4.3 Review

The impact of resource limitations on care delivery and outcomes: routine variation, the coronavirus disease 2019 pandemic, and persistent shortage

Related references

Note: Only part of the references are listed.
Letter Gastroenterology & Hepatology

Colorectal Cancer Screening and COVID-19

Shreya Patel et al.

AMERICAN JOURNAL OF GASTROENTEROLOGY (2021)

Article Critical Care Medicine

The Coronavirus Disease 2019 Pandemic's Effect on Critical Care Resources and Health-Care Providers A Global Survey

Sarah Wahlster et al.

Summary: This study investigates the impact of the COVID-19 pandemic on ICUs and critical care healthcare providers globally. The findings demonstrate variability in ICU resource availability, CPR practices, and psychological well-being of healthcare providers across different regions, highlighting the need for targeted interventions to support frontline workers.

CHEST (2021)

Article Orthopedics

Approaching Elective Surgery in the Era of COVID-19

Stephen D. Lockey et al.

Summary: The 2019 coronavirus disease pandemic posed unprecedented challenges to the healthcare system, leading to the suspension of non-emergency surgeries in many places. This article presents an ethical framework for prioritizing elective surgeries during times of resource scarcity, based on three considerations.

JOURNAL OF HAND SURGERY-AMERICAN VOLUME (2021)

Article Critical Care Medicine

Trends in Intensive Care for Patients with COVID-19 in England, Wales, and Northern Ireland

James C. Doidge et al.

Summary: The study described trends in intensive care for patients with COVID-19 and found significant variations in ICU admission rates during the first wave of the epidemic in England and Northern Ireland, varying over time and geography. Patient characteristics, care processes, and outcomes in ICU also changed, with some deviations in trends during the peak period. After adjusting for important risk factors, there was a substantial improvement in patient outcomes.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2021)

Article Medicine, General & Internal

Characteristics, Outcomes, and Trends of Patients With COVID-19-Related Critical Illness at a Learning Health System in the United States

George L. Anesi et al.

Summary: This study examined the epidemiology of COVID-19-related critical illness in the United States, specifically focusing on patients admitted to intensive care units within the University of Pennsylvania Health System. The results showed a decrease in mortality over time, despite stable patient characteristics. Further research is needed to confirm these findings and explore potential causal mechanisms.

ANNALS OF INTERNAL MEDICINE (2021)

Letter Medicine, General & Internal

Hospital Revenue Under Maryland's Total Cost of Care Model During the COVID-19 Pandemic, March-July 2020

Joseph F. Levy et al.

Summary: This study compares revenue of Maryland hospitals in March-July 2020 with historical trends and assesses the impact of rate increases for inpatient and outpatient services on state hospital revenue. The findings suggest that the rate increases permitted to offset pandemic-related revenue declines may not be sufficient.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2021)

Article Surgery

Impact of the COVID-19 Pandemic on Lung Cancer Screening Program and Subsequent Lung Cancer

Robert M. Van Haren et al.

Summary: The COVID-19 pandemic significantly disrupted lung cancer screening, resulting in a decrease in new patient screenings and an increased proportion of nodules suspicious for malignancy after screenings resumed.

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS (2021)

Letter Oncology

Cancer Screening Tests and Cancer Diagnoses During the COVID-19 Pandemic

Ziad Bakouny et al.

Summary: This cohort study examines the number of patients receiving cancer screening tests and subsequent cancer diagnoses in one healthcare system in the northeastern United States during the COVID-19 pandemic.

JAMA ONCOLOGY (2021)

Article Critical Care Medicine

Actions Taken by US Hospitals to Prepare for Increased Demand for Intensive Care During the First Wave of COVID-19 A National Survey

Meeta Prasad Kerlin et al.

Summary: During the COVID-19 pandemic, most US hospitals canceled elective surgeries and procedures, but only a few established new medical units or implemented triage protocols. Actions to increase or preserve ICU staff, such as using ICU telemedicine, varied greatly with no dominant strategy. Hospitals with higher COVID-19 incidence did not consistently take different actions compared to hospitals with lower incidence.

CHEST (2021)

Article Urology & Nephrology

Balancing the Needs of Acute and Maintenance Dialysis Patients during the COVID-19 Pandemic A Proposed Ethical Framework for Dialysis Allocation

Rachel C. Carson et al.

Summary: The COVID-19 pandemic has led to shortages in medical supplies and equipment worldwide, prompting the need for transparent and ethical frameworks for resource allocation. In this context, BC Renal in Canada developed a framework for dialysis patients that prioritizes benefits, fairness, and equitable allocation based on urgency and prognosis, aiming to maintain an equitable reallocation of limited resources during a pandemic.

CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY (2021)

Article Surgery

Appendicitis Mortality in a Resource-Limited Setting: Issues of Access and Failure to Rescue

Brittney M. Williams et al.

Summary: By analyzing patients with appendicitis at a tertiary care center in Malawi, it was found that most patients experienced pre-hospital delays in care, and postoperative complications were the significant predictor of mortality. Improving the diagnosis and management of complications is crucial to reduce preventable deaths from appendicitis in resource-limited settings.

