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.

Dynamic assessment of surge capacity in a large hospital network during COVID-19 pandemic / Nocci, Matteo; Ragazzoni, Luca; Barone-Adesi, Francesco; Hubloue, Ives; Romagnoli, Stefano; Peris, Adriano; Bertini, Pietro; Scolletta, Sabino; Cipollini, Fabrizio; Mechi, Maria T; Della Corte, Francesco. - In: MINERVA ANESTESIOLOGICA. - ISSN 0375-9393. - ELETTRONICO. - 88:(2022), pp. 928-938. [10.23736/S0375-9393.22.16460-6]

Dynamic assessment of surge capacity in a large hospital network during COVID-19 pandemic

Nocci, Matteo;Romagnoli, Stefano;Peris, Adriano;Cipollini, Fabrizio;Mechi, Maria T;
2022

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.
2022
88
928
938
Nocci, Matteo; Ragazzoni, Luca; Barone-Adesi, Francesco; Hubloue, Ives; Romagnoli, Stefano; Peris, Adriano; Bertini, Pietro; Scolletta, Sabino; Cipoll...espandi
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Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/1306306
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