Comparison care pathways ‘lockdown’ and pre-COVID periods
| Period | Period | |||||
|---|---|---|---|---|---|---|
| 24Mar19 – 03Jul19 (comparator) | 24Mar20 – 03Jul20 (lockdown 1) | Absolute Change | 01Nov18 – 16May19 (comparator) | 01Nov20 – 16May21 (lockdown 2) | Absolute Change | |
| 1st Hospital MTC | 9908 (44.5%) | 7376 (42.1%) | -2532 [-2.4 (-3.4 to -1.4)]p<0.0001 | 18099 (44.1%) | 15928 (41.6%) | -2171 [-2.5 (-3.2 to -1.8)]p<0.0001 |
| Treated at MTC | 11176 (50.2%) | 8256 (47.2%) | -2920 [-3 (-4 to -2)]p<0.0001 | 20395 (49.7%) | 17852 (46.7%) | -2543[-3 (-4 to -2.4)]p<0.0001 |
| Consultant ED | 8140 (36.6%) | 5562 (31.8%) | -2578 [-4.8(-5.8 to -3.9)]p<0.0001 | 14779 (36%) | 12577 (32.9%) | -2202 [-3.2 (-3.8 to -2.5)]p<0.0001 |
| CT within 1 hr | 5062 (31.9%) | 3992 (30.9%) | -1070 [-0.9(-2 to 0.1)]p=0.0944 | 9203 (31.6%) | 7776 (27.1%) | -1427 [-4(-5 to -3.7)]p<0.0001 |
| Whole body CT | 3348 (15.1%) | 3210 (18.3%) | -138 [3 (2 to 4)]p<0.0001 | 6040 (14.7%) | 6417 (16.8%) | 377 [2 (1.5 to 2.5)]p<0.0001 |
| ICU stay | 3092 (13.9%) | 2208 (12.6%) | -884 [-1.3(-1.9 to -0.6) ]p=0.0002 | 5591 (13.6%) | 3850 (10.1%) | -1741 [-3.6(-4 to -3)]p<0.0001 |
| Mortality* | 1417 (7.1%) | 1316 (8.3%) | -101 [1.2 (0.6 to 1.7)]p<0.0001 | 2916 (7.9%) | 2858 (8.1%) | -58 [0.2 (-0.1 to 0.6)] p=0.2040 |
| Discharge destination, n(%) | ||||||
| Home (own) | 13800 (62%) | 10484 (59.9%) | -3316 [-2(-3.1 to -1.2)]p<0.0001 | 24961 (60.9%) | 23368 (61.1%) | -1593 [-0.7 (-1.4 to -0.05)]p=0.0340 |
| Home (relative/carer) | 473 (2.1%) | 372 (2.1%) | -101 [0 (-0.3 to 0.3)]p=0.9890 | 974 (2.4%) | 852 (2.2%) | -122 [-0.1(-0.4 to 0.06)]p=0.1653 |
| Mortuary* | 1501 (6.7%) | 1323 (7.6%) | -178 [0.8(0.3 to 1.3)]p=0.0019 | 3086 (7.5%) | 2977 (7.8%) | -109 [0.1 (-0.3 to 0.5)]p=0.5113 |
| No fixed abode | 75 (0.3%) | 47 (0.3%) | -28 (-37.3%) | 107 (0.3%) | 87 (0.2%) | -20 (-18.7%) |
| Not Known | 87 (0.4%) | 39 (0.2%) | -48 (-55.2%) | 101 (0.2%) | 95 (0.2%) | -6 (-5.9%) |
| Nursing Home | 1190 (5.3%) | 1063 (6.1%) | -127 [0.7(0.3 to 1.2)]p=0.0020 | 2448 (6%) | 2231 (5.8%) | -217 [-0.2(-0.6 to 0.1)]p=0.1620 |
| Other Acute hospital | 2425 (10.9%) | 1736 (9.9%) | -689 [-0.1(-1.6 to -0.4)]p=0.0014 | 4346 (10.6%) | 3313 (8.7%) | -1033 [-0.1(-0.5 to 0.2)]p=0.4115 |
| Other institution | 526 (2.4%) | 516 (2.9%) | -10 [0.6 (0.3 to 0.9)]p=0.0003 | 980 (2.4%) | 870 (2.3%) | -110 [-0.1 (-0.3 to 0.1)]p=0.2817 |
| Rehabilitation | 2077 (9.3%) | 1871 (10.7%) | -206 [1.3(0.7 to 1.9)]p<0.0001 | 3851 (9.4%) | 4274 (11.2%) | 423 [ 1.7(1.3 to 2.2)]p<0.0001 |
| Social care | 63 (0.3%) | 50 (0.3%) | -13 [0 (-0.1 to 0.1)]p=0.9657 | 121 (0.3%) | 103 (0.3%) | -18 [-0.2(-0.1 to 0.5)]p=0.4939 |
*These totals do not correspond as mortality includes deaths in the community and is censored at 30 days