Evidence map›Paper›PMID 35703087›Full record

ArticleDisaster medicine and public health preparedness2022

Effect of Coronavirus Disease 2019 (Covid-19), a Nationwide Mass Casualty Disaster on Intensive Care Units: Clinical Outcomes and Associated Cost-of-Care.

Allison M Henning, Neal J Thomas, Duane C Williams, David M Shore, Michelle E Memmi, Li Wang

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Disaster medicine and public health preparedness, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Allison M HenningDepartment of Internal Medicine and Pediatrics, Penn State MS Hershey Medical Center, Hershey, PA, USA.ORCID 0000-0002-8390-4739
Neal J ThomasPediatric Critical Care Medicine, Department of Pediatrics, Penn State Hershey Children's Hospital, Hershey, Pennsylvania.
Duane C WilliamsPediatric Critical Care Medicine, Department of Pediatrics, Penn State Hershey Children's Hospital, Hershey, Pennsylvania.
David M ShorePulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Penn State MS Hershey Medical Center, Hershey, PA, USA.
Michelle E MemmiDepartment of Quality Systems Improvement, Penn State MS Hershey Medical Center, Hershey, PA, USA.
Li WangDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe COVID-19 pandemic resulted in millions of deaths worldwide and is considered a significant mass-casualty disaster (MCD). The surge of patients and scarcity of resources negatively impacted hospitals, patients and medical practice. We hypothesized ICUs during this MCD had a higher acuity of illness, and subsequently had increased lengths of stay (LOS), complication rates, death rates and costs of care. The purpose of this study was to investigate those outcomes.

methodsThis was a multicenter, retrospective study that compared intensive care admissions in 2020 to those in 2019 to evaluate patient outcomes and cost of care. Data were obtained from the Vizient Clinical Data Base/Resource Manager (Vizient Inc., Irvine, Texas, USA).

resultsData included the number of ICU admissions, patient outcomes, case mix index and summary of cost reports. Quality outcomes were also collected, and a total of 1304981 patients from 333 hospitals were included. For all medical centers, there was a significant increase in LOS index, ICU LOS, complication rate, case mix index, total cost, and direct cost index.

conclusionThe MCD caused by COVID-19 was associated with increased adverse outcomes and cost-of-care for ICU patients.

Indexed as

COVID-19Mass Casualty IncidentsHumansIntensive Care UnitsPandemicsRetrospective Studiescost-of-caredisaster responsehealth economic outcomesmass casualty outcomespatient outcomes

Identifiers

PMID35703087
PMCPMC9353234

What OpenQuestion holds

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Registered trials

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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.