ICU bed occupancy during COVID-19 linked to increase in excess deaths

Intensive Care Bed Occupancy During COVID-19 Linked to Increase in Deaths

(HealthDay) – Health system stress, as measured by intensive care unit (ICU) bed occupancy, is on the rise, with deaths spiking two, four and six weeks later, according to a study published in the Nov. 19 issue affiliated the US Centers for Disease Control and Prevention Weekly report on morbidity and mortality.

To investigate the impact of COVID-19 surges on hospital system operations and the potential impact on other critical infrastructure sectors and national critical functions, Geoffrey French of the U.S. Department of Homeland Security in Washington, DC and colleagues examined the relationship between hospital exposure and additional deaths from Jan. July 2020 to July 10, 2021. The study period comprised the months in which the variant of the severe acute respiratory syndrome Coronavirus 2 delta became predominant.

The researchers found that as bed occupancy increased in the intensive care unit, the number of deaths increased two, four, and six weeks later. The model used to calculate the estimated deaths predicted that if the ICU bed occupancy rate was 75 percent nationwide, a surplus of 12,000 deaths would be expected two weeks later, followed by additional deaths at four and six weeks. Also, with hospitals exceeding ICU bed capacity, 80,000 additional deaths would be expected two weeks later, followed by more deaths at four and six weeks.

“This analysis shows the importance of controlling case growth and the subsequent need for hospitalization prior to exposure,” the authors write.

Estimated Excessive Deaths for ESRD Patients During COVID-19

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