High bed capacity was not matched by similar intensive care capacities

2021 ◽  
Keyword(s):  
Intensive Care ◽  
Bed Capacity

Parameters of bed occupancy of intensive care units in Hungary

2011 ◽  
Vol 152 (24) ◽  
pp. 946-950 ◽  
Author(s):  
Miklós Gresz
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Insurance ◽  
Intensive Care Units ◽  
Emergency Care ◽  
Present Author ◽  
Bed Occupancy ◽  
National Network ◽  
Bed Capacity

According to the Semmelweis Plan for Saving Health Care, ”the capacity of the national network of intensive care units in Hungary is one but not the only bottleneck of emergency care at present”. Author shows on the basis of data reported to the health insurance that not on a single calendar day more than 75% of beds in intensive care units were occupied. There were about 15 to 20 thousand sick days which could be considered unnecessary because patients occupying these beds were discharged to their homes directly from the intensive care unit. The data indicate that on the whole bed capacity is not low, only in some institutions insufficient. Thus, in order to improve emergency care in Hungary, the rearrangement of existing beds, rather than an increase of bed capacity is needed. Orv. Hetil., 2011, 152, 946–950.

scholarly journals Changes in the Number of Intensive Care Unit Beds in U.S. Hospitals During the Early Months of the COVID-19 Pandemic, as reported to the National Healthcare Safety Network’s COVID-19 Module

2021 ◽  
pp. 1-12
Author(s):  
Lindsey M. Weiner-Lastinger ◽  
Margaret A. Dudeck ◽  
Katherine Allen-Bridson ◽  
Raymund Dantes ◽  
Cindy Gross ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Type ◽  
National Healthcare ◽  
National Healthcare Safety Network ◽  
Bed Capacity ◽  
Using Data

Abstract Using data from the National Healthcare Safety Network (NHSN), we assessed changes to intensive care unit (ICU) bed capacity during the early months of the COVID-19 pandemic. Changes in capacity varied by hospital type and size. ICU beds increased by 36%, highlighting the pressure placed on hospitals during the pandemic.

scholarly journals The good, the bad and the ugly: pandemic priority decisions and triage

2020 ◽  
pp. medethics-2020-106489 ◽  
Author(s):  
Hans Flaatten ◽  
Vernon Van Heerden ◽  
Christian Jung ◽  
Michael Beil ◽  
Susannah Leaver ◽  
...  
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Point Of View ◽  
Just In Time ◽  
Time Period ◽  
Utilitarian Approach ◽  
Bed Capacity ◽  
Trained Staff ◽  
Short Time

In this analysis we discuss the change in criteria for triage of patients during three different phases of a pandemic like COVID-19, seen from the critical care point of view. Availability of critical care beds has become a hot topic, and in many countries, we have seen a huge increase in the provision of temporary intensive care bed capacity. However, there is a limit where the hospitals may run out of resources to provide critical care, which is heavily dependent on trained staff, just-in-time supply chains for clinical consumables and drugs and advanced equipment. In the first (good) phase, we can still do clinical prioritisation and decision-making as usual, based on the need for intensive care and prognostication: what are the odds for a good result with regard to survival and quality of life. In the next (bad phase), the resources are mostly available, but the system is stressed by many patients arriving over a short time period and auxiliary beds in different places in the hospital being used. We may have to abandon admittance of patients with doubtful prognosis. In the last (ugly) phase, usual medical triage and priority setting may not be sufficient to decrease inflow and there may not be enough intensive care unit beds available. In this phase different criteria must be applied using a utilitarian approach for triage. We argue that this is an important transition where society, and not physicians, must provide guidance to support triage that is no longer based on medical priorities alone.

Nosocomial Infections in a New Medical Center, Turkey

2000 ◽  
Vol 21 (8) ◽  
pp. 534-536 ◽  
Author(s):  
Bengül Durmaz ◽  
Riza Durmaz ◽  
Bariş Otlu ◽  
Emine Sönmez
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nosocomial Infection ◽  
General Surgery ◽  
Nosocomial Infections ◽  
Medical Center ◽  
The Other ◽  
Hospital Acquired Infections ◽  
Bed Capacity ◽  
Hospital Acquired

Nosocomial infection was found in 255 (2.5%) of 10,164 inpatients in a new medical center with a 310-bed capacity. The infection rate was 12.5% in the intensive care unit, 9.5% in neurology, 5.5% in general surgery, and 4.0% in orthopedics. Rates in the other services were lower. Hospital-acquired infections in our medical center frequently involved multiply resistant Enterobacteriaceae and staphylococci.

