Estimating Brazilian states’ demands for intensive care unit and clinical hospital beds during the COVID-19 pandemic: development of a predictive model
ABSTRACT BACKGROUND: The fragility of healthcare systems worldwide had not been exposed by any pandemic until now. The lack of integrated methods for bed capacity planning compromises the effectiveness of public and private hospitals’ services. OBJECTIVES: To estimate the impact of the COVID-19 pand...
Saved in:
Published in | São Paulo medical journal |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | Portuguese |
Published |
Associação Paulista de Medicina - APM
2021
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | ABSTRACT BACKGROUND: The fragility of healthcare systems worldwide had not been exposed by any pandemic until now. The lack of integrated methods for bed capacity planning compromises the effectiveness of public and private hospitals’ services. OBJECTIVES: To estimate the impact of the COVID-19 pandemic on the provision of intensive care unit and clinical beds for Brazilian states, using an integrated model. DESIGN AND SETTING: Experimental study applying healthcare informatics to data on COVID-19 cases from the official electronic platform of the Brazilian Ministry of Health. METHODS: A predictive model based on the historical records of Brazilian states was developed to estimate the need for hospital beds during the COVID-19 pandemic. RESULTS: The proposed model projected in advance that there was a lack of 22,771 hospital beds for Brazilian states, of which 38.95% were ICU beds, and 61.05% were clinical beds. CONCLUSIONS: The proposed approach provides valuable information to help hospital managers anticipate actions for improving healthcare system capacity. |
---|---|
AbstractList | ABSTRACT BACKGROUND: The fragility of healthcare systems worldwide had not been exposed by any pandemic until now. The lack of integrated methods for bed capacity planning compromises the effectiveness of public and private hospitals’ services. OBJECTIVES: To estimate the impact of the COVID-19 pandemic on the provision of intensive care unit and clinical beds for Brazilian states, using an integrated model. DESIGN AND SETTING: Experimental study applying healthcare informatics to data on COVID-19 cases from the official electronic platform of the Brazilian Ministry of Health. METHODS: A predictive model based on the historical records of Brazilian states was developed to estimate the need for hospital beds during the COVID-19 pandemic. RESULTS: The proposed model projected in advance that there was a lack of 22,771 hospital beds for Brazilian states, of which 38.95% were ICU beds, and 61.05% were clinical beds. CONCLUSIONS: The proposed approach provides valuable information to help hospital managers anticipate actions for improving healthcare system capacity. |
Author | Almeida, João Flávio de Freitas Horta, Cláudia Júlia Guimarães Campos, Francisco Carlos Cardoso de Pinto, Luiz Ricardo Conceição, Samuel Vieira Magalhães, Virgínia Silva |
AuthorAffiliation | Universidade Federal de Minas Gerais Fundação João Pinheiro |
AuthorAffiliation_xml | – name: Universidade Federal de Minas Gerais – name: Fundação João Pinheiro |
Author_xml | – sequence: 1 givenname: João Flávio de Freitas surname: Almeida fullname: Almeida, João Flávio de Freitas organization: Universidade Federal de Minas Gerais – sequence: 2 givenname: Samuel Vieira surname: Conceição fullname: Conceição, Samuel Vieira organization: Universidade Federal de Minas Gerais – sequence: 3 givenname: Luiz Ricardo surname: Pinto fullname: Pinto, Luiz Ricardo organization: Universidade Federal de Minas Gerais – sequence: 4 givenname: Cláudia Júlia Guimarães surname: Horta fullname: Horta, Cláudia Júlia Guimarães organization: Fundação João Pinheiro – sequence: 5 givenname: Virgínia Silva surname: Magalhães fullname: Magalhães, Virgínia Silva organization: Universidade Federal de Minas Gerais – sequence: 6 givenname: Francisco Carlos Cardoso de surname: Campos fullname: Campos, Francisco Carlos Cardoso de organization: Universidade Federal de Minas Gerais |
