ArticleBMJ open2022
Hospital bed occupancy rate is an independent risk factor for COVID-19 inpatient mortality: a pandemic epicentre cohort study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic literature review on public health and healthcare resources for pandemic preparedness planning.BMC public health · 2024Pooled it
- Robust COVID-19 Mortality Risk Assessment: Validation of a Two-Step Algorithm From the National COVID Cohort Collaborative.The Journal of infectious diseases · 2026Article
- An Optimization-Based Framework to Dynamically Schedule Hospital Beds in a Pandemic.Healthcare (Basel, Switzerland) · 2025Article
- Impact of healthcare system strain on the implementation of ICU sedation practices and encephalopathy burden during the early COVID-19 pandemic.GeroScience · 2025Article
- Implementing Telemedicine Intervention in Neonatal Intensive Care Units: Augmented Teleconsultation and Real-Time Monitoring Experience.Telemedicine reports · 2025Article
- Impact of the COVID-19 pandemic on the volume and diagnoses of patients admitted to the paediatric emergency department: a retrospective analysis from a third-level hospital in Northeastern Mexico.BMJ public health · 2025Article
- Healthcare Access and County-Level COVID-19 Mortality: Exploring the Impact of Hospital Proximity and Uninsurance Rates.Healthcare (Basel, Switzerland) · 2024Article
- The Impact of Healthcare Pressures on the COVID-19 Hospitalisation Fatality Risk in England.Journal of epidemiology and global health · 2024Observational
- Increased national critical care demands were associated with a higher mortality of intubated COVID-19 patients in Japan: a retrospective observational study.Journal of intensive care · 2024Article
- Assessing infection prevention and control structures in German hospitals after the COVID-19 pandemic using the WHO infection prevention and control assessment framework (IPCAF): results from 660 hospitals and comparison with a pre-pandemic survey.Antimicrobial resistance and infection control · 2024Article
- Secondary attack rate following on-site isolation of patients with suspected COVID-19 in multiple-bed rooms.Antimicrobial resistance and infection control · 2024Observational
- Did COVID-19 ICU patient mortality risk increase as Colorado hospitals filled? A retrospective cohort study.BMJ open · 2024Article
- Article
- Hospital capacities and response to COVID-19 pandemic surges in Iran: A quantitative model-based study.Journal of education and health promotion · 2024Article
- COVID-19 Admission Rates and Changes in US Hospital Inpatient and Intensive Care Unit Occupancy.JAMA health forum · 2023Article
- A novel scale based on biomarkers associated with COVID-19 severity can predict the need for hospitalization and intensive care, as well as enhanced probabilities for mortality.Scientific reports · 2023Article
- Epidemic Features of COVID-19 and Potential Impact of Hospital Strain During the Omicron Wave - Australia, 2022.China CDC weekly · 2023Article
- Estimation of patient flow in hospitals using up-to-date data. Application to bed demand prediction during pandemic waves.PloS one · 2023Article
- Performance analysis of hospitals before and during the COVID-19 in Iran: A cross-sectional study.PloS one · 2023Article
- Hospital Strain and COVID-19 Fatality - England, April 2020-March 2022.China CDC weekly · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
introductionCOVID-19 first struck New York City in the spring of 2020, resulting in an unprecedented strain on our healthcare system and triggering multiple changes in public health policy governing hospital operations as well as therapeutic approaches to COVID-19. We examined inpatient mortality at our centre throughout the course of the pandemic.
methodsThis is a retrospective chart review of clinical characteristics, treatments and outcome data of all patients admitted with COVID-19 from 1 March 2020 to 28 February 2021. Patients were grouped into 3-month quartiles. Hospital strain was assessed as per cent of occupied beds based on a normal bed capacity of 1491.
resultsInpatient mortality decreased from 25.0% in spring to 10.8% over the course of the year. During this time, use of remdesivir, steroids and anticoagulants increased; use of hydroxychloroquine and other antibiotics decreased. Daily bed occupancy ranged from 62% to 118%. In a multivariate model with all year's data controlling for demographics, comorbidities and acuity of illness, percentage of bed occupancy was associated with increased 30-day in-hospital mortality of patients with COVID-19 (0.7% mortality increase for each 1% increase in bed occupancy; HR 1.007, CI 1.001 to 1.013, p=0.004)
conclusionInpatient mortality from COVID-19 was associated with bed occupancy. Early reduction in epicentre hospital bed occupancy to accommodate acutely ill and resource-intensive patients should be a critical component in the strategic planning for future pandemics.
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