 deliveries included (50% pandemic). One 5 (18.3%) who delivered the had not received any vaccine, while one 20 (5.2%) lab-tested positive COVID-19. The C-section was 9% higher (aOR = 1.09, 95% CI: 1.08–1.11) than pre-pandemic. admission 15% 0.85, 0.82–0.87) 10% lower 0.90, 0.88–0.92), respectively, a 17% reduction visits but 16% increase (aRR 0.83, 0.81–0.84 aRR 1.16, 1.16–1.17, respectively). These aORs aRRs significantly with conditions. During pandemic, healthcare utilization, especially 0.83), before. Ensuring ongoing prenatal care may reduce risks adverse need acute pregnancy.

Язык: Английский

Процитировано

4
The association between the stringency of COVID-19 public health mitigation strategies and pediatric asthma-related hospitalizations in Canada: an ecological study over 2 years DOI
Sze Man Tse,

Abdoul Kabirou Babatounde,

Olivier Drouin

и другие.

Respiratory Medicine, Год журнала: 2025, Номер unknown, С. 108125 - 108125

Опубликована: Апрель 1, 2025

Язык: Английский

Процитировано

0
Management of severe asthma during the COVID-19 pandemic: A retrospective study using a Japanese database DOI Creative Commons
Kazuto Matsunaga,

Hayato Oka,

Hitomi Uchimura

и другие.

Allergology International, Год журнала: 2024, Номер unknown

Опубликована: Окт. 1, 2024

Язык: Английский

Процитировано

0
Optimizing asthma care in low-to-middle income countries through multisectoral collaboration: recommendation report of the first Philippine Asthma Assembly DOI Creative Commons

Lenora Fernandez,

Helen K. Reddel,

Dina V. Diaz

и другие.

Expert Review of Respiratory Medicine, Год журнала: 2024, Номер unknown, С. 1 - 16

Опубликована: Дек. 10, 2024

Asthma is one of the most common noncommunicable diseases, raising serious concerns about asthma-related deaths globally. Studies have reported safety with short-acting beta-agonists (SABAs) monotherapy. SABA overuse contributes significantly to healthcare burden in Philippines. Despite Global Network's years-long advocacy for equal access essential medicines at affordable cost, uptake international policies limited low- and middle-income countries, including

Язык: Английский

Процитировано

0
Evaluation of In-Hospital and Community-Based Healthcare Utilization and Costs During the Coronavirus 2019 (COVID-19) Pandemic in Alberta, Canada: A Population-Based Descriptive Study DOI Creative Commons
Kathy Liu, Elissa Rennert‐May,

Zuying Zhang

и другие.

Health Services Insights, Год журнала: 2024, Номер 17

Опубликована: Янв. 1, 2024

Background: Assessing the financial burden of COVID-19 is important for planning health services and resource allocation to inform future pandemic response. Objectives: This study examines changing dynamics in healthcare utilization patterns costs from a public perspective during Alberta, Canada. Design: Population-based descriptive study. Methods: All adult patients over age 18 years who had laboratory-confirmed diagnosis Canada March 1, 2020 December 15, 2021. We described demographic information community- hospital-based costs. compared changes each outcome throughout first four waves pandemic. Results: Among 255,037 patients, hospitalization incurred significantly higher ( N = 20,603; aRR 755.51; marginal cost: $21,738.17 CAD; P < .01). Wave 2 recorded highest cost Emergency Department (ED) visits (aRR 1.10; $79.19 Compared Waves 2-4 all lower out-patient visits. 2’s in-patient that required ICU admission was than 1 0.75; −$24,142.47 .02). Conclusion: exerted heavy toll on services, this continue evolve. Utilization ED were particularly high. Severe infections requiring are more expensive non-hospitalized non-ICU hospital admits. Future studies should clarify specific factors, such as sociodemographic determinants, contribute evolving consumption trends holistically responses pandemics.

Язык: Английский

Процитировано

0