BookMark | eNqVj7FOwzAQhj0UiRZ4h5vYEs4uSVtGShFMDCDWyDgXepVjR7bTgYnX6OvxJDgSL8B0d_rv_6RvIWbOOxLiWmIpqw3eyErWxVKusVSosMRKrsogS1RyumdinqO62NzWeC4WMR4Q1bqWai5Ou5i414ndJ9wH_cWWtYOYdKL4832Clnrt2gidD8AukYt8JDA6EIyOE-QQjGXHRlvY-zhwyssH5Uo7homa9gTbl_fnh0JuYMj_1LO5y-AjWT_05BL4DjQMgVo2acL3viV7Kc46bSNd_c0LUT7u3rZPRTScm83Bj8HloHmd5JtJPrtKxApxpbBa_rvwC5OnZuo |
ContentType | Journal Article |
Copyright | This work is licensed under a Creative Commons Attribution 4.0 International License. |
Copyright_xml | – notice: This work is licensed under a Creative Commons Attribution 4.0 International License. |
DBID | GPN |
DOI | 10.1590/1516-3180.2020.0517.r1.0212020 |
DatabaseName | SciELO |
DatabaseTitleList | |
DeliveryMethod | fulltext_linktorsrc |
ExternalDocumentID | S1516_31802021005007205 |
GroupedDBID | --- 123 29P 2WC 36B 53G 5VS ABXHO ADBBV AENEX ALMA_UNASSIGNED_HOLDINGS APOWU AZFZN BAWUL BCNDV CS3 DIK DU5 E3Z EBD EMB EMOBN F5P GPN GROUPED_DOAJ IPNFZ KQ8 MK0 M~E OK1 P2P PGMZT RIG RPM RSC SCD SV3 TR2 XSB |
ID | FETCH-scielo_journals_S1516_318020210050072053 |
ISSN | 1806-9460 |
IngestDate | Fri Oct 18 20:39:24 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Keywords | COVID-19 pandemic Compartmental model Coronavirus infections Pandemics Bed occupancy Public health administration Hospital bed capacity COVID-19 virus disease Population dynamics Public health planning |
Language | Portuguese |
License | This work is licensed under a Creative Commons Attribution 4.0 International License. http://creativecommons.org/licenses/by/4.0 |
LinkModel | OpenURL |
MergedId | FETCHMERGED-scielo_journals_S1516_318020210050072053 |
OpenAccessLink | http://dx.doi.org/10.1590/1516-3180.2020.0517.r1.0212020 |
ParticipantIDs | scielo_journals_S1516_31802021005007205 |
PublicationCentury | 2000 |
PublicationDate | 20210001 |
PublicationDateYYYYMMDD | 2021-01-01 |
PublicationDate_xml | – year: 2021 text: 20210001 day: 01 |
PublicationDecade | 2020 |
PublicationTitle | São Paulo medical journal |
PublicationTitleAlternate | Sao Paulo Med. J |
PublicationYear | 2021 |
Publisher | Associação Paulista de Medicina - APM |
Publisher_xml | – name: Associação Paulista de Medicina - APM |
References | Andersen, M 2020 Metcalf, CJE; Morris, DH; Park, SW 2020; 369 Labdec, EMU Shalders, A Ferguson, N; Laydon, D; Nedjati Gilani, G 2020 Dottori, M; Fabricius, G 2015; 434 Joe, H; Esteban, OO; Roser, M Alfredo, M Jarvis, CI; Van Zandvoort, K; Gimma, A 2020; 18 Candido, DS; Claro, IM; de Jesus, JG 2020; 369 Mizumoto, K; Kagaya, K; Zarebski, A; Chowell, G 2020; 25 Nishiura, H; Linton, NM; Akhmetzhanov, AR 2020; 93 McGee, R Souza, WM; Buss, LF; da Silva Candido, D 2020 Halpern, NA; Pastores, SM 2015; 43 Huang, C; Wang, Y; Li, X 2020; 395 Li, Q; Guan, X; Wu, P 2020; 382 Wu, JT; Leung, K; Leung, GM 2020; 395 Zhao, S; Lin, Q; Ran, J 2020; 92 2020 Chinazzi, M; Davis, JT; Ajelli, M 2020; 368 Canzian, F 2020 de Oliveira, ACS; Morita, LHM; da Silva, EB 2020; 5 Cota, W Qiu, H; Wu, J; Hong, L 2020; 20 Du, Z; Wang, L; Cauchemez, S 2020; 26 Mellan, TA; Hoeltgebaum, HH; Mishra, S 2020 Bogoch, II; Watts, A; Thomas-Bachli, A 2020; 27 Nascimento, IJBD; Pinto, LR; Fernandes, VA 2020 O’Brien, J 2020 |
