Predictive modeling to estimate the demand for intensive care hospital beds nationwide in the context of the COVID-19 pandemic

Introduction SARS CoV-2 pandemic is pressing hard on the responsiveness of health systems worldwide, notably concerning the massive surge in demand for intensive care hospital beds. Aim This study proposes a methodology to estimate the saturation moment of hospital intensive care beds (critical...

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Main Authors: Víctor Hugo Peña, Alejandra Espinosa
Format: Article
Language:English
Published: Medwave Estudios Limitada 2020-10-01
Series:Medwave
Subjects:
Online Access:https://www.medwave.cl/link.cgi/Medwave/Revisiones/Analisis/8039.act
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author Víctor Hugo Peña
Alejandra Espinosa
author_facet Víctor Hugo Peña
Alejandra Espinosa
author_sort Víctor Hugo Peña
collection DOAJ
description Introduction SARS CoV-2 pandemic is pressing hard on the responsiveness of health systems worldwide, notably concerning the massive surge in demand for intensive care hospital beds. Aim This study proposes a methodology to estimate the saturation moment of hospital intensive care beds (critical care beds) and determine the number of units required to compensate for this saturation. Methods A total of 22,016 patients with diagnostic confirmation for COVID-19 caused by SARS-CoV-2 were analyzed between March 4 and May 5, 2020, nationwide. Based on information from the Chilean Ministry of Health and ministerial announcements in the media, the overall availability of critical care beds was estimated at 1,900 to 2,000. The Gompertz function was used to estimate the expected number of COVID-19 patients and to assess their exposure to the available supply of intensive care beds in various possible scenarios, taking into account the supply of total critical care beds, the average occupational index, and the demand for COVID-19 patients who would require an intensive care bed. Results A 100% occupancy of critical care beds could be reached between May 11 and May 27. This condition could be extended for around 48 days, depending on how the expected over-demand is managed. Conclusion A simple, easily interpretable, and applicable to all levels (nationwide, regionwide, municipalities, and hospitals) model is offered as a contribution to managing the expected demand for the coming weeks and helping reduce the adverse effects of the COVID-19 pandemic.
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spelling doaj.art-7883bb7fc4c94db9a615be2847c76d7b2022-12-21T22:31:17ZengMedwave Estudios LimitadaMedwave0717-63840717-63842020-10-012009e8039e803910.5867/medwave.2020.09.8039Predictive modeling to estimate the demand for intensive care hospital beds nationwide in the context of the COVID-19 pandemicVíctor Hugo Peña0https://orcid.org/0000-0003-2374-1074Alejandra Espinosa1https://orcid.org/0000-0003-4779-5341Departamento de Tecnología Médica, Facultad de Medicina, Universidad de Chile, Chile Departamento de Tecnología Médica, Facultad de Medicina, Universidad de Chile, ChileIntroduction SARS CoV-2 pandemic is pressing hard on the responsiveness of health systems worldwide, notably concerning the massive surge in demand for intensive care hospital beds. Aim This study proposes a methodology to estimate the saturation moment of hospital intensive care beds (critical care beds) and determine the number of units required to compensate for this saturation. Methods A total of 22,016 patients with diagnostic confirmation for COVID-19 caused by SARS-CoV-2 were analyzed between March 4 and May 5, 2020, nationwide. Based on information from the Chilean Ministry of Health and ministerial announcements in the media, the overall availability of critical care beds was estimated at 1,900 to 2,000. The Gompertz function was used to estimate the expected number of COVID-19 patients and to assess their exposure to the available supply of intensive care beds in various possible scenarios, taking into account the supply of total critical care beds, the average occupational index, and the demand for COVID-19 patients who would require an intensive care bed. Results A 100% occupancy of critical care beds could be reached between May 11 and May 27. This condition could be extended for around 48 days, depending on how the expected over-demand is managed. Conclusion A simple, easily interpretable, and applicable to all levels (nationwide, regionwide, municipalities, and hospitals) model is offered as a contribution to managing the expected demand for the coming weeks and helping reduce the adverse effects of the COVID-19 pandemic.https://www.medwave.cl/link.cgi/Medwave/Revisiones/Analisis/8039.act2019 novel coronavirus diseaseepidemiologypublic healthvirusesemergency medicinehospitalization
spellingShingle Víctor Hugo Peña
Alejandra Espinosa
Predictive modeling to estimate the demand for intensive care hospital beds nationwide in the context of the COVID-19 pandemic
Medwave
2019 novel coronavirus disease
epidemiology
public health
viruses
emergency medicine
hospitalization
title Predictive modeling to estimate the demand for intensive care hospital beds nationwide in the context of the COVID-19 pandemic
title_full Predictive modeling to estimate the demand for intensive care hospital beds nationwide in the context of the COVID-19 pandemic
title_fullStr Predictive modeling to estimate the demand for intensive care hospital beds nationwide in the context of the COVID-19 pandemic
title_full_unstemmed Predictive modeling to estimate the demand for intensive care hospital beds nationwide in the context of the COVID-19 pandemic
title_short Predictive modeling to estimate the demand for intensive care hospital beds nationwide in the context of the COVID-19 pandemic
title_sort predictive modeling to estimate the demand for intensive care hospital beds nationwide in the context of the covid 19 pandemic
topic 2019 novel coronavirus disease
epidemiology
public health
viruses
emergency medicine
hospitalization
url https://www.medwave.cl/link.cgi/Medwave/Revisiones/Analisis/8039.act
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