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Effect of Coronavirus Disease 2019 (Covid-19), a Nationwide Mass Casualty Disaster on Intensive Care Units: Clinical Outcomes and Associated Cost-of-Care.
Henning, Allison M; Thomas, Neal J; Williams, Duane C; Shore, David M; Memmi, Michelle E; Wang, Li.
Afiliación
  • Henning AM; Department of Internal Medicine and Pediatrics, Penn State MS Hershey Medical Center, Hershey, PA, USA.
  • Thomas NJ; Pediatric Critical Care Medicine, Department of Pediatrics, Penn State Hershey Children's Hospital, Hershey, Pennsylvania.
  • Williams DC; Pediatric Critical Care Medicine, Department of Pediatrics, Penn State Hershey Children's Hospital, Hershey, Pennsylvania.
  • Shore DM; Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Penn State MS Hershey Medical Center, Hershey, PA, USA.
  • Memmi ME; Department of Quality Systems Improvement, Penn State MS Hershey Medical Center, Hershey, PA, USA.
  • Wang L; Department of Public Health Sciences, Penn State College of Medicine, Hershey, USA.
Disaster Med Public Health Prep ; 17: e249, 2022 06 15.
Article en En | MEDLINE | ID: mdl-35703087
OBJECTIVE: The COVID-19 pandemic resulted in millions of deaths worldwide and is considered a significant mass-casualty disaster (MCD). The surge of patients and scarcity of resources negatively impacted hospitals, patients and medical practice. We hypothesized ICUs during this MCD had a higher acuity of illness, and subsequently had increased lengths of stay (LOS), complication rates, death rates and costs of care. The purpose of this study was to investigate those outcomes. METHODS: This was a multicenter, retrospective study that compared intensive care admissions in 2020 to those in 2019 to evaluate patient outcomes and cost of care. Data were obtained from the Vizient Clinical Data Base/Resource Manager (Vizient Inc., Irvine, Texas, USA). RESULTS: Data included the number of ICU admissions, patient outcomes, case mix index and summary of cost reports. Quality outcomes were also collected, and a total of 1304981 patients from 333 hospitals were included. For all medical centers, there was a significant increase in LOS index, ICU LOS, complication rate, case mix index, total cost, and direct cost index. CONCLUSION: The MCD caused by COVID-19 was associated with increased adverse outcomes and cost-of-care for ICU patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Incidentes con Víctimas en Masa / COVID-19 Tipo de estudio: Clinical_trials / Health_economic_evaluation / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Disaster Med Public Health Prep Asunto de la revista: SAUDE PUBLICA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Incidentes con Víctimas en Masa / COVID-19 Tipo de estudio: Clinical_trials / Health_economic_evaluation / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Disaster Med Public Health Prep Asunto de la revista: SAUDE PUBLICA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos