Observational studyJournal of healthcare quality research
Capacity and organisation of Madrid's community hospitals during first wave of COVID-19 pandemic.
Observational study in Journal of healthcare quality research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Clinical effectiveness of intensive care unit admission in older adults with COVID-19 during the first pandemic wave in Spain.BMC geriatrics · 2026Observational
- From Crisis Response to Lasting Transformation: Five-Year Insights from the Implementation of Telemedicine in Neurosurgical Care During COVID-19.Healthcare (Basel, Switzerland) · 2025Article
- Development of health emergency response capability evaluation framework for primary health institutions in metropolis: based on Delphi method and analytic hierarchy process.Frontiers in public health · 2025Article
- Antithrombotic Use Patterns in COVID-19 Patients from Spain: A Real-World Data Study.Journal of clinical medicine · 2024Article
- Investigating the spatiotemporal characteristics and medical response during the initial COVID-19 epidemic in six Chinese cities.Scientific reports · 2024Article
- Location selection of field hospitals amid COVID-19 considering effectiveness and fairness: A case study of Florida.International journal of disaster risk reduction : IJDRR · 2023Article
- Clinical and economic impact of COVID-19 on people with obesity in a Spanish cohort during the first pandemic peak.Frontiers in endocrinology · 2023Article
- Super-infection by multiple microorganisms in COVID-19 patients.Frontiers in molecular biosciences · 2023Article
- [Revisit after discharge from the emergency department in a cohort of patients with COVID-19 pneumonia and analysis based on the healthcare resource used for follow-up. RESALSEVID study].Journal of healthcare quality researchArticle
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4 authors.
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Abstract
INTRODUCTION AND
objectivesThe 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.
methodsThis 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.
resultsCompared 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 6:00p.m., 1112 patients were waiting in the ED to be admitted and 299 (26.8%) patients waited for more than 24h. Discharges due to death for COVID-19 inpatients in the non-ICU and ICU wards were 16% and 36%, respectively.
conclusionsThis 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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