Impact of COVID-19 on non-COVID intensive care unit service utilization, case mix and outcomes: A registry-based analysis from India [version 2; peer review: 2 approved]

Autor: Bharath Kumar Tirupakuzhi Vijayaraghavan, Abi Beane, Augustian James, Neill KJ Adhikari, Dedeepiya Devaprasad, Rashan Haniffa, Rohit Aravindakshan Kooloth, Robert Fowler, Chamira Kodippily, Rajyabardhan Pattnaik, Vrindha Pari, Devachandran Jayakumar, Aasiyah Rashan, Rakesh Laxmappa, Ashwin Mani, Kishore Mangal, Sristi Patodia, Meghena Mathew, Dilanthi Priyadarshini, Ebenezer Rabindrarajan, Mathew Pulicken, Kavita Ramesh, Pratheema Ramachandran, Usha Rani, Nagarajan Ramakrishnan, Ananth Ramaiyan, Lakshmi Ranganathan, Jaganathan Selva, Raymond Dominic Savio, Swagata Tripathy, Ramesh Venkataraman, Ishara Udayanga
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Wellcome Open Research, Vol 6 (2021)
Druh dokumentu: article
ISSN: 2398-502X
DOI: 10.12688/wellcomeopenres.16953.2
Popis: Background: Coronavirus disease 2019 (COVID-19) has been responsible for over 3.4 million deaths globally and over 25 million cases in India. As part of the response, India imposed a nation-wide lockdown and prioritized COVID-19 care in hospitals and intensive care units (ICUs). Leveraging data from the Indian Registry of IntenSive care, we sought to understand the impact of the COVID-19 pandemic on critical care service utilization, case-mix, and clinical outcomes in non-COVID ICUs. Methods: We included all consecutive patients admitted between 1 st October 2019 and 27 th September 2020. Data were extracted from the registry database and included patients admitted to the non-COVID or general ICUs at each of the sites. Outcomes included measures of resource-availability, utilisation, case-mix, acuity, and demand for ICU beds. We used a Mann-Whitney test to compare the pre-pandemic period (October 2019 - February 2020) to the pandemic period (March-September 2020). In addition, we also compared the period of intense lockdown (March-May 31 st 2020) with the pre-pandemic period. Results: There were 3424 patient encounters in the pre-pandemic period and 3524 encounters in the pandemic period. Comparing these periods, weekly admissions declined (median [Q1 Q3] 160 [145,168] to 113 [98.5,134]; p
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