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Abstract

Background

In early 2020, the I-MOVE-COVID-19 hospital surveillance system was adapted from an existing influenza surveillance system to include hospitalised COVID-19 cases.

Aim

To describe trends in the demographic and clinical characteristics of hospitalised COVID-19 cases across Europe during the first 2 years of the pandemic, and to identify associations between sex, age and chronic conditions with admission to intensive care or high dependency units (ICU/HDU) and in-hospital mortality.

Methods

We pooled pseudonymised data from all hospitalised COVID-19 cases in 11 surveillance sites in nine European countries, collected between 1 February 2020 and 31 December 2021. Associations between sex, age and chronic conditions, with ICU/HDU admission and in-hospital mortality were examined using Pearson’s chi-squared test, and crude odds ratio (OR) estimates with respective 95% confidence intervals (CI).

Results

Of 25,971 hospitalised COVID-19 cases, 55% were male, 35% were 75 years or older and 90% had a chronic underlying condition. Patients with two or more chronic underlying conditions were significantly more likely to die in-hospital from COVID-19 (OR: 10.84; 95% CI: 8.30–14.16) than those without a chronic condition.

Conclusion

The surveillance demonstrated that males, those 75 years or older and those with chronic conditions were at greater risk of in-hospital death. Over the surveillance period, outcomes tended to improve, likely because of vaccinations. This surveillance has laid the groundwork for further research studies investigating the risk factors of hospitalised COVID-19 cases and vaccine effectiveness.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
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/content/10.2807/1560-7917.ES.2023.28.26.2200669
2023-06-29
2024-04-27
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2023.28.26.2200669
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Enhanced surveillance of hospitalised COVID-19 patients in Europe: I-MOVE-COVID-19 surveillance network, February 2020 to December 2021
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Heather+Mutch&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Mutch Heather</a>, <a href="/search?value1=Johanna+J+Young&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Young Johanna J</a>, <a href="/search?value1=Fatima+Sadiq&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sadiq Fatima</a>, <a href="/search?value1=Angela+MC+Rose&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rose Angela MC</a>, <a href="/search?value1=Josie+MM+Evans&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Evans Josie MM</a>, <a href="/search?value1=on+behalf+of+the+European+COVID-19+hospital+surveillance+analysis+writing+group&option1=author&noRedirect=true" class="nonDisambigAuthorLink">on behalf of the European COVID-19 hospital surveillance analysis writing group</a></span>. Enhanced surveillance of hospitalised COVID-19 patients in Europe: I-MOVE-COVID-19 surveillance network, February 2020 to December 2021. <a href="/content/ecdc">Euro Surveill.</a> 2023;28(26):pii=2200669. <a href="https://doi.org/10.2807/1560-7917.ES.2023.28.26.2200669" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2023.28.26.2200669</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 19 Aug 2022;&nbsp;&nbsp; <span class="generated">Accepted</span>: 29 Mar 2023 </span> </p>
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