The impact of the state of Ohio stay-at-home order on non-COVID-19 intensive care unit admissions and outcomes

Cleveland Clinic, the largest healthcare system in northeast Ohio with its 10 hospitals witnessed a significant decline in ER visits and intensive care unit (ICU) admissions since the March 16 Ohio school closure order and the March 23 stay-at-home order by the Governor of Ohio. [...]the decline across all patient principal diagnoses and admission numbers, along with an increase in the APS and APACHE III score and the increase in the number of patients with ARDS and cardiogenic shock in the 2020 cohort are alarming. A Similar decline of 42% was reported by the Centres for Disease Control and Prevention (CDC) in emergency room visits as of June 3, 2020 because of the pandemic [7], a decline of 42% in Veterans Affairs hospitals admissions [4] and 33.7% in hospital admissions for eight other acute care hospitals [9], a decline of 38% to 40% in cardiac catheterisation laboratory ST-segment elevation myocardial infarction (STEMI) activations across the United States and Spain [1, 8], and finally a decline in the use of stroke imaging by 39% [10].