Thomas Dobbs (
Manuela Staneva, Mississippi State Department of Health, Jackson, Mississippi.
Health Aff (Millwood). 2023 Mar;42(3):416-423. doi: 10.1377/hlthaff.2022.00961.
During the COVID-19 pandemic in Mississippi in 2020 and 2021, nonurgent elective procedures requiring hospitalization were halted three times to preserve the state's hospital resources. To evaluate the change in hospital intensive care unit (ICU) capacity after the implementation of this policy, we analyzed Mississippi's hospital discharge data. We compared daily mean ICU admissions and census for nonurgent elective procedures between three intervention periods and baseline periods corresponding to Mississippi State Department of Health executive orders. We further evaluated the observed and predicted trends, using interrupted time series analyses. Overall, the executive orders reduced the mean number of ICU admissions for elective procedures from 13.4 patients to 9.8 patients daily (a 26.9 percent decline). This policy also decreased the mean ICU census for nonurgent elective procedures from 68.0 patients to 56.6 patients daily (a 16.8 percent decline). The state managed to free, on average, eleven ICU beds daily. Postponing nonurgent elective procedures in Mississippi was a successful strategy that resulted in a decline in ICU bed use for nonurgent elective surgeries during times of unprecedented stress on the health care system.
在 2020 年和 2021 年密西西比州的 COVID-19 大流行期间，为了保护该州的医院资源，三次暂停了需要住院的非紧急选择性手术。为了评估该政策实施后医院重症监护病房（ICU）容量的变化，我们分析了密西西比州的医院出院数据。我们将非紧急选择性手术的每日平均 ICU 入院人数和普查人数与密西西比州卫生部行政命令对应的三个干预期和基线期进行了比较。我们进一步使用中断时间序列分析评估了观察到的和预测的趋势。总的来说，行政命令将择期手术的平均 ICU 入院人数从每天 13.4 名减少到 9.8 名（下降了 26.9％）。该政策还将非紧急选择性手术的 ICU 普查人数从每天 68.0 名减少到 56.6 名（下降了 16.8％）。该州平均每天腾出 11 张 ICU 床位。在医疗保健系统面临前所未有的压力时，推迟密西西比州的非紧急选择性手术是一项成功的策略，导致非紧急选择性手术的 ICU 床位使用率下降。
