Impacts of mild COVID-19 on elevated use of primary and specialist health care services: A nationwide register study from Norway.

<h4>Aim</h4>To explore the temporal impact of mild COVID-19 on need for primary and specialist health care services.<h4>Methods</h4>In all adults (≥20 years) tested for SARS-CoV-2 in Norway March 1st 2020 to February 1st 2021 (N = 1 401 922), we contrasted the monthly all-cau...

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Autores principales:	Katrine Damgaard Skyrud, Kjersti Helene Hernæs, Kjetil Elias Telle, Karin Magnusson
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/672c6bf17fe440f482f1efd2d571cccf
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spelling	oai:doaj.org-article:672c6bf17fe440f482f1efd2d571cccf2021-11-25T05:54:12ZImpacts of mild COVID-19 on elevated use of primary and specialist health care services: A nationwide register study from Norway.1932-620310.1371/journal.pone.0257926https://doaj.org/article/672c6bf17fe440f482f1efd2d571cccf2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257926https://doaj.org/toc/1932-6203<h4>Aim</h4>To explore the temporal impact of mild COVID-19 on need for primary and specialist health care services.<h4>Methods</h4>In all adults (≥20 years) tested for SARS-CoV-2 in Norway March 1st 2020 to February 1st 2021 (N = 1 401 922), we contrasted the monthly all-cause health care use before and up to 6 months after the test (% relative difference), for patients with a positive test for SARS-CoV-2 (non-hospitalization, i.e. mild COVID-19) and patients with a negative test (no COVID-19).<h4>Results</h4>We found a substantial short-term elevation in primary care use in all age groups, with men generally having a higher relative increase (men 20-44 years: 522%, 95%CI = 509-535, 45-69 years: 439%, 95%CI = 426-452, ≥70 years: 199%, 95%CI = 180-218) than women (20-44 years: 342, 95%CI = 334-350, 45-69 years = 375, 95%CI = 365-385, ≥70 years: 156%, 95%CI = 141-171) at 1 month following positive test. At 2 months, this sex difference was less pronounced, with a (20-44 years: 21%, 95%CI = 13-29, 45-69 years = 38%, 95%CI = 30-46, ≥70 years: 15%, 95%CI = 3-28) increase in primary care use for men, and a (20-44 years: 30%, 95%CI = 24-36, 45-69 years = 57%, 95%CI = 50-64, ≥70 years: 14%, 95%CI = 4-24) increase for women. At 3 months after test, only women aged 45-70 years still had an increased primary care use (14%, 95%CI = 7-20). The increase was due to respiratory- and general/unspecified conditions. We observed no long-term (4-6 months) elevation in primary care use, and no elevation in specialist care use.<h4>Conclusion</h4>Mild COVID-19 gives an elevated need for primary care that vanishes 2-3 months after positive test. Middle-aged women had the most prolonged increased primary care use.Katrine Damgaard SkyrudKjersti Helene HernæsKjetil Elias TelleKarin MagnussonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0257926 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Katrine Damgaard Skyrud Kjersti Helene Hernæs Kjetil Elias Telle Karin Magnusson Impacts of mild COVID-19 on elevated use of primary and specialist health care services: A nationwide register study from Norway.
description	<h4>Aim</h4>To explore the temporal impact of mild COVID-19 on need for primary and specialist health care services.<h4>Methods</h4>In all adults (≥20 years) tested for SARS-CoV-2 in Norway March 1st 2020 to February 1st 2021 (N = 1 401 922), we contrasted the monthly all-cause health care use before and up to 6 months after the test (% relative difference), for patients with a positive test for SARS-CoV-2 (non-hospitalization, i.e. mild COVID-19) and patients with a negative test (no COVID-19).<h4>Results</h4>We found a substantial short-term elevation in primary care use in all age groups, with men generally having a higher relative increase (men 20-44 years: 522%, 95%CI = 509-535, 45-69 years: 439%, 95%CI = 426-452, ≥70 years: 199%, 95%CI = 180-218) than women (20-44 years: 342, 95%CI = 334-350, 45-69 years = 375, 95%CI = 365-385, ≥70 years: 156%, 95%CI = 141-171) at 1 month following positive test. At 2 months, this sex difference was less pronounced, with a (20-44 years: 21%, 95%CI = 13-29, 45-69 years = 38%, 95%CI = 30-46, ≥70 years: 15%, 95%CI = 3-28) increase in primary care use for men, and a (20-44 years: 30%, 95%CI = 24-36, 45-69 years = 57%, 95%CI = 50-64, ≥70 years: 14%, 95%CI = 4-24) increase for women. At 3 months after test, only women aged 45-70 years still had an increased primary care use (14%, 95%CI = 7-20). The increase was due to respiratory- and general/unspecified conditions. We observed no long-term (4-6 months) elevation in primary care use, and no elevation in specialist care use.<h4>Conclusion</h4>Mild COVID-19 gives an elevated need for primary care that vanishes 2-3 months after positive test. Middle-aged women had the most prolonged increased primary care use.
format	article
author	Katrine Damgaard Skyrud Kjersti Helene Hernæs Kjetil Elias Telle Karin Magnusson
author_facet	Katrine Damgaard Skyrud Kjersti Helene Hernæs Kjetil Elias Telle Karin Magnusson
author_sort	Katrine Damgaard Skyrud
title	Impacts of mild COVID-19 on elevated use of primary and specialist health care services: A nationwide register study from Norway.
title_short	Impacts of mild COVID-19 on elevated use of primary and specialist health care services: A nationwide register study from Norway.
title_full	Impacts of mild COVID-19 on elevated use of primary and specialist health care services: A nationwide register study from Norway.
title_fullStr	Impacts of mild COVID-19 on elevated use of primary and specialist health care services: A nationwide register study from Norway.
title_full_unstemmed	Impacts of mild COVID-19 on elevated use of primary and specialist health care services: A nationwide register study from Norway.
title_sort	impacts of mild covid-19 on elevated use of primary and specialist health care services: a nationwide register study from norway.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/672c6bf17fe440f482f1efd2d571cccf
work_keys_str_mv	AT katrinedamgaardskyrud impactsofmildcovid19onelevateduseofprimaryandspecialisthealthcareservicesanationwideregisterstudyfromnorway AT kjerstihelenehernæs impactsofmildcovid19onelevateduseofprimaryandspecialisthealthcareservicesanationwideregisterstudyfromnorway AT kjetileliastelle impactsofmildcovid19onelevateduseofprimaryandspecialisthealthcareservicesanationwideregisterstudyfromnorway AT karinmagnusson impactsofmildcovid19onelevateduseofprimaryandspecialisthealthcareservicesanationwideregisterstudyfromnorway
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Impacts of mild COVID-19 on elevated use of primary and specialist health care services: A nationwide register study from Norway.

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