التفاصيل البيبلوغرافية
| العنوان: |
Critical Care Requirements Under Uncontrolled Transmission of SARS-CoV-2. |
| المؤلفون: |
Martínez-Alés, Gonzalo1 gm2794@cumc.columbia.edu, Domingo-Relloso, Arce2,3, Arribas, José R.4, Quintana-Díaz, Manuel4,5, Hernán, Miguel A.6 |
| المصدر: |
American Journal of Public Health. May2021, Vol. 111 Issue 5, p923-926. 4p. |
| مصطلحات موضوعية: |
*COVID-19, *MEDICAL care, CRITICAL care medicine, INFECTIOUS disease transmission, INTENSIVE care units |
| مستخلص: |
Objectives. To estimate the critical care bed capacity that would be required to admit all critical COVID-19 cases in a setting of unchecked SARS-CoV-2 transmission, both with and without elderly-specific protection measures. Methods. Using electronic health records of all 2432 COVID-19 patients hospitalized in a large hospital in Madrid, Spain, between February 28 and April 23, 2020, we estimated the number of critical care beds needed to admit all critical care patients. To mimic a hypothetical intervention that halves SARS-CoV-2 infections among the elderly, we randomly excluded 50% of patients aged 65 years and older. Results. Critical care requirements peaked at 49 beds per 100 000 on April 1-2 weeks after the start of a national lockdown. After randomly excluding 50% of elderly patients, the estimated peak was 39 beds per 100 000. Conclusions. Under unchecked SARS-CoV-2 transmission, peak critical care requirements in Madrid were at least fivefold higher than prepandemic capacity. Under a hypothetical intervention that halves infections among the elderly, critical care peak requirements would have exceeded the prepandemic capacity of most high-income countries. [ABSTRACT FROM AUTHOR] |
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