Dynamic assessment of surge capacity in a large hospital network during COVID-19 pandemic.
Minerva Anestesiol
; 88(11): 928-938, 2022 11.
Article
in English
| MEDLINE | ID: covidwho-2117468
ABSTRACT
BACKGROUND:
The COVID-19 pandemic has provided an unprecedented scenario to deepen knowledge of surge capacity (SC), assessment of which remains a challenge. This study reports a large-scale experience of a multi-hospital network, with the aim of evaluating the characteristics of different hospitals involved in the response and of measuring a real-time SC based on two complementary modalities (actual, base) referring to the intensive care units (ICU).METHODS:
Data analysis referred to two consecutive pandemic waves (March-December 2020). Regarding SC, two different levels of analysis are considered single hospital category (referring to a six-level categorization based on the number of hospital beds) and multi-hospital wide (referring to the response of the entire hospital network).RESULTS:
During the period of 114 days, the analysis revealed a key role of the biggest hospitals (>Category-4) in terms of involvement in the pandemic response. In terms of SC, Category-4 hospitals showed the highest mean SC values, irrespective of the calculation method and level of analysis. At the multi-hospital level, the analysis revealed an overall ICU-SC (base) of 84.4% and an ICU-SC (actual) of 106.5%.CONCLUSIONS:
The results provide benchmarks to better understand ICU hospital response capacity, highlighting the need for a more flexible approach to SC definition.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Surge Capacity
/
COVID-19
Type of study:
Experimental Studies
Limits:
Humans
Language:
English
Journal:
Minerva Anestesiol
Year:
2022
Document Type:
Article
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