Evidence map›Paper›PMID 37156578›Full record

Observational studyBMJ open2023

Observational study of organisational responses of 17 US hospitals over the first year of the COVID-19 pandemic.

Esther K Choo, Matthew Strehlow, Marina Del Rios, Evrim Oral, Ruth Pobee, Andrew Nugent, Stephen Lim, Christian Hext, Sarah Newhall, Diana Ko and 20 more

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

Observational study in BMJ open, 2023. 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. Article
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

30 authors.

Esther K ChooDepartment of Emergency Medicine, Oregon Health & Science University, Portland, OR, USA echomd@gmail.com.ORCID 0000-0001-8847-5745
Matthew StrehlowDepartment of Emergency Medicine, Stanford University, Stanford, California, USA.ORCID 0000-0002-0049-9716
Marina Del RiosDepartment of Emergency Medicine, University of Iowa, Iowa City, Iowa, USA.
Evrim OralDepartment of Biostatistics, School of Public Health LSU Health Sciences Center, New Orleans, Louisiana, USA.
Ruth PobeeDepartment of Emergency Medicine, University of Illinois Chicago, Chicago, Illinois, USA.ORCID 0000-0001-7004-5843
Andrew NugentDepartment of Emergency Medicine, University of Iowa, Iowa City, Iowa, USA.
Stephen LimSection of Emergency Medicine, Department of Medicine, University Medical Center New Orleans, LSU Health Sciences Center New Orleans, New Orleans, Louisiana, USA.
Christian HextDepartment of Emergency Medicine, University of Wisconsin, Madison, Wisconsin, USA.
Sarah NewhallDepartment of Emergency Medicine, Oregon Health & Science University, Portland, OR, USA.
Diana KoDepartment of Radiology, Stanford University, Palo Alto, California, USA.
Srihari V ChariDepartment of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Amy WilsonOregon Clinical and Translational Research Institute (OCTRI), Oregon Health & Science University, Portland, Oregon, USA.
Joshua J BaughDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
David CallawayDepartment of Emergency Medicine, Atrium Health, Charlotte, North Carolina, USA.
Mucio Kit DelgadoDepartment of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Zoe GlickDepartment of Emergency Medicine, University of Maryland, Baltimore, Maryland, USA.
Christian J GraultyDepartment of Emergency Medicine, NYU Langone School of Medicine, New York, New York, USA.
Nicholas HallDepartment of Emergency Medicine, Stanford University, Stanford, California, USA.
Abdusebur JemalDepartment of Internal Medicine, Morehouse School of Medicine, Atlanta, Georgia, USA.
Madhav KcYale Cancer Outcomes, Public Policy, and Effectiveness Research Center (COPPER) Center, Yale School of Medicine, New Haven, Connecticut, USA.
Aditya MahadevanDepartment of Emergency Medicine, Stanford University, Stanford, California, USA.
Milap MehtaDepartment of Emergency Medicine, Ohio State University, Columbus, Ohio, USA.
Andrew C MeltzerDepartment of Emergency Medicine, George Washington University School of Medicine, Washington, DC, USA.
Dar'ya PozhidayevaOregon Clinical and Translational Research Institute (OCTRI), Oregon Health & Science University, Portland, Oregon, USA.
Daniel Resnick-AultDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Christian SchulzDepartment of Emergency Medicine, Carolinas Medical Center, Charlotte, North Carolina, USA.
Sam ShenDepartment of Emergency Medicine Medicine, Stanford University, Palo Alto, California, USA.ORCID 0000-0002-2317-1967
Lauren SoutherlandDepartment of Emergency Medicine, Ohio State University, Columbus, Ohio, USA.
Daniel Du PontDepartment of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Danielle M McCarthyDepartment of Emergency Medicine, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
NCATS NIH HHS UL1 TR002369
6 · The paper itself

Abstract

objectivesThe COVID-19 pandemic has required significant modifications of hospital care. The objective of this study was to examine the operational approaches taken by US hospitals over time in response to the COVID-19 pandemic. DESIGN, SETTING AND

participantsThis was a prospective observational study of 17 geographically diverse US hospitals from February 2020 to February 2021. OUTCOMES AND ANALYSIS: We identified 42 potential pandemic-related strategies and obtained week-to-week data about their use. We calculated descriptive statistics for use of each strategy and plotted percent uptake and weeks used. We assessed the relationship between strategy use and hospital type, geographic region and phase of the pandemic using generalised estimating equations (GEEs), adjusting for weekly county case counts.

resultsWe found heterogeneity in strategy uptake over time, some of which was associated with geographic region and phase of pandemic. We identified a body of strategies that were both commonly used and sustained over time, for example, limiting staff in COVID-19 rooms and increasing telehealth capacity, as well as those that were rarely used and/or not sustained, for example, increasing hospital bed capacity.

conclusionsHospital strategies during the COVID-19 pandemic varied in resource intensity, uptake and duration of use. Such information may be valuable to health systems during the ongoing pandemic and future ones.

Indexed as

COVID-19TelemedicineHospitalsHumansPandemicsSARS-CoV-2COVID-19HEALTH SERVICES ADMINISTRATION & MANAGEMENTOrganisation of health servicesProtocols & guidelinesPUBLIC HEALTH

Identifiers

PMID37156578
PMCPMC10410813

What OpenQuestion holds

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LicenceCC BY-NC
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.