{"id":1807,"date":"2022-04-08T00:00:00","date_gmt":"2022-04-08T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/hospitalizations-during-the-covid-19-pandemic-among-recently-homeless-individuals-a-retrospective-population-based-matched-cohort-study\/"},"modified":"2023-06-14T19:49:15","modified_gmt":"2023-06-14T23:49:15","slug":"hospitalizations-during-the-covid-19-pandemic-among-recently-homeless-individuals-a-retrospective-population-based-matched-cohort-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/hospitalizations-during-the-covid-19-pandemic-among-recently-homeless-individuals-a-retrospective-population-based-matched-cohort-study\/","title":{"rendered":"Hospitalizations during the COVID-19 pandemic among recently homeless individuals: a retrospective population-based matched cohort study"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; Hospitalizations fell precipitously among the general population during the COVID-19 pandemic. It remains unclear whether individuals experiencing homelessness experienced similar reductions.<\/p>\n<p><strong>Objective<\/strong> &#x2014; To examine how overall and cause-specific hospitalizations changed among individuals with a recent history of homelessness (IRHH) and their housed counterparts during the first wave of the COVID-19 pandemic, using corresponding weeks in 2019 as a historical control.<\/p>\n<p><strong>Design<\/strong> &#x2014; Population-based cohort study conducted in Ontario, Canada, between September 30, 2018, and September 26, 2020.<\/p>\n<p><strong>Participants<\/strong> &#x2014; In total, 38,617 IRHH, 15,022,368 housed individuals, and 186,858 low-income housed individuals matched on age, sex, rurality, and comorbidity burden.<\/p>\n<p><strong>Main Measures<\/strong> &#x2014; Primary outcomes included medical-surgical, non-elective (overall and cause-specific), elective surgical, and psychiatric hospital admissions.<\/p>\n<p><strong>Key Results<\/strong> &#x2014; Average rates of medical-surgical (rate ratio: 3.8, 95% CI: 3.7&#x2013;3.8), non-elective (10.3, 95% CI: 10.1&#x2013;10.4), and psychiatric admissions (128.1, 95% CI: 126.1&#x2013;130.1) between January and September 2020 were substantially higher among IRHH compared to housed individuals. During the peak period (March 17 to June 16, 2020), rates of medical-surgical (0.47, 95% CI: 0.47&#x2013;0.47), non-elective (0.80, 95% CI: 0.79&#x2013;0.80), and psychiatric admissions (0.86, 95% CI: 0.84&#x2013;0.88) were significantly lower among housed individuals relative to equivalent weeks in 2019. No significant changes were observed among IRHH. During the re-opening period (June 17&#x2013;September 26, 2020), rates of non-elective hospitalizations for liver disease (1.41, 95% CI: 1.23&#x2013;1.69), kidney disease (1.29, 95% CI: 1.14&#x2013;1.47), and trauma (1.19, 95% CI: 1.07&#x2013;1.32) increased substantially among IRHH but not housed individuals. Distinct hospitalization patterns were observed among IRHH even in comparison with more medically and socially vulnerable matched housed individuals.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; Persistence in overall hospital admissions and increases in non-elective hospitalizations for liver disease, kidney disease, and trauma indicate that the COVID-19 pandemic presented unique challenges for recently homeless individuals. Health systems must better address the needs of this population during public health crises.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Hospitalizations fell precipitously among the general population during the COVID-19 pandemic. It remains unclear whether individuals experiencing homelessness experienced similar reductions. Objective &#x2014; To examine how overall and cause-specific hospitalizations changed among individuals with a recent history of homelessness (IRHH) and their housed counterparts during the first wave of the COVID-19 pandemic, using [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[87],"class_list":["post-1807","journal_article","type-journal_article","status-publish","hentry","migration-helper-qa-sample-set-journal-articles-set-a"],"acf":{"citation":"Liu M, Richard L, Campitelli MA, Nisenbaum R, Dhalla IA, Wadhera RK, Shariff SZ, Hwang SW. <em>J Gen Intern Med<\/em>. 