{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:18:02Z","timestamp":1747185482925,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T00:00:00Z","timestamp":1655856000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The COVID\u201019 pandemic has affected different parts of Australia in distinct ways across 2020 and 2021. In 2020, Melbourne was the epicentre of COVID\u201019. As one of the key tertiary centres caring for the patients affected by the outbreaks, the Royal Melbourne Hospital (RMH) managed the majority of the Victorian inpatient caseload.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To review the demographics, management and outcomes of patients with COVID\u201019 cared for by the RMH services in 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single health service retrospective cohort analysis of demographics, interventions and outcomes was conducted to characterise the RMH experience in 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From January to December 2020, 433 patients required admission more than 24 h. The demographics of affected patients and outcomes changed over the course of the study. Overall, 47% (203\/433) required oxygen, most frequently (36%; 154\/433) with low\u2010flow devices (nasal prongs or hudson mask), and 11% (47\/433) of patients required admission to intensive care. We recorded a 30\u2010day mortality of 24% (104\/433) mortality overall, rising to over 50% in patients aged over 80 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The experience of this health service in 2020 demonstrated changing demographics over time, with associated differences in outcomes; notably marked mortality in older populations, frequent complications and limited inter\u2010site transfer possible with mobilised resources.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.15699","type":"journal-article","created":{"date-parts":[[2022,1,23]],"date-time":"2022-01-23T13:04:40Z","timestamp":1642943080000},"page":"1129-1134","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["<scp>COVID<\/scp>\u201019 pandemic 2020: a tertiary Melbourne hospital's experience"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7250-8431","authenticated-orcid":false,"given":"Brodie","family":"Farrow","sequence":"first","affiliation":[{"name":"Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3647-3902","authenticated-orcid":false,"given":"Asha","family":"Bonney","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kasha P.","family":"Singh","sequence":"additional","affiliation":[{"name":"Infectious Diseases Royal Melbourne Hospital, The Peter Doherty Institute for Infection and Immunity  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Tong","sequence":"additional","affiliation":[{"name":"Infectious Diseases Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louis","family":"Irving","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen Kwang","family":"Lim","sequence":"additional","affiliation":[{"name":"Geriatric Evaluation and Management Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seok","family":"Lim","sequence":"additional","affiliation":[{"name":"Hospital in the Home Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Johnson","sequence":"additional","affiliation":[{"name":"General Medicine Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Marshall","sequence":"additional","affiliation":[{"name":"Infection Prevention and Surveillance Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Department of Medicine University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsty","family":"Buising","sequence":"additional","affiliation":[{"name":"Infectious Diseases Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belinda","family":"Liu","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Cowie","sequence":"additional","affiliation":[{"name":"Infectious Diseases Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7736-4000","authenticated-orcid":false,"given":"Megan","family":"Rees","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alistair","family":"Miller","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,22]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"WHOTimeline: WHO's COVID\u201019 response. 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