PDF(Pubmed)
Abstract：
BACKGROUND: Regular collection and monitoring of data describing the dynamics of the utilization of healthcare services, especially in teaching hospitals (TH), which provide model quality medical services, are critical for COVID-19 pandemic preparedness.
METHODS: The researchers analyzed data and information derived from service statistics reports from June 1st to July 15th, 2020 in terms of hospital resources, as well as utilization patterns of beds, ICU, and ventilators, for 11 screening hospitals affiliated with the General Organization of Teaching Hospitals and institutes in Egypt assigned by the Ministry of Health and Population to provide medical care for COVID-19 patients. Hospital indicators in terms of COVID-19 screening services, as well as utilization patterns of inpatient beds, ICU beds, and ventilators were computed.
RESULTS: A total of 78,869 non-medical personnel and 2,176 medical personnel were presented with COVID-19 triage symptoms. Investigations conducted in the targeted 11 hospitals delineated that 22.2% of non-medical personnel and 27.9% of medical personnel were COVID-19 PCR-confirmed cases. The inpatient bed occupancy rate was 70% for non-medical patients and 67% for medical staff patients. For ICU, the bed occupancy rate was 92 % for non-medical patients and 88% for medical patients. Among the confirmed cases, 38% of medical patients utilized a ventilator vs. 36% of medical personnel cases. Hospital ranking according to utilization pattern among non-medical personnel, Hospital H ranked first in terms of the high load of screening services. Hospital C ranked first regarding the number of confirmed cases, whereas Hospital D ranked first for high ICU utilization among all teaching hospital ICU cases. With respect to medical personnel, Hospital G ranked first for the high load of screening services for the total studied cases. Hospital G ranked first for the number of confirmed cases. Hospital B ranked first regarding high ICU utilization among all teaching hospital ICU cases.
CONCLUSIONS: Teaching hospitals have demonstrated preparedness for the COVID-19 pandemic by maintaining an inpatient bed occupancy rate of 70% or less and ventilator utilization at <40% of confirmed cases. However, the ICU bed occupancy rate was more than 90% indicating a shortage of resources. In addition, there is variance across hospitals regarding caseload for resource reallocation decisions.
METHODS: The researchers analyzed data and information derived from service statistics reports from June 1st to July 15th, 2020 in terms of hospital resources, as well as utilization patterns of beds, ICU, and ventilators, for 11 screening hospitals affiliated with the General Organization of Teaching Hospitals and institutes in Egypt assigned by the Ministry of Health and Population to provide medical care for COVID-19 patients. Hospital indicators in terms of COVID-19 screening services, as well as utilization patterns of inpatient beds, ICU beds, and ventilators were computed.
RESULTS: A total of 78,869 non-medical personnel and 2,176 medical personnel were presented with COVID-19 triage symptoms. Investigations conducted in the targeted 11 hospitals delineated that 22.2% of non-medical personnel and 27.9% of medical personnel were COVID-19 PCR-confirmed cases. The inpatient bed occupancy rate was 70% for non-medical patients and 67% for medical staff patients. For ICU, the bed occupancy rate was 92 % for non-medical patients and 88% for medical patients. Among the confirmed cases, 38% of medical patients utilized a ventilator vs. 36% of medical personnel cases. Hospital ranking according to utilization pattern among non-medical personnel, Hospital H ranked first in terms of the high load of screening services. Hospital C ranked first regarding the number of confirmed cases, whereas Hospital D ranked first for high ICU utilization among all teaching hospital ICU cases. With respect to medical personnel, Hospital G ranked first for the high load of screening services for the total studied cases. Hospital G ranked first for the number of confirmed cases. Hospital B ranked first regarding high ICU utilization among all teaching hospital ICU cases.
CONCLUSIONS: Teaching hospitals have demonstrated preparedness for the COVID-19 pandemic by maintaining an inpatient bed occupancy rate of 70% or less and ventilator utilization at <40% of confirmed cases. However, the ICU bed occupancy rate was more than 90% indicating a shortage of resources. In addition, there is variance across hospitals regarding caseload for resource reallocation decisions.
摘要：
背景：定期收集和监视描述医疗保健服务利用动态的数据，特别是在教学医院（TH），提供优质医疗服务，对于防范COVID-19大流行至关重要。
方法：研究人员分析了从6月1日至7月15日的服务统计报告中得出的数据和信息，2020年医院资源，以及床的使用模式，ICU,和呼吸机,为卫生和人口部指派的埃及教学医院和研究所所属的11家筛查医院，为COVID-19患者提供医疗服务。COVID-19筛查服务方面的医院指标，以及住院病床的使用模式，ICU病床,和呼吸机进行了计算。
结果：共有78,869名非医务人员和2,176名医务人员出现了COVID-19分诊症状。在目标11家医院进行的调查显示，22.2%的非医务人员和27.9%的医务人员为COVID-19PCR确诊病例。非内科患者住院床位占用率为70％，医务人员患者为67％。对于ICU，非内科患者的床位占用率为92%，内科患者为88%。在确诊病例中,38％的医疗患者使用呼吸机与36%的医务人员病例。医院根据非医务人员的使用模式进行排名，H医院在筛查服务的高负荷方面排名第一。丙医院的确诊病例数排在第一位,而D医院在所有教学医院ICU病例中ICU利用率最高。关于医务人员，在所有研究病例中，G医院在筛查服务的高负荷方面排名第一。医院G在确诊病例数上排名第一。在所有教学医院ICU病例中，B医院的ICU利用率最高。
结论：教学医院通过维持70%或更低的住院病床使用率和<40%的确诊病例，证明了对COVID-19大流行的准备。然而,ICU床位占用率超过90％，表明资源短缺。此外,各医院在资源重新分配决策的病例量方面存在差异。
方法：研究人员分析了从6月1日至7月15日的服务统计报告中得出的数据和信息，2020年医院资源，以及床的使用模式，ICU,和呼吸机,为卫生和人口部指派的埃及教学医院和研究所所属的11家筛查医院，为COVID-19患者提供医疗服务。COVID-19筛查服务方面的医院指标，以及住院病床的使用模式，ICU病床,和呼吸机进行了计算。
结果：共有78,869名非医务人员和2,176名医务人员出现了COVID-19分诊症状。在目标11家医院进行的调查显示，22.2%的非医务人员和27.9%的医务人员为COVID-19PCR确诊病例。非内科患者住院床位占用率为70％，医务人员患者为67％。对于ICU，非内科患者的床位占用率为92%，内科患者为88%。在确诊病例中,38％的医疗患者使用呼吸机与36%的医务人员病例。医院根据非医务人员的使用模式进行排名，H医院在筛查服务的高负荷方面排名第一。丙医院的确诊病例数排在第一位,而D医院在所有教学医院ICU病例中ICU利用率最高。关于医务人员，在所有研究病例中，G医院在筛查服务的高负荷方面排名第一。医院G在确诊病例数上排名第一。在所有教学医院ICU病例中，B医院的ICU利用率最高。
结论：教学医院通过维持70%或更低的住院病床使用率和<40%的确诊病例，证明了对COVID-19大流行的准备。然而,ICU床位占用率超过90％，表明资源短缺。此外,各医院在资源重新分配决策的病例量方面存在差异。