JOURNAL OF SURGICAL RESEARCH (2021)

Article Surgery

Underutilization of Operative Capacity at the District Hospital Level in a Resource-Limited Setting

Jared R. Gallaher et al.

Summary: In Salima District Hospital in Malawi, despite available resources, laparotomy was rarely performed which led to higher mortality rates due to delays in treatment. Optimizing the surgical ecosystems at district and health center levels is crucial to improve surgical access and patient outcomes in Malawi.

JOURNAL OF SURGICAL RESEARCH (2021)

Article Critical Care Medicine

Improving Survival of Critical Care Patients With Coronavirus Disease 2019 in England: A National Cohort Study, March to June 2020

John M. Dennis et al.

Summary: The study found a substantial improvement in survival among critically ill coronavirus disease 2019 patients in England, especially for those admitted in May and June compared to March and April. This improvement was not explained by temporal changes in patient demographics and comorbidity burden.

CRITICAL CARE MEDICINE (2021)

Article Critical Care Medicine

Higher ICU Capacity Strain Is Associated With Increased Acute Mortality in Closed ICUs*

M. Elizabeth Wilcox et al.

CRITICAL CARE MEDICINE (2020)

Article Medicine, General & Internal

The impact of the COVID-19 pandemic on renal transplantation in the UK

Videha Sharma et al.

CLINICAL MEDICINE (2020)

Editorial Material Medicine, General & Internal

Covid-19 related hospital admissions in the United States: needs and outcomes

George L. Anesi et al.

BMJ-BRITISH MEDICAL JOURNAL (2020)

Article Anesthesiology

Prioritisation of ICU treatments for critically ill patients in a COVID-19 pandemic with scarce resources

Thomas Leclerc et al.

ANAESTHESIA CRITICAL CARE & PAIN MEDICINE (2020)

Editorial Material Medicine, General & Internal

Africa in the Path of Covid-19

Wafaa M. El-Sadr et al.

NEW ENGLAND JOURNAL OF MEDICINE (2020)

Editorial Material Infectious Diseases

Mitigating lockdown challenges in response to COVID-19 in Sub-Saharan Africa

Leonard E. G. Mboera et al.

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES (2020)

Editorial Material Anesthesiology

Intensive Care Unit Capacity, Cancellation of Elective Surgery, and the US Pandemic Response

Michael Nurok et al.

ANESTHESIA AND ANALGESIA (2020)

Letter Critical Care Medicine

Declines in Mortality Over Time for Critically Ill Adults With Coronavirus Disease 2019

Sara C. Auld et al.

CRITICAL CARE MEDICINE (2020)

Editorial Material Multidisciplinary Sciences

COVID-19 and cancer

Norman E. Sharpless

SCIENCE (2020)

Article Respiratory System

Association of a Novel Index of Hospital Capacity Strain with Admission to Intensive Care Units

George L. Anesi et al.

ANNALS OF THE AMERICAN THORACIC SOCIETY (2020)

Review Critical Care Medicine

Understanding irresponsible use of intensive care unit resources in the USA

George L. Anesi et al.

LANCET RESPIRATORY MEDICINE (2019)

Article Public, Environmental & Occupational Health

Hospital Surge Capacity: A Web-Based Simulation Tool for Emergency Planners

Matthew F. Toerper et al.

DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS (2018)

Review Critical Care Medicine

Indicators of intensive care unit capacity strain: a systematic review

Oleksa G. Rewa et al.

CRITICAL CARE (2018)

Review Health Care Sciences & Services

The Association Between Hospital Capacity Strain and Inpatient Outcomes in Highly Developed Countries: A Systematic Review

Carl O. Eriksson et al.

JOURNAL OF GENERAL INTERNAL MEDICINE (2017)

Article Critical Care Medicine

Effect of ICU strain on timing of limitations in life-sustaining therapy and on death

May Hua et al.

INTENSIVE CARE MEDICINE (2016)

Article Medicine, General & Internal

Association of Intensive Care Unit Admission With Mortality Among Older Patients With Pneumonia

Thomas S. Valley et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2015)

Article Critical Care Medicine

Intensive care unit capacity strain and adherence to prophylaxis guidelines

Gary E. Weissman et al.

JOURNAL OF CRITICAL CARE (2015)

Article Critical Care Medicine

Mortality among Patients Admitted to Strained Intensive Care Units

Nicole B. Gabler et al.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2013)

Article Medicine, General & Internal

Outcomes Among Patients Discharged From Busy Intensive Care Units

Jason Wagner et al.

ANNALS OF INTERNAL MEDICINE (2013)

Article Medicine, General & Internal

The Effect of Multidisciplinary Care Teams on Intensive Care Unit Mortality

Michelle M. Kim et al.

ARCHIVES OF INTERNAL MEDICINE (2010)

Article Critical Care Medicine

Variation in critical care services across North America and Western Europe

Hannah Wunsch et al.

CRITICAL CARE MEDICINE (2008)