References_xml | – publication-title: Coronavírus no Estado do Pará – publication-title: Coronavírus – COVID-19 – publication-title: Coronavírus Brasil – volume: 20 start-page: 689 issue: 6 year: 2020 end-page: 696 article-title: Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: an observational cohort study publication-title: Lancet Infect Dis contributor: fullname: Qiu, H; Wu, J; Hong, L – publication-title: Mandetta é demitido do Ministério da Saúde após um mês de conflito com Bolsonaro: relembre os principais choques contributor: fullname: Shalders, A – volume: 27 start-page: taaa008 issue: 2 year: 2020 end-page: taaa008 article-title: Pneumonia of unknown etiology in Wuhan, China: Potential for international spread via commercial air travel publication-title: J Travel Med contributor: fullname: Bogoch, II; Watts, A; Thomas-Bachli, A – article-title: Coronavírus - COVID-19 publication-title: Painel Coronavírus RS – publication-title: OpenDataSUS – publication-title: Boletim epidemiológico – publication-title: Painel Covid-19 - Estado do Espírito Santo – article-title: Laboratório de Apoio à Decisão, NESCON (Medicina-UFMG) e DEP (Engenharia de Produção-UFMG) publication-title: Combate ao Coronavírus no Brasil contributor: fullname: Labdec, EMU – publication-title: Ministro da saúde Nelson Teich pede demissão menos de um mês depois de assumir – volume: 25 start-page: 2000180 issue: 10 year: 2020 end-page: 2000180 article-title: Estimating the asymptomatic proportion of coronavirus disease 2019 (COVID-19) cases on board the Diamond Princess cruise ship, Yokohama, Japan, 2020 publication-title: Euro Surveill contributor: fullname: Mizumoto, K; Kagaya, K; Zarebski, A; Chowell, G – volume: 26 start-page: 1049 issue: 5 year: 2020 end-page: 1052 article-title: Risk for transportation of coronavirus disease from Wuhan to other cities in China publication-title: Emerg Infect Dis contributor: fullname: Du, Z; Wang, L; Cauchemez, S – year: 2020 article-title: Leitos de UTI do SUS devem acabar em maio na maioria dos estados publication-title: Folha de São Paulo contributor: fullname: Canzian, F – year: 2020 article-title: Early evidence on social distancing in response to COVID-19 in the United States publication-title: SSRN contributor: fullname: Andersen, M – publication-title: São Paulo contra o novo coronavírus. Boletim completo – publication-title: Boletins Diários – COVID-19 – publication-title: Distribuição dos casos de Covid-19 – article-title: Secretaria da Saúde Pública publication-title: Informações importantes para a população em geral e profissionais de saúde – publication-title: SEIRS Plus: SEIRS model and extended model framework contributor: fullname: McGee, R – publication-title: Índice de isolamento social – publication-title: Coronavírus. Boletins – article-title: Governo do Estado do Amapá publication-title: Resumo geral do Estado – publication-title: Boletim diário sobre coronavírus em Rondônia – publication-title: Painel coronavírus COVID-19 – article-title: Secretaria de Saúde. Coronavírus – Informações publication-title: Boletim Epidemiológico - Coronavírus – volume: 43 start-page: 2452 issue: 11 year: 2015 end-page: 2459 article-title: Critical care medicine beds, use, occupancy and costs in the United States: a methodological review publication-title: Crit Care Med contributor: fullname: Halpern, NA; Pastores, SM – year: 2020 publication-title: Coronavirus disease (COVID-2019) situation reports – article-title: Pacto Acre sem Covid publication-title: Portal de Informações sobre o combate à Covid-19 – publication-title: COVID-19: Leitos – publication-title: Painel Epidemiológico Covid-19 - Piauí – year: 2020 article-title: Modeling COVID-19 scenarios for the United States publication-title: Nat Med – volume: 395 start-page: 497 issue: 10223 year: 2020 end-page: 506 article-title: Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China