Multimorbidity analysis and hospitalizations for diabetes before and after lockdown due to the COVID-19 pandemic in Peru

Hernández-Vasquéz, Akram; Barrenechea-Pulache, Antonio; Portocarrero-Bonifaz, Andrés; Rojas‐Roque, Carlos; Gamboa-Unsihuay, Jesús Eduardo

doi:10.1016/j.pmedr.2022.101884

Cited by 3 publications

(2 citation statements)

References 51 publications

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“…Also, several studies showed an increase by up to 5-fold of the incidence of cardiovascular diseases complications as out-of-hospital cardiac arrest after the launch of emergency response measures against COVID-19 ( 20 – 22 ). Also, after the implementation of the lockdown, hospital admissions among diabetic patients decreased ( 23 , 24 ) with a 92% increase in the average number of monthly deaths highlighted by Hernandez-Vasquez et al ( 24 ) and a significantly higher plasma glucose and HbA1c levels than during pre-pandemic period ( 23 ).…”

Section: Introductionmentioning

confidence: 99%

A new emergency during the latest phase of the COVID-19 pandemic: access to healthcare services by patients with non-communicable diseases

De Sarro,

Papadopoli,

Morgante

et al. 2023

Front. Med.

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BackgroundThe aim of our study was to investigate the impact of the COVID-19 pandemic on the healthcare and the disease management of patients affected by non-communicable diseases (NCDs), by exploring, specifically, the obstacles encountered in the access to healthcare services during the latest phase of the pandemic.MethodsThis cross-sectional study was carried out among subjects attending the anti-SARS-CoV2 vaccination clinic in a Teaching Hospital of Southern Italy. To be included in the study, subjects had to be affected by at least one NCD, such as diabetes, hypertension, respiratory and heart diseases, renal and liver chronic conditions, immunodeficiency disorders due to cancer, or being kidney or liver transplant recipients.ResultsAmong the 553 subjects who completed the questionnaire, the 39.4% (95% IC = 35.3–43.6) experienced obstacles in the access to healthcare services in the six months prior to the enrollment. The most frequent canceled/postponed healthcare services were the visits for routine checks for NCDs (60.6, 95% IC = 53.9–67), control visits of more complex diseases as cancer or transplantation (17.3, 95% IC = 12.6–22.8), and scheduled surgery (11.5, 95% IC = 7.7–16.4). The patients who experienced canceled/postponed healthcare services were significantly more likely to suffer from 3 or more NCDs (p = 0.042), to be diabetics (p = 0.038), to have immunodeficiency disorders (p = 0.028) and to have consulted GP at least once (p = 0.004).ConclusionOur results appear to be fundamental for guiding the choices of providers in order to concentrate organizational efforts to recover and reschedule missed appointments, where applicable, of the most fragile patients by virtue of age and chronic conditions.

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Section: Introductionmentioning

confidence: 99%

A new emergency during the latest phase of the COVID-19 pandemic: access to healthcare services by patients with non-communicable diseases

De Sarro,

Papadopoli,

Morgante

et al. 2023

Front. Med.

View full text Add to dashboard Cite

show abstract

“…Several studies have reported on the adverse consequences of the lockdown on the utilization of non-COVID-related healthcare services globally. 5 – 11 These studies differ from the broader literature on the impact of the COVID pandemic on healthcare access by focusing on the effects of lockdowns on healthcare utilization. However, there has been relatively little investigation into the channels through which lockdowns impacted healthcare utilization.…”

Section: Introductionmentioning

confidence: 99%

Impacts of the COVID-19 Lockdown on Healthcare Inaccessibility and Unaffordability in Uganda

Bose

Alam

Pörtner

2023

The American Journal of Tropical Medicine and Hygiene

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Several studies have reported adverse consequences of the COVID-19 lockdowns on the utilization of healthcare services across Africa. However, little is known about the channels through which lockdowns impacted healthcare utilization. This study focuses on unaffordability as a reason for not utilizing healthcare services. We estimate the causal impacts of the COVID-19 lockdown on healthcare inaccessibility and affordability in Uganda relative to the nonlockdown periods of the pandemic. We use nationally representative longitudinal household data and a household fixed-effects model to identify the impact of the lockdown on whether households could not access medical treatment and whether the reason for not getting care was the lack of money. We find that the lockdown in Uganda was associated with an 8.4% higher likelihood of respondents being unable to access healthcare when treatment was needed relative to the nonlockdown periods. This implies a 122% increase in the share of respondents unable to access healthcare. As lockdown restrictions eased, the likelihood of being unable to access medical treatment decreased. The main reason for the increase in inaccessibility was the lack of money, with a 71% increase in the likelihood of respondents being unable to afford treatment. We find little evidence that the effects of the lockdown differed by wealth status or area of residence. Our results indicate the need for policymakers to consider immediate social support for households as a strategy for balancing the disruptions caused by lockdowns.

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A Wearable Device based on IMU and EMG Sensors for Remote Monitoring of Elbow Rehabilitation

Lavado

Vela

2022

2022 E-Health and Bioengineering Conference (EHB)

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Multimorbidity analysis and hospitalizations for diabetes before and after lockdown due to the COVID-19 pandemic in Peru

Cited by 3 publications

References 51 publications

A new emergency during the latest phase of the COVID-19 pandemic: access to healthcare services by patients with non-communicable diseases

A new emergency during the latest phase of the COVID-19 pandemic: access to healthcare services by patients with non-communicable diseases

Impacts of the COVID-19 Lockdown on Healthcare Inaccessibility and Unaffordability in Uganda

A Wearable Device based on IMU and EMG Sensors for Remote Monitoring of Elbow Rehabilitation

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