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Hospitalizations for Chronic Disease and Acute Conditions in the Time of COVID-19

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Concurrent with surges in hospitalizations for coronavirus disease 2019 (COVID-19), there has been evidence of decreased presentation for acute conditions, including myocardial infarction and stroke.13 We examined the frequency of hospitalization for all non–COVID-19-related conditions in a health system at an epicenter of the COVID-19 pandemic.4

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Article Information

Accepted for Publication: July 2, 2020.

Published Online: October 26, 2020. doi:10.1001/jamainternmed.2020.3978

Corresponding Author: Saul Blecker, MD, MHS, Division of Healthcare Delivery Science, Department of Population Health, NYU Grossman School of Medicine, 227 E 30th St, 6th Floor, New York, NY 10016 (saul.blecker@nyulangone.org).

Author Contributions: Drs Blecker and Petrilli had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Study concept and design: Blecker, Jones, Petrilli, Admon, Francois, Horwitz.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Blecker, Jones, Petrilli, Francois.

Critical revision of the manuscript for important intellectual content: Jones, Petrilli, Admon, Weerahandi, Francois, Horwitz.

Statistical analysis: Jones, Petrilli, Admon, Horwitz.

Administrative, technical, or material support: Blecker, Petrilli, Admon, Weerahandi, Francois, Horwitz.

Study supervision: Francois, Horwitz.

Conflict of Interest Disclosures: Dr Admon reported receiving grants from the National Heart, Lung, and Blood Institute during the conduct of the study. Dr Weerahandi reported receiving grants from the National Institutes of Health/National Heart, Lung, and Blood Institute outside the submitted work. No other disclosures were reported.

Additional Contributions: We thank Harish Rajagopalan, MS, NYU Langone Health, New York, New York, for assistance with data extraction. No additional compensation was provided for this contribution.

References
1.
Kansagra  AP , Goyal  MS , Hamilton  S , Albers  GW .  Collateral effect of Covid-19 on stroke evaluation in the United States.   N Engl J Med. 2020;383(4):400-401. doi:10.1056/NEJMc2014816PubMedGoogle ScholarCrossref
2.
Garcia  S , Albaghdadi  MS , Meraj  PM ,  et al.  Reduction in ST-segment elevation cardiac catheterization laboratory activations in the United States during COVID-19 pandemic.   J Am Coll Cardiol. 2020;75(22):2871-2872. doi:10.1016/j.jacc.2020.04.011PubMedGoogle ScholarCrossref
3.
Baum  A , Schwartz  MD .  Admissions to Veterans Affairs hospitals for emergency conditions during the COVID-19 pandemic.   JAMA. 2020;324(1):96-99. doi:10.1001/jama.2020.9972PubMedGoogle ScholarCrossref
4.
Petrilli  CM , Jones  SA , Yang  J ,  et al.  Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: prospective cohort study.   BMJ. 2020;369:m1966. doi:10.1136/bmj.m1966PubMedGoogle ScholarCrossref
5.
Healthcare Cost and Utilization Project. Clinical Classifications Software Refined (CCSR) for ICD-10-CM diagnoses. Accessed May 26, 2020. https://www.hcup-us.ahrq.gov/toolssoftware/ccsr/ccs_refined.jsp
6.
Woolhandler  S , Himmelstein  DU .  Intersecting US epidemics: COVID-19 and lack of health insurance.   Ann Intern Med. 2020;173(1):63-64. doi:10.7326/M20-1491PubMedGoogle ScholarCrossref
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