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Inicio Medicina Clínica (English Edition) Impact of the COVID-19 pandemic on diagnosis of respiratory diseases in the Nort...
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Vol. 160. Issue 9.
Pages 392-396 (May 2023)
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Vol. 160. Issue 9.
Pages 392-396 (May 2023)
Brief report
Impact of the COVID-19 pandemic on diagnosis of respiratory diseases in the Northern Metropolitan Area in Barcelona (Spain)
Impacto de la pandemia por COVID-19 en los diagnósticos respiratorios en el Área Metropolitana Norte de Barcelona (España)
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Ignasi Garcia-Olivea,b,c,
Corresponding author
igarcia.germanstrias@gencat.cat

Corresponding author.
, Francesc Lopez Seguíd,e, Guillem Hernandez Guillametd,e, Josep Vidal-Alaballf,g,h, Jorge Abada,b,c, Antoni Rosella,b,c
a Department of Respiratory Medicine, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
b Germans Trias i Pujol Research Institute (IGTP), Badalona, Barcelona, Spain
c Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
d Directorate for Innovation and Interdisciplinary Cooperation, North Metropolitan Territorial Authority, Catalan Institute of Health, Badalona, Barcelona, Spain
e Center for Research in Economy and Health, Pompeu Fabra University, Barcelona, Spain
f Health Promotion in Rural Areas Research Group, Gerencia Territorial de la Catalunya Central, Institut Català de la Salut, Sant Fruitós de Bages, Barcelona, Spain
g Unitat de Suport a la Recerca de la Catalunya Central, Fundacio Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina, Sant Fruitós de Bages, Barcelona, Spain
h Faculty of Medicine, University of Vic – Central University of Catalonia, Vic, Barcelona, Spain
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Table 1. This table shows the absolute number of new diagnoses for each period, and the IRR of new respiratory diagnoses between pre-pandemic and pandemic periods.
Abstract
Objective

The COVID-19 pandemic has had a great effect on the management of chronic diseases, by limiting the access to primary care and to diagnostic procedures, causing a decline in the incidence of most diseases. Our aim was to analyze the impact of the pandemic on primary care new diagnoses of respiratory diseases.

Methods

Observational retrospective study performed to describe the effect of COVID-19 pandemic on the incidence of respiratory diseases according to primary care codification. Incidence rate ratio between pre-pandemic and pandemic period was calculated.

Results

We found a decrease in the incidence of respiratory conditions (IRR 0.65) during the pandemic period. When we compared the different groups of diseases according to ICD-10, we found a significant decrease in the number of new cases during the pandemic period, except in the case of pulmonary tuberculosis, abscesses or necrosis of the lungs and other respiratory complications (J95). Instead, we found increases in flu and pneumonia (IRR 2.17) and respiratory interstitial diseases (IRR 1.41).

Conclusion

There has been a decrease in new diagnosis of most respiratory diseases during the COVID-19 pandemic.

Keywords:
COVID-19
Diagnose
Primary care
Respiratory disease
Resumen
Objetivo

La pandemia de COVID-19 ha tenido efecto sobre el seguimiento de las enfermedades crónicas. Nuestro objetivo fue analizar el impacto de la pandemia por COVID-19 en los nuevos diagnósticos respiratorios en atención primaria.

Metodología

Estudio observacional retrospectivo realizado para describir el impacto de la COVID-19 sobre la incidencia de diagnósticos respiratorios en atención primaria. Se ha calculado la tasa relativa de incidencia entre el periodo prepandémico y el pandémico.

Resultados

Hallamos una reducción en la incidencia de patología respiratoria (IRR 0,65) durante la pandemia. Al comparar los distintos grupos de enfermedades (CIE-10), encontramos una reducción significativa en el número de nuevos casos durante la pandemia, excepto en el caso de tuberculosis pulmonar, abscesos o necrosis pulmonar y otras complicaciones respiratorias. Por otro lado, se detectaron incrementos en nuevos diagnósticos de gripe y neumonía (IRR 2,17) y enfermedades respiratorias intersticiales (IRR 1,41).

Conclusión

Se ha producido un descenso en el número de nuevos diagnósticos de la mayoría de las enfermedades respiratorias durante la pandemia por COVID-19.

Palabras clave:
COVID-19
Diagnósticos
Atención primaria
Enfermedades respiratorias

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