ArticleDisaster medicine and public health preparedness2015
Assessing the Capacity of the US Health Care System to Use Additional Mechanical Ventilators During a Large-Scale Public Health Emergency.
Article in Disaster medicine and public health preparedness, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Allocation of scarce resources in a pandemic: rapid systematic review update of strategies for policymakers.Journal of clinical epidemiology · 2021Pooled it
- COVID-19 pandemic: lessons learned from more than a century of pandemics and current vaccine development for pandemic control.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021Review
- The role of surgeons during the COVID-19 pandemic: impact on training and lessons learned from a surgical resident's perspective.Surgical endoscopy · 2021Article
- Mechanical-Ventilation Supply and Options for the COVID-19 Pandemic. Leveraging All Available Resources for a Limited Resource in a Crisis.Annals of the American Thoracic Society · 2021Review
- Development and Evaluation of an Automated Manual Resuscitator-Based Emergency Ventilator-Alternative.Cureus · 2021Article
- Mortality prediction model for the triage of COVID-19, pneumonia, and mechanically ventilated ICU patients: A retrospective study.Annals of medicine and surgery (2012) · 2020Article
- Nursing Surge Capacity Strategies for Management of Critically Ill Adults with COVID-19.Nursing reports (Pavia, Italy) · 2020Review
- Respiratory Muscle Performance Screening for Infectious Disease Management Following COVID-19: A Highly Pressurized Situation.The American journal of medicine · 2020Review
- Echocardiography in Pandemic: Front-Line Perspective, Expanding Role of Ultrasound, and Ethics of Resource Allocation.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2020Review
- Lockdown During COVID-19: The Greek Success.In vivo (Athens, Greece) · 2020Article
- Delivery system can vary ventilatory parameters across multiple patients from a single source of mechanical ventilation.PloS one · 2020Article
- Spatiotemporal analysis of medical resource deficiencies in the U.S. under COVID-19 pandemic.PloS one · 2020Article
- Optimizing spatial allocation of seasonal influenza vaccine under temporal constraints.PLoS computational biology · 2019Article
- Stockpiling Ventilators for Influenza Pandemics.Emerging infectious diseases · 2017Article
- Article
- Strategies to Inform Allocation of Stockpiled Ventilators to Healthcare Facilities During a Pandemic.Health securityArticle
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveA large-scale public health emergency, such as a severe influenza pandemic, can generate large numbers of critically ill patients in a short time. We modeled the number of mechanical ventilators that could be used in addition to the number of hospital-based ventilators currently in use.
methodsWe identified key components of the health care system needed to deliver ventilation therapy, quantified the maximum number of additional ventilators that each key component could support at various capacity levels (ie, conventional, contingency, and crisis), and determined the constraining key component at each capacity level.
resultsOur study results showed that US hospitals could absorb between 26,200 and 56,300 additional ventilators at the peak of a national influenza pandemic outbreak with robust pre-pandemic planning.
conclusionsThe current US health care system may have limited capacity to use additional mechanical ventilators during a large-scale public health emergency. Emergency planners need to understand their health care systems' capability to absorb additional resources and expand care. This methodology could be adapted by emergency planners to determine stockpiling goals for critical resources or to identify alternatives to manage overwhelming critical care need.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.