publication-title: Lancet contributor: fullname: Huang, C; Wang, Y; Li, X – volume: 5 start-page: 699 year: 2020 end-page: 713 article-title: Bayesian modeling of COVID-19 cases with a correction to account for under-reported cases publication-title: Infect Dis Model contributor: fullname: de Oliveira, ACS; Morita, LHM; da Silva, EB – publication-title: Casos na EPCAR: Barbacena passa a ter maior taxa de infectados de Minas por COVID-19 contributor: fullname: Alfredo, M – volume: 18 start-page: 124 issue: 1 year: 2020 end-page: 124 article-title: Quantifying the impact of physical distance measures on the transmission of COVID-19 in the UK publication-title: BMC Med contributor: fullname: Jarvis, CI; Van Zandvoort, K; Gimma, A – publication-title: Coronavirus (COVID-19) testing. Our World in Data contributor: fullname: Joe, H; Esteban, OO; Roser, M – publication-title: Número de casos confirmados de COVID-19 no Brasil contributor: fullname: Cota, W – year: 2020 article-title: Clinical characteristics and outcomes among Brazilian patients with severe acute respiratory syndrome coronavirus 2 infection: an observational retrospective study publication-title: Sao Paulo Med J contributor: fullname: Nascimento, IJBD; Pinto, LR; Fernandes, VA – publication-title: Projeção da população do Brasil e das unidades da federação – volume: 368 start-page: 395 issue: 6489 year: 2020 end-page: 400 article-title: The effect of travel restrictions on the spread of the 2019 novel coronavirus (COVID-19) outbreak publication-title: Science contributor: fullname: Chinazzi, M; Davis, JT; Ajelli, M – volume: 369 start-page: 368 issue: 6502 year: 2020 end-page: 369 article-title: Mathematical models to guide pandemic response publication-title: Science contributor: fullname: Metcalf, CJE; Morris, DH; Park, SW – year: 2020 article-title: Epidemiological and clinical characteristics of the early phase of the COVID-19 epidemic in Brazil publication-title: medRxiv contributor: fullname: Souza, WM; Buss, LF; da Silva Candido, D – year: 2020 article-title: Report 21: Estimating COVID-19 cases and reproduction number in Brazil publication-title: Imperial College of London contributor: fullname: Mellan, TA; Hoeltgebaum, HH; Mishra, S – article-title: Secretaria de Saúde publication-title: Coronavírus: COVID-19 no Maranhão – publication-title: Secretaria de Saúde. Boletim da Secretaria de Saúde – n° de casos – publication-title: Casos notificados de COVID-19 em Goiás – article-title: Secretaria de Estado da Saúde publication-title: Sergipe contra o coronavirus: responsabilidade de todos – article-title: Secretaria de Atenção à Saúde publication-title: CNESnet. Consulta leitos – publication-title: Boletim do Coronavírus. Coronavírus (COVID-19) – volume: 395 start-page: 689 issue: 10225 year: 2020 end-page: 697 article-title: Nowcasting and forecasting the potential domestic and international spread of the 2019-nCoV outbreak originating in Wuhan, China: a modelling study publication-title: Lancet contributor: fullname: Wu, JT; Leung, K; Leung, GM – article-title: Secretaria de Estado de Saúde publication-title: Informes. Painel Informativo COVID-19 – article-title: Secretaria da Saúde publication-title: Covid-19. Casos confirmados – volume: 93 start-page: 284 year: 2020 end-page: 286 article-title: Serial interval of novel coronavirus (COVID-19) infections publication-title: Int J Infect Dis contributor: fullname: Nishiura, H; Linton, NM; Akhmetzhanov, AR – article-title: Alerta Coronavírus publication-title: Boletim Coronavírus – Covid-19 – volume: 434 start-page: 25 year: 2015 end-page: 35 article-title: Sir model on a dynamical network and the endemic state of an infectious disease