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Hospital length of stay throughout bed pathways and factors affecting this time: A non-concurrent cohort study of Colombia COVID-19 patients and an unCoVer network project
Predictions of hospital beds occupancy depends on hospital admission rates and the length of stay (LoS) according to bed type (general ward -GW- and intensive care unit -ICU- beds). The objective of this study was to describe the LoS of COVID-19 hospital patients in Colombia during 2020–2021. Accele...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370719/ https://www.ncbi.nlm.nih.gov/pubmed/37494381 http://dx.doi.org/10.1371/journal.pone.0278429 |
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author | Ruiz Galvis, Lina Marcela Pérez Aguirre, Carlos Andrés Pérez Bedoya, Juan Pablo Mendoza Cardozo, Oscar Ignacio Barengo, Noël Christopher Sánchez Escudero, Juan Pablo Cardona Jiménez, Johnatan Diaz Valencia, Paula Andrea |
author_facet | Ruiz Galvis, Lina Marcela Pérez Aguirre, Carlos Andrés Pérez Bedoya, Juan Pablo Mendoza Cardozo, Oscar Ignacio Barengo, Noël Christopher Sánchez Escudero, Juan Pablo Cardona Jiménez, Johnatan Diaz Valencia, Paula Andrea |
author_sort | Ruiz Galvis, Lina Marcela |
collection | PubMed |
description | Predictions of hospital beds occupancy depends on hospital admission rates and the length of stay (LoS) according to bed type (general ward -GW- and intensive care unit -ICU- beds). The objective of this study was to describe the LoS of COVID-19 hospital patients in Colombia during 2020–2021. Accelerated failure time models were used to estimate the LoS distribution according to each bed type and throughout each bed pathway. Acceleration factors and 95% confidence intervals were calculated to measure the effect on LoS of the outcome, sex, age, admission period during the epidemic (i.e., epidemic waves, peaks or valleys, and before/after vaccination period), and patients geographic origin. Most of the admitted COVID-19 patients occupied just a GW bed. Recovered patients spent more time in the GW and ICU beds than deceased patients. Men had longer LoS than women. In general, the LoS increased with age. Finally, the LoS varied along epidemic waves. It was lower in epidemic valleys than peaks, and decreased after vaccinations began in Colombia. Our study highlights the necessity of analyzing local data on hospital admission rates and LoS to design strategies to prioritize hospital beds resources during the current and future pandemics. |
format | Online Article Text |
id | pubmed-10370719 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-103707192023-07-27 Hospital length of stay throughout bed pathways and factors affecting this time: A non-concurrent cohort study of Colombia COVID-19 patients and an unCoVer network project Ruiz Galvis, Lina Marcela Pérez Aguirre, Carlos Andrés Pérez Bedoya, Juan Pablo Mendoza Cardozo, Oscar Ignacio Barengo, Noël Christopher Sánchez Escudero, Juan Pablo Cardona Jiménez, Johnatan Diaz Valencia, Paula Andrea PLoS One Research Article Predictions of hospital beds occupancy depends on hospital admission rates and the length of stay (LoS) according to bed type (general ward -GW- and intensive care unit -ICU- beds). The objective of this study was to describe the LoS of COVID-19 hospital patients in Colombia during 2020–2021. Accelerated failure time models were used to estimate the LoS distribution according to each bed type and throughout each bed pathway. Acceleration factors and 95% confidence intervals were calculated to measure the effect on LoS of the outcome, sex, age, admission period during the epidemic (i.e., epidemic waves, peaks or valleys, and before/after vaccination period), and patients geographic origin. Most of the admitted COVID-19 patients occupied just a GW bed. Recovered patients spent more time in the GW and ICU beds than deceased patients. Men had longer LoS than women. In general, the LoS increased with age. Finally, the LoS varied along epidemic waves. It was lower in epidemic valleys than peaks, and decreased after vaccinations began in Colombia. Our study highlights the necessity of analyzing local data on hospital admission rates and LoS to design strategies to prioritize hospital beds resources during the current and future pandemics. Public Library of Science 2023-07-26 /pmc/articles/PMC10370719/ /pubmed/37494381 http://dx.doi.org/10.1371/journal.pone.0278429 Text en © 2023 Ruiz Galvis et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Ruiz Galvis, Lina Marcela Pérez Aguirre, Carlos Andrés Pérez Bedoya, Juan Pablo Mendoza Cardozo, Oscar Ignacio Barengo, Noël Christopher Sánchez Escudero, Juan Pablo Cardona Jiménez, Johnatan Diaz Valencia, Paula Andrea Hospital length of stay throughout bed pathways and factors affecting this time: A non-concurrent cohort study of Colombia COVID-19 patients and an unCoVer network project |
title | Hospital length of stay throughout bed pathways and factors affecting this time: A non-concurrent cohort study of Colombia COVID-19 patients and an unCoVer network project |
title_full | Hospital length of stay throughout bed pathways and factors affecting this time: A non-concurrent cohort study of Colombia COVID-19 patients and an unCoVer network project |
title_fullStr | Hospital length of stay throughout bed pathways and factors affecting this time: A non-concurrent cohort study of Colombia COVID-19 patients and an unCoVer network project |
title_full_unstemmed | Hospital length of stay throughout bed pathways and factors affecting this time: A non-concurrent cohort study of Colombia COVID-19 patients and an unCoVer network project |
title_short | Hospital length of stay throughout bed pathways and factors affecting this time: A non-concurrent cohort study of Colombia COVID-19 patients and an unCoVer network project |
title_sort | hospital length of stay throughout bed pathways and factors affecting this time: a non-concurrent cohort study of colombia covid-19 patients and an uncover network project |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370719/ https://www.ncbi.nlm.nih.gov/pubmed/37494381 http://dx.doi.org/10.1371/journal.pone.0278429 |
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