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Burden of COVID-19 pandemic on tuberculosis hospitalisation patterns at a tertiary care hospital in Rajasthan, India: a retrospective analysis.
Rajotiya, Sumit; Mishra, Shivang; Singh, Anurag Kumar; Debnath, Sourav; Raj, Preeti; Singh, Pratima; Bareth, Hemant; Nakash, Prashant; Sharma, Anupama; Singh, Mahaveer; Nathiya, Deepak; Joshi, Nalin; Tomar, Balvir Singh.
Afiliação
  • Rajotiya S; Department of Pharmacy Practice, NIMS University, Jaipur, Rajasthan, India.
  • Mishra S; Department of Pharmacy Practice, NIMS University, Jaipur, Rajasthan, India.
  • Singh AK; Department of Pharmacy Practice, NIMS University, Jaipur, Rajasthan, India.
  • Debnath S; Department of Pharmacy Practice, NIMS University, Jaipur, Rajasthan, India.
  • Raj P; Department of Public health, School of Health Sciences, University of Manchester, Manchester, UK.
  • Singh P; School of Public Health, University of Alberta, Edmonton, Alberta, Canada.
  • Bareth H; Department of Pharmacy Practice, NIMS University, Jaipur, Rajasthan, India.
  • Nakash P; Department of Pharmacy Practice, NIMS University, Jaipur, Rajasthan, India.
  • Sharma A; Department of Biochemistry, NIMS University, Jaipur, Rajasthan, India.
  • Singh M; Department of Endocrinology, NIMS University, Jaipur, Rajasthan, India.
  • Nathiya D; Department of Pharmacy Practice, NIMS University, Jaipur, Rajasthan, India.
  • Joshi N; Department of Clinical Studies, Fourth Hospital of Yulin (Xingyuan), Yulin, Shaanxi, China.
  • Tomar BS; Department of Clinical Sciences, Shenmu Hospital, Shenmu, Shaanxi, China.
BMJ Open ; 14(5): e080623, 2024 May 03.
Article em En | MEDLINE | ID: mdl-38702079
ABSTRACT

OBJECTIVE:

This study aimed to investigate the burden of the COVID-19 pandemic on tuberculosis (TB) trends, patient demographics, disease types and hospitalisation duration within the Respiratory Medicine Department over three distinct phases pre-COVID-19, COVID-19 and post-COVID-19.

DESIGN:

Retrospective analysis using electronic medical records of patients with TB admitted between June 2018 and June 2023 was done to explore the impact of COVID-19 on patients with TB. The study employed a meticulous segmentation into pre-COVID-19, COVID-19 and post-COVID-19 eras.

SETTING:

National Institute of Medical Science Hospital in Jaipur, Rajasthan, India. PRIMARY AND SECONDARY OUTCOME

MEASURES:

Primary outcome includes patients admitted to the Respiratory Medicine Department of the hospital and secondary outcome involves the duration of hospital stay.

RESULTS:

The study encompassed 1845 subjects across the three eras, revealing a reduction in TB incidence during the post-COVID-19 era compared with the pre-COVID-19 period (p<0.01). Substantial demographic shifts were observed, with 5.2% decline in TB incidence among males in the post-COVID-19 era (n=529) compared with the pre-COVID-19 era (n=606). Despite the decrease, overall TB incidence remained significantly higher in males (n=1460) than females (n=385), with consistently elevated rates in rural (65.8%) as compared with the urban areas (34.2%). Extended hospital stays were noted in the post-COVID-19 era compared with the pre-COVID-19 era (p<0.01).

CONCLUSION:

The study underscores the influence of the COVID-19 pandemic on the TB landscape and hospitalisation dynamics. Notably, patient burden of TB declined during the COVID-19 era, with a decline in the post-COVID-19 era compared with the pre-COVID-19 era. Prolonged hospitalisation in the post-COVID-19 period indicates the need for adaptive healthcare strategies and the formulation of public health policies in a post-pandemic context. These findings contribute to a comprehensive understanding of the evolving TB scenario, emphasising the necessity for tailored healthcare approaches in the aftermath of a global health crisis.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Tuberculose / Centros de Atenção Terciária / SARS-CoV-2 / COVID-19 / Hospitalização Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Tuberculose / Centros de Atenção Terciária / SARS-CoV-2 / COVID-19 / Hospitalização Idioma: En Ano de publicação: 2024 Tipo de documento: Article