A Closer Look Into Global Hospital Beds Capacity and Resource Shortages During the COVID-19 Pandemic.
A Closer Look Into Global Hospital Beds Capacity and Resource Shortages During the COVID-19 Pandemic.
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DOI：
10.1016/j.jss.2020.11.062
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Elkbuli A
中科院分区：
文献类型：
--
作者：
Sen-Crowe B;Sutherland M;McKenney M;Elkbuli A
随着COVID-19疫情持续，医院是否有足够资源管理病人成为一个问题。我们的目标是调查全球医院床位（HB），急性护理床位（ACB）和重症监护病房（ICU）床位容量，并确定这些医院资源与COVID-19死亡率之间的任何相关性。利用世界卫生组织（WHO）和其他官方组织关于全球HB、ACB、ICU床位容量和确诊COVID-19病例/死亡率的数据进行的横断面研究。进行描述性统计和线性回归。共纳入183个国家，平均每100，000人拥有307.1张HB、413.9张ACB和8.73张ICU床位。高收入地区每10万人中ICU床位（12.79）和HB（402.32）的平均数量最高，而中上收入地区每10万人中ACB的平均数量最高（424.75）。ICU床位/10万人口数与COVID-19死亡率之间存在弱正相关。每10万人中HB或ACB的数量与COVID-19死亡率之间不存在显著关联。全球COVID-19死亡率可能受多种因素影响，包括医院资源、人员和床位容量。世界上收入较高的地区拥有更大的ICU、急诊和医院病床容量。应强制报告重症监护室、急性护理和医院床位容量/占用率以及与冠状病毒有关的信息。采用分层的重症监护方法，并有针对性地扩大空间，工作人员和用品，可以在复苏和未来的灾难中最大限度地提高护理质量。
As the COVID-19 pandemic continues, there is a question of whether hospitals have adequate resources to manage patients. We aim to investigate global hospital bed (HB), acute care bed (ACB), and intensive care unit (ICU) bed capacity and determine any correlation between these hospital resources and COVID-19 mortality. Cross-sectional study utilizing data from the World Health Organization (WHO) and other official organizations regarding global HB, ACB, ICU bed capacity, and confirmed COVID-19 cases/mortality. Descriptive statistics and linear regression were performed. A total of 183 countries were included with a mean of 307.1 HBs, 413.9 ACBs, and 8.73 ICU beds/100,000 population. High-income regions had the highest mean number of ICU beds (12.79) and HBs (402.32) per 100,000 population whereas upper middle-income regions had the highest mean number of ACBs (424.75) per 100,000. A weakly positive significant association was discovered between the number of ICU beds/100,000 population and COVID-19 mortality. No significant associations exist between the number of HBs or ACBs per 100,000 population and COVID-19 mortality. Global COVID-19 mortality rates are likely affected by multiple factors, including hospital resources, personnel, and bed capacity. Higher income regions of the world have greater ICU, acute care, and hospital bed capacities. Mandatory reporting of ICU, acute care, and hospital bed capacity/occupancy and information relating to coronavirus should be implemented. Adopting a tiered critical care approach and targeting the expansion of space, staff, and supplies may serve to maximize the quality of care during resurgences and future disasters.
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影响因子：
14.6
作者：
Barrett, Kali;Khan, Yasin A.;Sander, Beate
通讯作者：
Sander, Beate
DOI：
10.15585/mmwr.mm6912e2
发表时间：
2020-03-27
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
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通讯作者：
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3.7
作者：
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通讯作者：
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作者：
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通讯作者：
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影响因子：
9.6
作者：
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通讯作者：
Christian, Michael D.