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Capacity and organisation of Madrid's community hospitals during first wave of COVID-19 pandemic

INTRODUCTION AND OBJECTIVES: The first wave of the SARS-CoV-2 pandemic exerted enormous stress on the healthcare system. Community of Madrid hospitals responded by restructuring and scaling their capacity to adapt to the high demand for care. METHODS: This was a retrospective observational study con...

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Autores principales: Puerta, J.-L., Torrego-Ellacuría, M., Del Rey-Mejías, Á., Bienzobas López, C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: FECA. Published by Elsevier España, S.L.U. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872835/
https://www.ncbi.nlm.nih.gov/pubmed/35331667
http://dx.doi.org/10.1016/j.jhqr.2022.02.002
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author Puerta, J.-L.
Torrego-Ellacuría, M.
Del Rey-Mejías, Á.
Bienzobas López, C.
author_facet Puerta, J.-L.
Torrego-Ellacuría, M.
Del Rey-Mejías, Á.
Bienzobas López, C.
author_sort Puerta, J.-L.
collection PubMed
description INTRODUCTION AND OBJECTIVES: The first wave of the SARS-CoV-2 pandemic exerted enormous stress on the healthcare system. Community of Madrid hospitals responded by restructuring and scaling their capacity to adapt to the high demand for care. METHODS: This was a retrospective observational study conducted between 18 March and 21 June 2020 with data from public and private hospitals in CoM, Spain. Absolute and relative frequencies were calculated for inpatients with and without COVID-19, available and occupied beds in intensive care unit (ICU) and non-ICU wards, daily new admissions (NA), individuals awaiting hospitalisation in the emergency department (ED), and discharges. RESULTS: Compared to pre-pandemic years, during the maximum care pressure period (18 March–17 April 2020), the average number of total available and occupied beds increased by 27% and 36%, respectively. Also, the average number of available and occupied ICU beds increased by 174% and 257% respectively, and average occupancy was 81%. The average daily NAs were 1,503 (90% from the ED) and 949 (63% due to COVID-19), and of these, 61 (6.4%) were admitted to the ICU. On average, at 6:00 p.m., 1112 patients were waiting in the ED to be admitted and 299 (26.8%) patients waited for more than 24 h. Discharges due to death for COVID-19 inpatients in the non-ICU and ICU wards were 16% and 36%, respectively. CONCLUSIONS: This study confirmed the critical role of the ICU and ED, especially in the care of patients before being hospitalizated, in pandemic or health crisis scenarios.
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spelling pubmed-88728352022-02-25 Capacity and organisation of Madrid's community hospitals during first wave of COVID-19 pandemic Puerta, J.-L. Torrego-Ellacuría, M. Del Rey-Mejías, Á. Bienzobas López, C. J Healthc Qual Res Original Article INTRODUCTION AND OBJECTIVES: The first wave of the SARS-CoV-2 pandemic exerted enormous stress on the healthcare system. Community of Madrid hospitals responded by restructuring and scaling their capacity to adapt to the high demand for care. METHODS: This was a retrospective observational study conducted between 18 March and 21 June 2020 with data from public and private hospitals in CoM, Spain. Absolute and relative frequencies were calculated for inpatients with and without COVID-19, available and occupied beds in intensive care unit (ICU) and non-ICU wards, daily new admissions (NA), individuals awaiting hospitalisation in the emergency department (ED), and discharges. RESULTS: Compared to pre-pandemic years, during the maximum care pressure period (18 March–17 April 2020), the average number of total available and occupied beds increased by 27% and 36%, respectively. Also, the average number of available and occupied ICU beds increased by 174% and 257% respectively, and average occupancy was 81%. The average daily NAs were 1,503 (90% from the ED) and 949 (63% due to COVID-19), and of these, 61 (6.4%) were admitted to the ICU. On average, at 6:00 p.m., 1112 patients were waiting in the ED to be admitted and 299 (26.8%) patients waited for more than 24 h. Discharges due to death for COVID-19 inpatients in the non-ICU and ICU wards were 16% and 36%, respectively. CONCLUSIONS: This study confirmed the critical role of the ICU and ED, especially in the care of patients before being hospitalizated, in pandemic or health crisis scenarios. FECA. Published by Elsevier España, S.L.U. 2022 2022-02-25 /pmc/articles/PMC8872835/ /pubmed/35331667 http://dx.doi.org/10.1016/j.jhqr.2022.02.002 Text en © 2022 FECA. Published by Elsevier España, S.L.U. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Article
Puerta, J.-L.
Torrego-Ellacuría, M.
Del Rey-Mejías, Á.
Bienzobas López, C.
Capacity and organisation of Madrid's community hospitals during first wave of COVID-19 pandemic
title Capacity and organisation of Madrid's community hospitals during first wave of COVID-19 pandemic
title_full Capacity and organisation of Madrid's community hospitals during first wave of COVID-19 pandemic
title_fullStr Capacity and organisation of Madrid's community hospitals during first wave of COVID-19 pandemic
title_full_unstemmed Capacity and organisation of Madrid's community hospitals during first wave of COVID-19 pandemic
title_short Capacity and organisation of Madrid's community hospitals during first wave of COVID-19 pandemic
title_sort capacity and organisation of madrid's community hospitals during first wave of covid-19 pandemic
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872835/
https://www.ncbi.nlm.nih.gov/pubmed/35331667
http://dx.doi.org/10.1016/j.jhqr.2022.02.002
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