publication-title: Physica A: Statistical Mechanics and its Applications contributor: fullname: Dottori, M; Fabricius, G – publication-title: Boletim epidemiológico novo coronavírus (COVID-19) – volume: 92 start-page: 214 year: 2020 end-page: 217 article-title: Preliminary estimation of the basic reproduction number of novel coronavirus (2019-ncov) in China, from 2019 to 2020: A data-driven analysis in the early phase of the outbreak publication-title: Int J Infect Dis contributor: fullname: Zhao, S; Lin, Q; Ran, J – publication-title: Coronavírus (Covid-19): Boletins informativos. – year: 2020 article-title: See when states will face hospital bed capacity shortages during COVID-19 outbreak publication-title: HealthLeaders contributor: fullname: O’Brien, J – volume: 382 start-page: 1199 issue: 13 year: 2020 end-page: 1207 article-title: Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia publication-title: N Engl J Med contributor: fullname: Li, Q; Guan, X; Wu, P – volume: 369 start-page: 1255 issue: 6508 year: 2020 end-page: 1260 article-title: Evolution and epidemic spread of SARS-CoV-2 in Brazil publication-title: Science contributor: fullname: Candido, DS; Claro, IM; de Jesus, JG – year: 2020 article-title: Report 9: Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand publication-title: medRxiv Imperial College of London contributor: fullname: Ferguson, N; Laydon, D; Nedjati Gilani, G |
SSID | ssj0028612 |
Score | 4.358216 |
Snippet | ABSTRACT BACKGROUND: The fragility of healthcare systems worldwide had not been exposed by any pandemic until now. The lack of integrated methods for bed... |
SourceID | scielo |
SourceType | Open Access Repository |
SubjectTerms | MEDICINE, GENERAL & INTERNAL |
Title | Estimating Brazilian states’ demands for intensive care unit and clinical hospital beds during the COVID-19 pandemic: development of a predictive model |
URI | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802021005007205&lng=en&tlng=en |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LT9wwELYoSFUvqIhWLbRoDhU9REmT3TxIb8sCoqi0laCI28pJHGFpl6Bl08Oe-jf4e_0lnfErSx9o20vkPBw_5nM8Hn8zYexN0ktFjZL1k7AUfowLZZ-XvO9zXmdFVYssjMnf-fRTevw1PrlMLlcerS-wltpZEZTzP_qV_I9U8RrKlbxk_0Gy7qV4AdMoXzyihPG4lIwPcXySxomr_f0pn0tlslAuQreWxJB7lZiQO6_iE0pHWFeMrxbHs3Zss_6RV-Y3Il4hMIvxYSTddPj54sOBH-XeDVmdJ5I6wXpcOT4BRRyopPqC6l_sLKq-Z2pPvt8oMmKjN_W70BUOeOOJkJUm8DY2x9FYpaJvssEyUdkWWEe3GBiS56VUT2Qmh7Z1T1ox9i6kkFM393zBHlB3P7ZyTlEFcIA0Dtq0FFGWY1Nei4PHO6H0_gD7FscThebQZYh7BpNe9IvBxMD-Xq1Uy0lfp0acalID93xvYAj7em7YC1M_j_XvD36beZKcqJqoP6XkkB4GWHIYUAC0YEpRYSM67-Zcx4Q8oxwjykFVpWg8YdajmLxrPfxyptb8ZCwIe6nevrc1ecx2TdnvHi6ZAuHiXDFeVJ7On7J1s-qBgYbwBlu5mW2yuw6-4OALGr4_vt-BAS4gcMEBFwi4QMAFvAkWuGCBCwRc0MAFBC5Y4IIF7ntYgC00NXDoYAsKts9YcHR4Pjz2dWtGBqO3o7_0Y_85W71ursULBkVSRqKuypiXZZzUgqeiCLOyn3IeizrnL9nbJV-6tfST2-xJh8BXbHU2bcVrVGJnxY4y_uwo8f4EiMqXnA |
link.rule.ids | 230,315,783,787,867,888,27936,27937 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Estimating+Brazilian+states%E2%80%99+demands+for+intensive+care+unit+and+clinical+hospital+beds+during+the+COVID-19+pandemic%3A+development+of+a+predictive+model&rft.jtitle=S%C3%A3o+Paulo+medical+journal&rft.au=Almeida%2C+Jo%C3%A3o+Fl%C3%A1vio+de+Freitas&rft.au=Concei%C3%A7%C3%A3o%2C+Samuel+Vieira&rft.au=Pinto%2C+Luiz+Ricardo&rft.au=Horta%2C+Cl%C3%A1udia+J%C3%BAlia+Guimar%C3%A3es&rft.date=2021-01-01&rft.pub=Associa%C3%A7%C3%A3o+Paulista+de+Medicina+-+APM&rft.issn=1806-9460&rft_id=info:doi/10.1590%2F1516-3180.2020.0517.r1.0212020&rft.externalDocID=S1516_31802021005007205 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1806-9460&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1806-9460&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1806-9460&client=summon |