scholarly journals Balancing revenue generation with capacity generation: Case distribution, financial impact and hospital capacity changes from cancelling or resuming elective surgeries in the US during COVID-19

2020 ◽  
Author(s):  
Joseph E. Tonna ◽  
Heidi A. Hanson ◽  
Jessica N. Cohan ◽  
Marta L. McCrum ◽  
Joshua J. Horns ◽  
...  
Keyword(s):  
Intensive Care ◽  
Elective Surgery ◽  
Cohort Analysis ◽  
Open Science ◽  
National Institutes Of Health ◽  
Financial Impact ◽  
Infection Prevalence ◽  
Competing Interests ◽  
Bed Capacity ◽  
Case Distribution

AbstractBackgroundTo increase bed capacity and resources, hospitals have postponed elective surgeries, although the financial impact of this decision is unknown. We sought to report elective surgical case distribution, associated gross hospital earnings and regional hospital and intensive care unit (ICU) bed capacity as elective surgical cases are cancelled and then resumed under simulated trends of COVID-19 incidence.MethodsA retrospective, cohort analysis was performed using insurance claims from 161 million enrollees from the MarketScan database from January 1, 2008 to December 31, 2017. COVID-19 cases were calculated using a generalized Richards model. Centers for Disease Control (CDC) reports on the number of hospitalized and intensive care patients by age were used to estimate the number of cases seen in the ICU, the reduction in elective surgeries and the financial impact of this from historic claims data, using a denominator of all inpatient revenue and outpatient surgeries.ResultsAssuming 5% infection prevalence, cancelling all elective procedures decreases ICU overcapacity from 340% to 270%, but these elective surgical cases contribute 78% (IQR 74, 80) (1.1 trillion (T) US dollars) to inpatient hospital plus outpatient surgical gross earnings per year. Musculoskeletal, circulatory and digestive category elective surgical cases compose 33% ($447B) of total revenue.ConclusionsProcedures involving the musculoskeletal, cardiovascular and digestive system account for the largest loss of hospital gross earnings when elective surgery is postponed. As hospital bed capacity increases following the COVID-19 pandemic, restoring volume of these elective cases will help maintain revenue.DECLARATIONSEthics approval and consent to participateThis study did not meet criteria for IRB review.Consent for publicationNot applicableAvailability of data and materialsTo facilitate research reproducibility, replicability, accuracy and transparency, the associated analytic code is available on the Open Science Foundation [1] (OSF) repository, [DOI 10.17605/OSF.IO/U53M4] at [https://osf.io/u53m4]. The data that support the findings of this study were obtained under license from Truven. Data were received de-identified in accordance with Section 164.514 of the Health Insurance Portability and Accountability Act (HIPAA).Competing interestsJET received modest financial support for speakers fees from LivaNova and from Philips Healthcare, outside of the work. The other authors declare that they have no competing interests.FundingJET is supported by a career development award (K23HL141596) from the National Heart, Lung, And Blood Institute (NHLBI) of the National Institutes of Health (NIH). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. None of the funding sources were involved in the design or conduct of the study, collection, management, analysis or interpretation of the data, or preparation, review or approval of the manuscript.Authors’ contributionsJET, JH had full access to all the data in the study, takes responsibility for the integrity of the data, the accuracy of the data analysis, and the integrity of the submission as a whole, from inception to published article. JET, HH, BSB, JC, MM, JJH, JH conceived study design; JET, HH, BSB, JC, MM, JJH, RD, BK, AJC, JH contributed to data acquisition and analysis; JET, HH, JJH, JH drafted the work; all authors revised the article for important intellectual content, had final approval of the work to be published, and agree to be accountable to for all aspects of the work.AcknowledgementsNot applicable

scholarly journals Do we need to enlarge emergency services or new emergency hospitals?

