Covid-19' impacts on inpatient admission changes at National Hospital of Dermatology and Venereology, Hanoi, Vietnam

Background: Since the Coronavirus disease in 2019 (COVID-19) was announced as a worldwide pandemic, it has affected all aspects of life, including the economy, society, and the healthcare system. The impact of COVID-19 on co-morbidities is a concern however, there are few studies on dermatological patients.

Objective: To determine COVID-19's impact on the number of hospital admissions and the changes of common diseases at the National Hospital of Dermatology and Venereology

Methods: A cohort study is conducted to collect all admission over four years from Feb 2018 to Jun 2021. The dataset including 10506 records was extracted from the hospital information system database. Descriptive statistical was used to analyse the admission differences between the four- year periods.

Results: The number of patients markedly decreased by about 30% in 2020 and about 60% in 2021. The male/female ratio did not change significantly between before and after the pandemic. Benign neoplasia was the greatest change from 5.9% (2018) to 21% (2021). The allergic/reactive group decreased from 40% (2018) to 25% (2021). The infectious group also decreased from 20% (2018) to 10.8% (2021). The autoimmune group fluctuated at 9%-10%. The top 10 common diseases show that the first position was psoriasis then switched to Carcinoma in situ of skin during the Covid-19 time.

Conclusion: The results of this study are significant in predicting the trend of dermatology patients' admission during a pandemic. The results assist health system leaders and public health authorities in adjusting policies and procedures to suit the pandemic situation that is still complicated.

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