Estimating Brazilian states’ demands for intensive care unit and clinical hospital beds during the COVID-19 pandemic: development of a predictive model

City Clinical Hospital No. 15 named after O.M. Filatov, in the context of re-profiling into an infectious diseases hospital, the need for beds in the intensive care unit amounted to at least 12 % of the total number of hospital beds. Provision of apparatus for mechanical ventilation of lungs (mechanical ventilation) should be at least 80 % of the total number of beds in the intensive care unit. In addition, it is necessary to provide for the possibility of expanding the bed capacity to 30 % of the number of regular beds.

Download Full-text

Risk Factors for diarrhea associated with Clostridium difficile in patients at a clinical hospital

Terapevticheskii arkhiv ◽

10.26442/00403660.2019.11.000337 ◽

2019 ◽

Vol 91 (11) ◽

pp. 20-25

Author(s):

Y N Yarushina ◽

G B Kolotova ◽

V A Rudnov ◽

V A Bagin

Keyword(s):

Risk Factors ◽

Intensive Care Unit ◽

Intensive Care ◽

Clostridium Difficile ◽

Antibiotic Therapy ◽

Case Histories ◽

Clinical Hospital ◽

Comorbidity Index ◽

Autonomous Institution ◽

Therapeutic Profile

Aim: to identify risk factors for Clostridium difficile infection in patients of a therapeutic clinic in a multidisciplinary hospital. Materials and methods. A retrospective analysis of 110 case histories of patients who were hospitalized in therapeutic departments in the Municipal Autonomous Institution “City Clinical Hospital No. 40” in Yekaterinburg (MAU City Clinical Hospital No. 40) in 2014-2015 was conducted, in which antibiotic therapy has developed diarrhea. According to the results of the study of coprofiltrate on Clostridium difficile (CD), patients were divided into 2 groups: 60 patients with a positive result and 50 patients with a negative result. Results. The proportion of patients with CD infection in the structure of patients of the therapeutic profile of the MAU GKB No.40 for 2014-2015 amounted to 0.42%. Predictors of the risk of developing diarrhea associated with CD infection in patients are: age over 65 years (OS 4.33, 95% CI 1.15-16.20, p=0.028), Charlson comorbidity index more than 2 points (OS 3.05, 95% CI 1.29-7.23, p=0.016), the presence of anemia (OR 2.32, 95% CI 1.07-5.02, p=0.048), chronic dialysis in patients with chronic renal insufficiency (CRF) (OR 8.64, 95% CI 1.05-70.81, p=0.020), patients staying in hospital for more than 5 days (OR 3.50, 95% CI 1.57-7.75, p=0.003) and hospitalization of patients in the intensive care unit (ICU) lasting more than 1 day (OS 9.80, 95% CI 1.20-79.47, p=0.011), the use of proton pump inhibitors (PPIs) (OR 2.82, 95% CI 1.12-7.11, p=0.041), antibiotic therapy more than 10 days (OS 39.62, 95% CI 10.85-144.71, p

Download Full-text

Assessing equity in the distribution of hospital beds: evidence from northern Iran

Proceedings of Singapore Healthcare ◽

10.1177/2010105819877894 ◽

2019 ◽

Vol 28 (4) ◽

pp. 259-265

Author(s):

Javad Ebrahimzadeh ◽

Zahra Merati ◽

Mahsa Hedayati Zafarghandi ◽

Ghasem Rajabi ◽

Mohamad Ezati Asar ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Evaluation System ◽

