What is it about?

Higher healthcare burden/hospital admission can have negative impacts in patient care and outcomes and may influence clinical practices.In a period with higher hospital occupancy and healthcare burden (COVID-19), hospitalized patients with COVID-19 were less likely to be admitted to ICU.Specially, woman, older patients and patients with specific comorbidities were less often admitted to Intensive care Units. Those with dementia and diabetes were more likely to die during hospital stay.

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Why is it important?

We demonstrate that there are different types of patient being admitted to ICU in periods with different hospital occupancy. This helps understand possible impact of increased hospital burden in clinical practice and patient outcomes.


With healthcare overload it is possible that clinical practices change and prioritize specific patient profiles. Older patients, those with specific comorbidities and woman may be less likely to be admitted to ICU. Healthcare burden may also increase the risk of death in patients with dementia and diabetes admitted with COVID-19.

Vasco Ricardo Peixoto
Universidade de Lisboa

Read the Original

This page is a summary of: Difference in determinants of ICU admission and death among COVID-19 hospitalized patients in two epidemic waves in Portugal: possible impact of healthcare burden and hospital bed occupancy on clinical management and outcomes, March–December 2020, Frontiers in Public Health, June 2023, Frontiers,
DOI: 10.3389/fpubh.2023.1215833.
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