Impact of coronavirus disease 2019 (COVID-19) on US Hospitals and Patients, April-July 2020

The rapid spread of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) throughout key regions of the United States in early 2020 placed a premium on timely, national surveillance of hospital patient censuses. To meet that need, the Centers for Disease Control and Prevention's National He...

Full description

Saved in:

Bibliographic Details
Published in:	Infection control and hospital epidemiology Vol. 43; no. 1; pp. 32 - 39
Main Authors:	Sapiano, Mathew R P, Dudeck, Margaret A, Soe, Minn, Edwards, Jonathan R, O'Leary, Erin N, Wu, Hsiu, Allen-Bridson, Katherine, Amor, Agasha, Arcement, Rashad, Chernetsky Tejedor, Sheri, Dantes, Ray, Gross, Cindy, Haass, Kathryn, Konnor, Rebecca, Kroop, Seth R, Leaptrot, Denise, Lemoine, Kent, Nkwata, Allan, Peterson, Kelly, Wattenmaker, Lauren, Weiner-Lastinger, Lindsey M, Pollock, Daniel, Benin, Andrea L
Format:	Journal Article
Language:	English
Published:	United States Cambridge University Press 01-01-2022
Subjects:	Bed Occupancy Coronaviruses COVID-19 Data collection Disease transmission Health care policy Hospitalization Hospitals Humans Medical laboratories Medicare Missing data Original Pandemics Patient safety Public health SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Time series United States - epidemiology Ventilators Womens health United States United States > US
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	The rapid spread of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) throughout key regions of the United States in early 2020 placed a premium on timely, national surveillance of hospital patient censuses. To meet that need, the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN), the nation's largest hospital surveillance system, launched a module for collecting hospital coronavirus disease 2019 (COVID-19) data. We present time-series estimates of the critical hospital capacity indicators from April 1 to July 14, 2020. From March 27 to July 14, 2020, the NHSN collected daily data on hospital bed occupancy, number of hospitalized patients with COVID-19, and the availability and/or use of mechanical ventilators. Time series were constructed using multiple imputation and survey weighting to allow near-real-time daily national and state estimates to be computed. During the pandemic's April peak in the United States, among an estimated 431,000 total inpatients, 84,000 (19%) had COVID-19. Although the number of inpatients with COVID-19 decreased from April to July, the proportion of occupied inpatient beds increased steadily. COVID-19 hospitalizations increased from mid-June in the South and Southwest regions after stay-at-home restrictions were eased. The proportion of inpatients with COVID-19 on ventilators decreased from April to July. The NHSN hospital capacity estimates served as important, near-real-time indicators of the pandemic's magnitude, spread, and impact, providing quantitative guidance for the public health response. Use of the estimates detected the rise of hospitalizations in specific geographic regions in June after they declined from a peak in April. Patient outcomes appeared to improve from early April to mid-July.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0899-823X 1559-6834 1559-6834
DOI:	10.1017/ice.2021.69