Overall volume | Monthly volume | |||||||||
N | n1 | n2 | Relative (%) change | P value | N | Immediately before n=2838 | During COVID-19 n=1645 | Difference* (95% CI) | P value | |
% (95% CI) | Median (IQR) | |||||||||
Overall | 118 | 2044 | 1585 | −22.5 (−24.3 to −20.7) | <0.0001 | 124 | 4.5 (2.5–7.1) | 3.3 (1.3–6.3) | −0.88 (−1.1 to −0.58) | <0.0001 |
Hospital COVID-19 volume† | ||||||||||
Low | 32 | 432 | 367 | −15.1 (−18.7 to −12.0) | 0.014 | 33 | 3.5 (2.5–6.5) | 3.3 (1.7–6.0) | −0.83 (−1.9 to 0.50) | 0.076 |
Int | 32 | 589 | 458 | −22.2 (−25.8 to −19.1) | <0.0001 | 34 | 4.9 (3.5–6.8) | 3.7 (1.7–6.0) | −0.83 (−1.9 to −0.17) | 0.001 |
High | 33 | 731 | 513 | −29.8 (−33.2 to −26.6) | <0.0001 | 36 | 6.0 (3.0–8.4) | 4.2 (2.2–7.2) | −1.0 (−2.0 to −0.67) | <0.0001 |
Hospital SAH coil embolisation volume‡ | ||||||||||
Low | 42 | 370 | 293 | −20.8 (−25.2 to −17.0) | 0.002 | 45 | 2.5 (1.3–3.8) | 2.0 (1.0–3.3) | −0.25 (−0.75 to 0.08) | 0.141 |
Int | 35 | 490 | 385 | −21.4 (−25.3 to −18.0) | 0.0002 | 36 | 4.4 (2.9–5.6) | 3.0 (1.5–4.7) | −1.0 (−1.5 to −0.17) | 0.007 |
High | 35 | 1014 | 783 | −22.8 (−25.5 to −20.3) | <0.0001 | 36 | 7.3 (5.9–11.6) | 6.7 (4.0–9.3) | −2.0 (−3.1 to −0.75) | <0.0001 |
n1 is based on 3 months before the pandemic (December 2019–February 2020). Immediately before is based on 4 months before the pandemic (November 2019–February 2020). n2 and during COVID-19 are based on March 2020–May 2020.
P value is from Poisson means test (overall volume analysis) and Wilcoxon signed-rank test (monthly volume analysis).
*Difference denotes the median difference between the two time periods.
†P value: low versus Int=0.004, low versus high=<0.0001, Int versus high=0.002.
‡P value: low versus Int=0.831, low versus high=0.429, Int versus high=0.541.
Int, intermediate; N, number of hospitals; n, number of admissions; SAH, subarachnoid haemorrhage.