Shocks to Hospital Occupancy and Mortality: Evidence from the 2009 H1N1 Pandemic

Gutiérrez, Emilio; Rubli, Adrian

doi:10.2139/ssrn.3649743

Cited by 7 publications

(6 citation statements)

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“…We can only speculate that infectious diseases hospitals might have advantages in terms of newly equipped medical devices (lung ventilators, oxygen supplies), as well as better supply of medications which were suggested in the national protocol. On the other hand, the occupancy level of provisional hospitals was higher than infectious disease hospitals, especially during the peak period, which may have affected the quality of medical care and limited access to intensive care units in provisional hospitals [ 28 , 29 ]. Also, 77% of all PCR-test positive cases, 2% of all PCR-test negative cases and 8% of all PCR-test unknown cases were treated at infectious diseases hospitals, and probably they stayed at the hospital until clinical improvement or death.…”

Section: Discussionmentioning

confidence: 99%

SARS-CoV-2 PCR-positive and PCR-negative cases of pneumonia admitted to the hospital during the peak of COVID-19 pandemic: analysis of in-hospital and post-hospital mortality

et al. 2021

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Background During the spike of COVID-19 pandemic in Kazakhstan (June-2020), multiple SARS-CoV-2 PCR-test negative pneumonia cases with higher mortality were reported by media. We aimed to study the epidemiologic characteristics of hospitalized PCR-test positive and negative patients with analysis of in-hospital and post-hospital mortality. We also compare the respiratory disease characteristics between 2019 and 2020. Methods The study population consist of 17,691 (March–July-2020) and 4600 (March–July-2019) hospitalized patients with respiratory diseases (including COVID-19). The incidence rate, case-fatality rate and survival analysis for overall mortality (in-hospital and post-hospital) were assessed. Results The incidence and mortality rates for respiratory diseases were 4-fold and 11-fold higher in 2020 compared to 2019 (877.5 vs 228.2 and 11.2 vs 1.2 per 100,000 respectively). The PCR-positive cases (compared to PCR-negative) had 2-fold higher risk of overall mortality. We observed 24% higher risk of death in males compared to females and in older patients compared to younger ones. Patients residing in rural areas had 66% higher risk of death compared to city residents and being treated in a provisional hospital was associated with 1.9-fold increased mortality compared to those who were treated in infectious disease hospitals. Conclusion This is the first study from the Central Asia and Eurasia regions, evaluating the mortality of SARS-CoV-2 PCR-positive and PCR-negative respiratory system diseases during the peak of COVID-19 pandemic. We describe a higher mortality rate for PCR-test positive cases compared to PCR-test negative cases, for males compared to females, for elder patients compared to younger ones and for patients living in rural areas compared to city residents.

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Section: Discussionmentioning

confidence: 99%

SARS-CoV-2 PCR-positive and PCR-negative cases of pneumonia admitted to the hospital during the peak of COVID-19 pandemic: analysis of in-hospital and post-hospital mortality

et al. 2021

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“… 23 , 24 , 25 , 26 These outcomes may include reductions in quality of care, such as increases in patient mortality, nosocomial infections, adverse events, and readmission. 6 This relationship has been studied in a variety of infectious diseases, including in H1N1, where 1% increases in acute respiratory infection admissions were associated with 0.25% increases in nonacute respiratory infection mortality, 4 and in COVID-19, where increased COVID-19 admissions are associated with unnecessarily high mortality rates. 27 …”

Section: Discussionmentioning

confidence: 99%

“…Studies have demonstrated that nonzero levels of resource-intensive, highly contagious, and potentially fatal diseases have detrimental effects on the clinical outcomes of other hospital patients, even in cases where the critical disease or infection does not account for a majority of the hospital’s census. 4 , 5 , 6 In these cases, resource pooling may be similarly beneficial at reducing the strain on a single hospital by dispersing the resource and staffing demands among multiple institutions. 4 …”

Section: Introductionmentioning

confidence: 99%

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Patterns in the Pandemic: Disproportionate Patient Burdens Among Regional Hospitals

Corcoran

Ramsey

Franzen

et al. 2022

Annals of Emergency Medicine

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“…With the increase of urban population density, the expansion of urban scale and the change of human behavior, the incidence of various infectious diseases has shown a continuous upward trend. Many infectious diseases broke out in hospitals in the early stage, such as the worldwide H1N1 influenza pandemic [1], the outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) in Korean hospitals [2] and so on. A new infectious disease is difficult to be identified in a short time even in the hospital, and it may cause a very high mortality rate in the early outbreak stage of the infectious disease [3].…”

Section: Introductionmentioning

confidence: 99%

Research and Design of An Early Warning System for Emerging Infectious Diseases Based on UWB

Wang

Han²,

Lin³

et al. 2022

J. Phys.: Conf. Ser.

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Aiming at the problem of cross-infection in hospitals and other areas of infectious diseases, we designed a system based on ultra-wideband and using TDOA positioning method combined with smart wearable devices to realize health warning and contact trajectory tracking of medical staff. In the hospital area with stricter management, we obtain the user’s consent and wear smart bracelets to the users. These bracelets are used for positioning and temperature detection.. First, we model the indoor area based on the measurement data of the indoor area and install the base station, use the ultra-wideband technology combined with the wireless time synchronization TDOA method to achieve high-precision positioning in the indoor area, and use Kalman filter to filter the positioning noise data. Then, it combines the body temperature detection data of the wearable bracelet and the system positioning data to establish a user track tracking service to further record the user’s activity range. In addition, the area is strictly controlled, the trajectory of the infected person is restored and the contact person is quickly located, and timely warning can be provided through information such as electronic fence and body temperature. The system can trace the source of regional outbreaks of infectious diseases, provide health warnings for users, and quickly locate the relevant contacts of virus carriers.

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Shocks to Hospital Occupancy and Mortality: Evidence from the 2009 H1N1 Pandemic

Cited by 7 publications

References 0 publications

SARS-CoV-2 PCR-positive and PCR-negative cases of pneumonia admitted to the hospital during the peak of COVID-19 pandemic: analysis of in-hospital and post-hospital mortality

SARS-CoV-2 PCR-positive and PCR-negative cases of pneumonia admitted to the hospital during the peak of COVID-19 pandemic: analysis of in-hospital and post-hospital mortality

Patterns in the Pandemic: Disproportionate Patient Burdens Among Regional Hospitals

Research and Design of An Early Warning System for Emerging Infectious Diseases Based on UWB

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