Evidence map›Paper›PMID 34511220›Full record

ReviewBest practice & research. Clinical anaesthesiology2021

Economic impact of COVID-19 pandemic on healthcare facilities and systems: International perspectives.

Alan D Kaye, Chikezie N Okeagu, Alex D Pham, Rayce A Silva, Joshua J Hurley, Brett L Arron, Noeen Sarfraz, Hong N Lee, G E Ghali, Jack W Gamble and 3 more

Abstract readReview
In one paragraph

Review in Best practice & research. Clinical anaesthesiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 289 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
289citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

289 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Correlates and Narratives of COVID-19 vaccine uptake in Ghana: A case study.Public health in practice (Oxford, England) · 2026
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  15. Novel Wide-Spectrum Virucidal Lipid Nanoparticles.Small (Weinheim an der Bergstrasse, Germany) · 2026
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229 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Alan D KayeDepartment of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA 71103, USA. Electronic address: akaye@lsuhsc.edu.
Chikezie N OkeaguDepartment of Anesthesiology, LSUHSC New Orleans, 1542 Tulane Avenue, New Orleans, LA 70112, USA. Electronic address: cokeag@lsuhsc.edu.
Alex D PhamDepartment of Anesthesiology, LSUHSC New Orleans, 1542 Tulane Ave, Room 659, New Orleans, LA 70112, USA. Electronic address: apham5@lsuhsc.edu.
Rayce A SilvaLSU Health Shreveport, 1501 Kings Highway, Shreveport, LA 71103, USA. Electronic address: rsilv3@lsuhsc.edu.
Joshua J HurleyDepartment of Anesthesiology, LSUHSC New Orleans, 433 Bolivar St., New Orleans, LA 70112, USA. Electronic address: jhurle@lsuhsc.edu.
Brett L ArronDepartment of Anesthesiology, LSUHSC New Orleans, 1452 Tulane Ave, Suite 659, New Orleans, LA 70112, USA. Electronic address: barron@lsuhsc.edu.
Noeen SarfrazDepartment of Psychiatry and Behavioral Medicine, LSU Health Shreveport, Shreveport, LA, USA. Electronic address: sarfraz.noeen@gmail.com.
Hong N LeeDepartment of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA 71103, USA. Electronic address: hle6@lsuhsc.edu.
G E GhaliDepartment of Oral & Maxillofacial Surgery, Craniofacial Surgery/Head & Neck Surgery, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA 71103, USA. Electronic address: gghali@lsuhsc.edu.
Jack W GambleDepartment of Oral & Maxillofacial Surgery, Craniofacial Surgery/Head & Neck Surgery, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA 71103, USA.
Henry LiuDepartment of Anesthesiology, Milton S. Hershey Medical Center, Penn State University School of Medicine, 500 University Drive, H187, Hershey, PA 17033, USA.
Richard D UrmanDepartment of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115, USA. Electronic address: rurman@bwh.harvard.edu.
Elyse M CornettDepartment of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA 71103, USA. Electronic address: ecorne@lsuhsc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

International hospitals and healthcare facilities are facing catastrophic financial challenges related to the COVID-19 pandemic. The American Hospital Association estimates a financial impact of $202.6 billion in lost revenue for America's hospitals and healthcare systems, or an average of $50.7 billion per month. Furthermore, it could cost low- and middle-income countries ~ US$52 billion (equivalent to US$8.60 per person) each four weeks to provide an effective healthcare response to COVID-19. In the setting of the largest daily COVID-19 new cases in the US, this burden will influence patient care, surgeries, and surgical outcomes. From a global economic standpoint, The World Bank projects that global growth is projected to shrink by almost 8% with poorer countries feeling most of the impact, and the United Nations projects that it will cost the global economy around 2 trillion dollars this year. Overall, a lack of preparedness was a major contributor to the struggles experienced by healthcare facilities around the world. Items such as personal protective equipment (PPE) for healthcare workers, hospital equipment, sanitizing supplies, toilet paper, and water were in short supply. These deficiencies were exposed by COVID-19 and have prompted healthcare organizations around the world to invent new essential plans for pandemic preparedness. In this paper, we will discuss the economic impact of COVID-19 on US and international hospitals, healthcare facilities, surgery, and surgical outcomes. In the future, the US and countries around the world will benefit from preparing a plan of action to use as a guide in the event of a disaster or pandemic.

Indexed as

Cost of IllnessCOVID-19Delivery of Health CareGlobal HealthHealth PersonnelHumansPandemicsPersonal Protective EquipmentUnited Stateseconomyemergency preparednesshealthcarehospitalsinternational healthcare

Identifiers

PMID34511220
PMCPMC7670225

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.