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...

Full description

Saved in:
Bibliographic Details
Published inSão Paulo medical journal
Main Authors Almeida, João Flávio de Freitas, Conceição, Samuel Vieira, Pinto, Luiz Ricardo, Horta, Cláudia Júlia Guimarães, Magalhães, Virgínia Silva, Campos, Francisco Carlos Cardoso de
Format Journal Article
LanguagePortuguese
Published Associação Paulista de Medicina - APM 2021
Subjects
Online AccessGet 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