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Comment
. 2020 Jun;32(2):203-206.
doi: 10.5935/0103-507x.20200040. Epub 2020 Jul 13.

How to evaluate intensive care unit performance during the COVID-19 pandemic

[Article in English, Portuguese]
Fernando Godinho Zampieri  1 , Marcio Soares  1 , Jorge Ibrain Figueira Salluh  1
Affiliations
Comment

How to evaluate intensive care unit performance during the COVID-19 pandemic

[Article in English, Portuguese]
Fernando Godinho Zampieri et al. Rev Bras Ter Intensiva. 2020 Jun.
No abstract available

PubMed Disclaimer

Conflict of interest statement

Conflicts of interest: Jorge Ibrain Figueira Salluh and Marcio Soares are co-founders and shareholders of Epimed Solutions®. Fernando Godinho Zampieri reports no conflicts of interest.

Figures

Figure 1
Figure 1
A novel model to measure intensive care unit performance. (A) A spider plot for a given intensive care unit at 4 different times (0 - 3) considering “inputs” (oxygenation impairment of admitted patients, average severity, staff level) and “outputs” (mechanical ventilation free days and survival). The same unit at 4 different points is shown. There are changes in illness severity, staff level, oxygenation over time, which results in differences in outputs. These trends together with relative efficiency are shown in panel (B). Note that at moments 1 and 2 the efficiency is maximized when compared with times 0 and 3 (marked with “*”), despite a reduction in staff level from 1 - 2 and fluctuations in severity. At point 3, performance seems to worsen (lower survival, less mechanical ventilation free days which are disproportional to increase in admission severity). Data envelopment could point that staff reduction is probably the limiting step in this toy example. Min - minimum; Max - maximum; MV - mechanical ventilation; PF - partial pressure arterial oxygen/fraction inspired oxygen.
See this image and copyright information in PMC

Comment on

  • Surviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19).
    Alhazzani W, Møller MH, Arabi YM, Loeb M, Gong MN, Fan E, Oczkowski S, Levy MM, Derde L, Dzierba A, Du B, Aboodi M, Wunsch H, Cecconi M, Koh Y, Chertow DS, Maitland K, Alshamsi F, Belley-Cote E, Greco M, Laundy M, Morgan JS, Kesecioglu J, McGeer A, Mermel L, Mammen MJ, Alexander PE, Arrington A, Centofanti JE, Citerio G, Baw B, Memish ZA, Hammond N, Hayden FG, Evans L, Rhodes A. Alhazzani W, et al. Intensive Care Med. 2020 May;46(5):854-887. doi: 10.1007/s00134-020-06022-5. Epub 2020 Mar 28. Intensive Care Med. 2020. PMID: 32222812 Free PMC article.

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