{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:36:50Z","timestamp":1791592610792,"version":"4.3.4"},"reference-count":51,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T00:00:00Z","timestamp":1674691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,27]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The fear of contracting coronavirus disease 2019 (COVID-19) and the preventive measures taken during the health crisis affected both people\u2019s lifestyles and the health system. This nationwide study aimed to investigate the impact of the first wave of the COVID-19 pandemic on hospitalizations and mortality related to geriatric syndromes (GS) in older adults in France.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The French National Health Data System was used to compare hospital admissions (excluding the main diagnosis of COVID-19) and mortality rates (using multiple-cause and initial-cause analyses, and both including or excluding confirmed\/probable COVID-19) related to 10 different GS (dementia, other cognitive disorders and symptoms, delirium\/disorientation, depression, undernutrition\/malnutrition, dehydration, pressure ulcer, incontinence, fall\/injury and femoral neck fracture) from January to September 2020 to rates observed in previous years. Analyses were stratified by age, sex, place of residence or place of death, and region.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hospitalization rates for all GS decreased during the first lockdown compared to the same periods in 2017-19 (from \u221259% for incontinence to \u221213% for femoral neck fractures). A\u00a0dose\u2013response relationship was observed between reduced hospitalizations and COVID-19-related mortality rates. Conversely, for almost all GS studied, excess mortality without COVID-19 was observed during this lockdown compared to 2015-17 (from +74% for delirium\/disorientation to +8% for fall\/injury), especially in nursing homes and at home.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In France, during the first lockdown, a substantial decrease in hospitalizations for GS was accompanied by excess mortality. This decline in the use of services, which persisted beyond lockdown, may have a mid- and long-term impact on older adults\u2019 health.<\/jats:p><\/jats:sec>","DOI":"10.1093\/gerona\/glad032","type":"journal-article","created":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T03:32:47Z","timestamp":1674790367000},"page":"1612-1626","source":"Crossref","is-referenced-by-count":15,"title":["Impact of the First COVID-19 Pandemic Wave on Hospitalizations and Deaths Caused by Geriatric Syndromes in France: A\u00a0Nationwide\u00a0Study"],"prefix":"10.1093","volume":"78","author":[{"given":"Marion\u00a0J","family":"Torres","sequence":"first","affiliation":[{"name":"Sant\u00e9 Publique France (French Public Health Agency) , Saint-Maurice , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00ebl","family":"Coste","sequence":"additional","affiliation":[{"name":"Sant\u00e9 Publique France (French Public Health Agency) , Saint-Maurice , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Canou\u00ef-Poitrine","sequence":"additional","affiliation":[{"name":"Univ Paris Est Creteil, INSERM, IMRB , Creteil , France"},{"name":"APHP, H\u00f4pital Henri-Mondor, Service de Sant\u00e9 Publique , Creteil , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Pouchot","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine Interne, H\u00f4pital Europ\u00e9en Georges Pompidou, AP-HP, Universit\u00e9 de Paris , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Rachas","sequence":"additional","affiliation":[{"name":"Department of Strategy, Studies and Statistics, French National Health Insurance (Cnam) , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1556-8590","authenticated-orcid":false,"given":"Laure","family":"Carcaillon-Bentata","sequence":"additional","affiliation":[{"name":"Sant\u00e9 Publique France (French Public Health Agency) , Saint-Maurice , France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,1,26]]},"reference":[{"issue":"34","key":"2023082713560204100_CIT0001","doi-asserted-by":"crossref","DOI":"10.2807\/1560-7917.ES.2020.25.34.2001485","article-title":"Excess all-cause mortality during the first wave of the COVID-19 epidemic in France, March to May 2020","volume":"25","author":"Fouillet","year":"2020","journal-title":"Euro Surveill."},{"issue":"5","key":"2023082713560204100_CIT0002","doi-asserted-by":"crossref","first-page":"e256","DOI":"10.1016\/S2468-2667(20)30061-X","article-title":"COVID-19 and the consequences of isolating the elderly","volume":"5","author":"Armitage","year":"2020","journal-title":"Lancet Public Health"},{"key":"2023082713560204100_CIT0003","doi-asserted-by":"crossref","first-page":"675038","DOI":"10.3389\/fonc.2021.675038","article-title":"Has COVID-19 affected cancer screening programs? 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