ArticleCritical care explorations2021
ICU Bed Utilization During the Coronavirus Disease 2019 Pandemic in a Multistate Analysis-March to June 2020.
Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predicting COVID-19 prognosis in the ICU remained challenging: external validation in a multinational regional cohort.Journal of clinical epidemiology · 2022Pooled it
- Comparison of chest X-ray radiography AI model to comorbidities for predicting intensive care unit admission for COVID-19.Journal of medical imaging (Bellingham, Wash.) · 2026Article
- Effects of the medical professional shortage caused by a resident walkout on scene-to-door time: a retrospective cohort study at a trauma center.Journal of trauma and injury · 2025Article
- Impact of healthcare system strain on the implementation of ICU sedation practices and encephalopathy burden during the early COVID-19 pandemic.GeroScience · 2025Article
- SQuID (subcutaneous insulin in diabetic ketoacidosis): Clinician acceptability.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- COVID-19 vaccines: Immune correlates and clinical outcomes.Human vaccines & immunotherapeutics · 2024Review
- Critical Care Exposure and Preparedness Among Internal Medicine Residents: Results from the American College of Physicians In-Training Exam Survey.The American journal of medicine · 2024Article
- The Challenges Experienced by ICU Nurses in Kuwait during the COVID-19 Pandemic.International journal of nursing studies advances · 2024Article
- Boosting the accuracy of existing models by updating and extending: using a multicenter COVID-19 ICU cohort as a proxy.Scientific reports · 2024Article
- Article
- Lung Protective Ventilation Adherence and Outcomes for Patients With COVID-19 Acute Respiratory Distress Syndrome Treated in an Intermediate Care Unit Repurposed to ICU Level of Care.Critical care explorations · 2024Observational
- Clinical Epidemiology and Risk Factors for Critical Outcomes Among Vaccinated and Unvaccinated Adults Hospitalized With COVID-19-VISION Network, 10 States, June 2021-March 2023.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024Article
- Equity evaluation of intensive care unit admission based on comorbidity in hospitalized patients with COVID-19: a cross-sectional analysis.Frontiers in public health · 2024Article
- SOFA score performs worse than age for predicting mortality in patients with COVID-19.PloS one · 2024Article
- COVID-19 Admission Rates and Changes in US Hospital Inpatient and Intensive Care Unit Occupancy.JAMA health forum · 2023Article
- Disparities in Palliative Care Among Critically Ill Patients With and Without COVID-19 at the End of Life: A Population-Based Analysis.Journal of clinical medicine research · 2023Article
- Flow-Sizing Critical Care Resources.Critical care medicine · 2023Article
- Adaptation and Uncertainty: A Qualitative Examination of Provider Experiences With Prone Positioning for Intubated Patients With COVID-19 ARDS.CHEST critical care · 2023Article
- The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023Article
- Acute Respiratory Distress Syndrome; A Review of Recent Updates and a Glance into the Future.Diagnostics (Basel, Switzerland) · 2023Review
Corrections and comments
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Authors and funding
27 authors.
Funding
Abstract
objectivesGiven finite ICU bed capacity, knowledge of ICU bed utilization during the coronavirus disease 2019 pandemic is critical to ensure future strategies for resource allocation and utilization. We sought to examine ICU census trends in relation to ICU bed capacity during the rapid increase in severe coronavirus disease 2019 cases early during the pandemic.
designObservational cohort study.
settingThirteen geographically dispersed academic medical centers in the United States. PATIENTS/SUBJECTS: We obtained daily ICU censuses from March 26 to June 30, 2020, as well as prepandemic ICU bed capacities. The primary outcome was daily census of ICU patients stratified by coronavirus disease 2019 and mechanical ventilation status in relation to ICU capacity.
interventionsNone. MEASUREMENTS AND MAIN
resultsPrepandemic overall ICU capacity ranged from 62 to 225 beds (median 109). During the study period, the median daily coronavirus disease 2019 ICU census per hospital ranged from 1 to 84 patients, and the daily ICU census exceeded overall ICU capacity for at least 1 day at five institutions. The number of critically ill patients exceeded ICU capacity for a median (interquartile range) of 17 (12-50) of 97 days at these five sites. All 13 institutions experienced decreases in their noncoronavirus disease ICU population, whereas local coronavirus disease 2019 cases increased. Coronavirus disease 2019 patients reached their greatest proportion of ICU capacity on April 12, 2020, when they accounted for 44% of ICU patients across all participating hospitals. Maximum ICU census ranged from 52% to 289% of overall ICU capacity, with three sites less than 80%, four sites 80-100%, five sites 100-128%, and one site 289%.
conclusionsFrom March to June 2020, the coronavirus disease 2019 pandemic led to ICU censuses greater than ICU bed capacity at fives of 13 institutions evaluated. These findings demonstrate the short-term adaptability of U.S. healthcare institutions in redirecting limited resources to accommodate a public health emergency.
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