Neonatal Intensive Care ◽

Coronary Care Unit ◽

Theil Index ◽

Northern Iran ◽

Hospital Beds ◽

Coronary Care

Objective: To assess equity in the distribution of hospital beds in northern Iran. Methods: In this cross-sectional study, we investigated the degree of equity by using 2016 census data from 16 cities in Guilan province. The hospital beds include burns, intensive care unit, coronary care unit and neonatal intensive care unit beds. We analysed the general status and explored its distribution equity by using the Theil index. Findings: We found that Rezvanshahr and Masal had no hospital beds. The utilisation gap was positive only in Rasht, as capital of the province. Neonatal intensive care unit beds were only found in Rasht and Lahijan. Rasht was shown to have a positive gap in using burns, intensive care unit and coronary care unit beds, with a negative gap of 14.68 in coronary care unit beds. The other 15 cities did not have such hospital beds. For intensive care unit, coronary care unit and neonatal intensive care unit beds, nearly 8%, 2% and 14% of cities were deprived of being equipped with these hospital beds, respectively. The highest positive gap and the lowest negative gap were attributed to coronary care unit beds. In the province, there were 0.057 burns beds, 0.137 intensive care unit beds, 0.381 coronary care unit beds and 0.72 neonatal intensive care unit beds per 10,000 population (neonatal intensive care unit beds, per 1000 neonates). In 11 out of 16 cities, the number of coronary care unit beds per 10,000 population was higher than the provincial average. The highest inequality in distribution was shown to be for burns beds (0.8), neonatal intensive care unit beds (0.75), intensive care unit beds (0.55) and coronary care unit beds (0.21), respectively. Conclusion: This study revealed high inequalities in the distribution of hospital beds in northern Iran. The local and national policy-makers should design and implement a comprehensive monitoring and evaluation system for tracking and allocating healthcare resources, both qualitatively and quantitatively, which appears to be very necessary to increase the equity in access to healthcare services.

Download Full-text

Septic Syndrome and Septic Shock in the Wounded Treated at the Split Clinical Hospital Intensive Care Unit

Military Medicine ◽

10.1093/milmed/162.5.363 ◽

1997 ◽

Vol 162 (5) ◽

pp. 363-365 ◽

Cited By ~ 2

Author(s):

Antun Bačić ◽

Ivo Glunčić

Keyword(s):

Intensive Care Unit ◽

Septic Shock ◽

Intensive Care ◽

Clinical Hospital ◽

Septic Syndrome ◽

Hospital Intensive Care Unit

Download Full-text

A Predictive Model and Risk Score for Unplanned Cardiac Surgery Intensive Care Unit Readmissions

Journal of Cardiac Surgery ◽

10.1111/jocs.12589 ◽

2015 ◽

Vol 30 (9) ◽

pp. 685-690 ◽

Cited By ~ 8

Author(s):

J. Trent Magruder ◽

Markos Kashiouris ◽

Joshua C. Grimm ◽

Damon Duquaine ◽

Barbara McGuinness ◽

...

Keyword(s):

Intensive Care Unit ◽

Cardiac Surgery ◽

Intensive Care ◽

Predictive Model ◽

Risk Score

Download Full-text

USE OF INTRAVENOUS IMMUNOGLOBULIN G IN COMPREHENSIVE TREATMENT OF COVID-19 SEVERE PATIENTS. SERIES OF CLINICAL CASES

Pain anesthesia and intensive care ◽

10.25284/2519-2078.1(94).2021.230620 ◽

2021 ◽

pp. 78-84

Author(s):

S. Dubrov ◽

M. Denysiuk ◽

S. Sereda ◽

V. Borisova ◽

G. Slavuta ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Intravenous Immunoglobulin ◽

Immunoglobulin G ◽

Comprehensive Treatment ◽

Non Profit ◽

Basic Therapy ◽

Clinical Hospital ◽

Intravenous Immunoglobulin G ◽

The Mean

Introduction. The incidence of COVID-19 continues to rise rapidly worldwide, leading to significant socio-economic damage to health and economic systems.Objective. To determine the effectiveness of intravenous immunoglobulin G (IVIG) in combination with a basic therapy in severe COVID-19.Materials and methods. A retrospective cohort study of 8 case histories of patients with severe COVID-19 for the period from 27.08.2020 to 20.03.2021 was conducted in the intensive care unit (ICU) of the infectious diseases department of the Municipal Non-Profit Enterprise «Kyiv City Clinical Hospital №17» (MNE KCCH №17).Results and discussions. During the period from 27.08.20 to 20.03.21 in the intensive care unit (ICU) of the infectious department of the Municipal Non-Profit Enterprise «Kyiv City Clinical Hospital №17» (MNE KCCH №17) there were 163 patients, of whom 79 died and the mortality rate was 48.4%. The mean age of patients was 63.5 ± 12.9 years (19 to 95 years). The mean age of death was 66.9 ± 9.9 years (40 to 87 years).During the study period, 8 patients received IVIG (5%) together with a basic therapy. The mean age of patients was 51.4 ± 14.7 years (from 29 to 69 years). Mortality among patients receiving IVIG was 37.5%.Conclusions. Mortality of patients who received IVIG in addition to a basic therapy was significantly lower compared to patients who received only basic therapy, 37.5% and 48.4%, respectively.

Download Full-text