Total deaths in New Jersey last year far surpassed the average numbers in prior years, but not all of those “excess” deaths are directly attributable to COVID-19. A significant rise in at-home deaths in 2020, coupled with a decline in hospitalizations for serious health events like heart attacks and strokes, suggest that delays in seeking care may have cost many New Jerseyans their lives during the pandemic.
The New Jersey Hospital Association and its Center for Health Analytics, Research and Transformation examined data from the New Jersey State Health Assessment Data (SHAD) system and hospital discharge data. That review, Excess Deaths: The Hidden Impact of COVID-19 on Mortality in New Jersey, identified a number of trends associated with mortality in New Jersey as COVID-19 peaked in 2020. Key findings include:
“This data begins to shed light on the uncounted toll of COVID in individuals who delayed seeking necessary healthcare,” said NJHA President and CEO Cathy Bennett. “During COVID’s peak in New Jersey in the spring of 2020, EMS teams throughout the state shared anecdotal reports of individuals who waited too long to seek care for life-threatening conditions. Sadly, this data indicates that those reports were not isolated and, in fact, may be counted among COVID’s terrible impact on N.J. residents.”
The top three causes of deaths at home in 2020 were diseases of the heart, cancer and diabetes, according to the state’s SHAD data. The four-year trend shows the significant rise in each category in the pandemic’s first year:
Meanwhile, hospital admissions for four key emergent conditions (heart attack, heart failure, stroke and kidney disease) decreased by more than 16% in 2020. In the prior three years, 2017-2019, admissions for these conditions never shifted more than 1.9% annually.
“It’s impossible to know whether these excess deaths could have been prevented with timely access to hospital care,” said Sean Hopkins, senior vice president of CHART. “But the trends are troubling, and they reinforce a critical message during a public health emergency: Please don’t delay seeking the care you need.”
The full report and other CHART resources can be found at www.njha.com/CHART.
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