Kokudo Norihiro, Sugiyama Haruhito
National Center for Global Health and Medicine, Tokyo, Japan.
Glob Health Med. 2021 Apr 30;3(2):56-59. doi: 10.35772/ghm.2021.01031.
The rapid global spread of the COVID-19 pandemic has posed a significant challenge to various countries in terms of the capacity of hospitals to admit and care for patients during the crisis. To estimate hospital capacity during the COVID-19 pandemic, clinicians working in tertiary hospitals around the world were surveyed regarding available COVID-19 hospital statistics. Data were obtained from 8 tertiary centers in 8 countries including the United States, United Kingdom, Switzerland, Turkey, Singapore, India, Pakistan, and Japan. The correlation between the number of patients with COVID-19 per 1 million population . the maximum number of inpatients with COVID-19 in a representative tertiary hospital in each country was determined, as was the correlation between COVID-19 deaths per 1 million population . the maximum number of patients with COVID-19 in the intensive care unit (ICU). What was noteworthy was that none of the 8 hospitals reduced emergency room (ER) activity even at the peak of the pandemic although treatment of patients without COVID-19 decreased by 0-70% depending on the extent of the epidemic. Although various measures are being actively implemented to slow the spread of the virus and reduce the strain on the health care system, the reality is that there are still a significant number of hospitals at risk of being overloaded in the event of a future surge in cases.
新冠疫情在全球迅速蔓延,给各国带来了巨大挑战,即在危机期间医院收治和护理患者的能力方面。为了估算新冠疫情期间的医院收治能力,对世界各地三级医院的临床医生进行了关于现有新冠医院统计数据的调查。数据来自包括美国、英国、瑞士、土耳其、新加坡、印度、巴基斯坦和日本在内的8个国家的8个三级中心。确定了每百万人口中新冠患者数量与每个国家一家代表性三级医院中新冠住院患者最大数量之间的相关性,以及每百万人口中新冠死亡人数与重症监护病房(ICU)中新冠患者最大数量之间的相关性。值得注意的是,尽管根据疫情严重程度,非新冠患者的治疗减少了0%至70%,但这8家医院中没有一家在疫情高峰期减少急诊室(ER)的活动。尽管正在积极采取各种措施减缓病毒传播并减轻医疗系统的压力,但现实情况是,如果未来病例激增,仍有大量医院面临不堪重负的风险。