2022; 37(8):2016-25. Epub 2022 Apr 8.","source_url":"https:\/\/link.springer.com\/article\/10.1007\/s11606-022-07506-4","ices_scientist":[1359,1271,1213,1207],"site":[6739],"research_program":[6740],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"D487CE5A-27EE-4F10-AE9E-8E2BDA26AF97","sitecore_item_name":"Hospitalizations-during-the-COVID-19-pandemic-among-recently-homeless-individuals","sitecore_field_values":"{\n  \"Title\": \"Hospitalizations during the COVID-19 pandemic among recently homeless individuals: a retrospective population-based matched cohort study\",\n  \"Short title\": \"Hospitalizations during the COVID-19\",\n  \"Summary\": \"The study objective was to examine how hospitalizations changed among individuals with a recent history of homelessness and their housed counterparts during the first wave of the COVID-19 pandemic.\",\n  \"Citation\": \"<p>Liu M, Richard L, Campitelli MA, Nisenbaum R, Dhalla IA, Wadhera RK, Shariff SZ, Hwang SW. <em>J Gen Intern Med<\/em>. 2022; 37(8):2016-25. Epub 2022 Apr 8. DOI: <a href=\"https:\/\/doi.org\/10.1007\/s11606-022-07506-4\" title=\"opens external link\">https:\/\/doi.org\/10.1007\/s11606-022-07506-4<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; Hospitalizations fell precipitously among the general population during the COVID-19 pandemic. It remains unclear whether individuals experiencing homelessness experienced similar reductions.<\/p>n<p><strong>Objective<\/strong> &mdash; To examine how overall and cause-specific hospitalizations changed among individuals with a recent history of homelessness (IRHH) and their housed counterparts during the first wave of the COVID-19 pandemic, using corresponding weeks in 2019 as a historical control.<\/p>n<p><strong>Design<\/strong> &mdash; Population-based cohort study conducted in Ontario, Canada, between September 30, 2018, and September 26, 2020.<\/p>n<p><strong>Participants<\/strong> &mdash; In total, 38,617 IRHH, 15,022,368 housed individuals, and 186,858 low-income housed individuals matched on age, sex, rurality, and comorbidity burden.<\/p>n<p><strong>Main Measures<\/strong> &mdash; Primary outcomes included medical-surgical, non-elective (overall and cause-specific), elective surgical, and psychiatric hospital admissions.<\/p>n<p><strong>Key Results<\/strong> &mdash; Average rates of medical-surgical (rate ratio: 3.8, 95% CI: 3.7&ndash;3.8), non-elective (10.3, 95% CI: 10.1&ndash;10.4), and psychiatric admissions (128.1, 95% CI: 126.1&ndash;130.1) between January and September 2020 were substantially higher among IRHH compared to housed individuals. During the peak period (March 17 to June 16, 2020), rates of medical-surgical (0.47, 95% CI: 0.47&ndash;0.47), non-elective (0.80, 95% CI: 0.79&ndash;0.80), and psychiatric admissions (0.86, 95% CI: 0.84&ndash;0.88) were significantly lower among housed individuals relative to equivalent weeks in 2019. No significant changes were observed among IRHH. During the re-opening period (June 17&ndash;September 26, 2020), rates of non-elective hospitalizations for liver disease (1.41, 95% CI: 1.23&ndash;1.69), kidney disease (1.29, 95% CI: 1.14&ndash;1.47), and trauma (1.19, 95% CI: 1.07&ndash;1.32) increased substantially among IRHH but not housed individuals. Distinct hospitalization patterns were observed among IRHH even in comparison with more medically and socially vulnerable matched housed individuals.<\/p>n<p><strong>Conclusions<\/strong> &mdash; Persistence in overall hospital admissions and increases in non-elective hospitalizations for liver disease, kidney disease, and trauma indicate that the COVID-19 pandemic presented unique challenges for recently homeless individuals. Health systems must better address the needs of this population during public health crises.<\/p>n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-022-07506-4\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{46DF28D2-EDE8-4DF2-8CC0-87CEF464E435}\",\n  \"ICES Locations\": \"{3B4AF7E8-6835-410B-AEB8-360A79CA0ED8}\",\n  \"ICES Scientists\": \"{E8DA0CD3-1341-4EA5-846D-D3FCFCEB3137}|{0C9AB207-93FF-44DC-91F0-579DF3D39255}|{C3A1DE68-838D-4F81-AA49-35368583A9A8}|{A63E52B6-A1CB-4479-9F43-492E65695C5B}\",\n  \"Posted Date\": \"20220408T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2022\/April\/Hospitalizations-during-the-COVID-19-pandemic-among-recently-homeless-individuals"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Hospitalizations during the COVID-19 pandemic among recently homeless individuals: a retrospective population-based matched cohort study<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Hospitalizations fell precipitously among the general population during the COVID-19 pandemic. 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