Department of Internal Medicine and Pediatrics, Penn State MS Hershey Medical Center, Hershey, PA, USA.
Pediatric Critical Care Medicine, Department of Pediatrics, Penn State Hershey Children's Hospital, Hershey, Pennsylvania.
Disaster Med Public Health Prep. 2022 Jun 15;17:e249. doi: 10.1017/dmp.2022.159.
The 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.
This 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).
Data 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.
The MCD caused by COVID-19 was associated with increased adverse outcomes and cost-of-care for ICU patients.
新冠疫情导致了全球数百万人死亡，被认为是一场重大的大规模伤亡灾难（MCD）。患者人数的激增和资源的匮乏对医院、患者和医疗实践产生了负面影响。我们假设在这场 MCD 中，重症监护病房（ICU）的疾病严重程度更高，因此住院时间（LOS）、并发症发生率、死亡率和医疗费用都有所增加。本研究旨在调查这些结果。
这是一项多中心、回顾性研究，比较了 2020 年和 2019 年 ICU 入院患者的情况，以评估患者的结局和医疗费用。数据来自 Vizient 临床数据基础/资源管理器（Vizient Inc.，美国加利福尼亚州欧文市）。
数据包括 ICU 入院人数、患者结局、病例组合指数和费用报告摘要。还收集了质量结果，共纳入了来自 333 家医院的 1304981 名患者。对于所有医疗中心，住院时间指数、ICU 住院时间、并发症发生率、病例组合指数、总费用和直接费用指数均显著增加。
新冠疫情引起的 MCD 与 ICU 患者不良结局和医疗费用的增加有关。