2021 ◽  
Vol 8 (5) ◽  
pp. 329-333
Author(s):  
Ensar Durmuş ◽  
Fatih Güneysu
Keyword(s):  
Intensive Care ◽  
Emergency Room ◽  
Emergency Services ◽  
Cross Sectional ◽  
Average Hospital ◽  
Emergency Admissions ◽  
Prolonged Length ◽  
Intensive Care Patients ◽  
Number Of Patients ◽  
Bed Capacity

Objective: It was aimed to obtain a notion about the needed hospital bed capacity by analyzing the number of hospitalizations and referrals from the ER in this study. Material and Method: This study is a retrospective, analytical cross-sectional research. Patients admitted to a tertiary hospital’s adult emergency service in 2018-2019, hospitalized, or referred to another hospital were analyzed. Results: Of the patients, 28036 were hospitalized; furthermore, this number corresponded to 38.4 patients per day. Of these cases, 15303 (54.6%) were male, and the mean age was 57.89 (±19.5); 8438 cases (30.1%) were admitted to the intensive care unit. The department with the most hospitalizations was internal medicine with 6105 patients (21.78%) and cardiology, with 4822 hospitalized, the most intensive care patients; moreover, psychiatry had the most prolonged length of stay service average of 28 days. The number of patients required to be hospitalized from the emergency room was an average of 48.5 patients per day. The average hospital stay was seven days. Conclusion: Mainly in regions with several emergency admissions, it can be considered to establish emergency hospitals that serve particularly emergency cases to engage the number of patients to be hospitalized from the emergency room.

scholarly journals The role of remdesivir in South Africa: preventing COVID-19 deaths through increasing ICU capacity

2020 ◽  
Author(s):  
Brooke E Nichols ◽  
Lise Jamieson ◽  
Sabrina RC Zhang ◽  
Sheetal Silal ◽  
Juliet R.C. Pulliam ◽  
...  
Keyword(s):  
South Africa ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Expected Number ◽  
Bed Capacity

ABSTRACTCountries such as South Africa have limited intensive care unit (ICU) capacity to handle the expected number of COVID-19 patients requiring ICU care. Remdesivir can prevent deaths in countries such as South Africa by decreasing the number of days people spend in ICU, therefore freeing up ICU bed capacity.

scholarly journals Minimum requirements for rescuit beds and respiratory equipment in institutions refined for treatment of the new coronavirus infection COVID-19. Article

2020 ◽  
pp. 34-40
Author(s):  
B. V Silaev ◽  
V. I Vechorko ◽  
D. N Protsenko ◽  
O. V Averkov ◽  
E. Yu Khalikova
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Infectious Diseases ◽  
Clinical Hospital ◽  
Hospital Beds ◽  
Minimum Requirements ◽  
Bed Capacity ◽  
Coronavirus Infection

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.

scholarly journals National intensive care unit bed capacity and ICU patient characteristics in a low income country

2012 ◽  
Vol 5 (1) ◽  
Author(s):  
Arthur Kwizera ◽  
Martin Dünser ◽  
Jane Nakibuuka
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Low Income ◽  
Patient Characteristics ◽  
Income Country ◽  
Low Income Country ◽  
Bed Capacity

scholarly journals Critical care medicine in the French Territories in the Americas: Current situation and prospects

2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Hatem Kallel ◽  
Dabor Resiere ◽  
Stéphanie Houcke ◽  
Didier Hommel ◽  
Jean Marc Pujo ◽  
...  
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Road Traffic ◽  
Multidisciplinary Care ◽  
Scientific Cooperation ◽  
Specific Knowledge ◽  
Critical Care Management ◽  
Bed Capacity ◽  
Training Research ◽  
Seriously Ill Patients

Hospitals in the French Territories in the Americas (FTA) work according to international and French standards. This paper aims to describe different aspects of critical care in the FTA. For this, we reviewed official information about population size and intensive care unit (ICU) bed capacity in the FTA and literature on FTA ICU specificities. Persons living in or visiting the FTA are exposed to specific risks, mainly severe road traffic injuries, envenoming, stab or ballistic wounds, and emergent tropical infectious diseases. These diseases may require specific knowledge and critical care management. However, there are not enough ICU beds in the FTA. Indeed, there are 7.2 ICU beds/100 000 population in Guadeloupe, 7.2 in Martinique, and 4.5 in French Guiana. In addition, seriously ill patients in remote areas regularly have to be transferred, most often by helicopter, resulting in a delay in admission to intensive care. The COVID-19 crisis has shown that the health care system in the FTA is unready to face such an epidemic and that intensive care bed capacity must be increased. In conclusion, the critical care sector in the FTA requires upgrading of infrastructure, human resources, and equipment as well as enhancement of multidisciplinary care. Also needed are promotion of training, research, and regional and international medical and scientific cooperation.

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