About: The demand for inpatient and ICU beds for COVID-19 in the US: lessons from Chinese cities

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	The demand for inpatient and ICU beds for COVID-19 in the US: lessons from Chinese cities
Creator	Toner, Eric Rivers, Caitlin Murray, Megan Li, Ruoran Lipsitch, ; Tan, ;
Source	MedRxiv; Medline; PMC
abstract	BACKGROUND: Sustained spread of SARS-CoV-2 has happened in major US cities. Capacity needs in Chinese cities could inform the planning of local healthcare resources. METHODS: We described the intensive care unit (ICU) and inpatient bed needs for confirmed COVID-19 patients in two Chinese cities (Wuhan and Guangzhou) from January 10 to February 29, 2020, and compared the timing of disease control measures in relation to the timing of SARS-CoV-2 community spread. We estimated the peak ICU bed needs in US cities if a Wuhan-like outbreak occurs. RESULTS: In Wuhan, strict disease control measures were implemented six weeks after sustained local transmission of SARS-CoV-2. Between January 10 and February 29, COVID-19 patients accounted for an average of 637 ICU patients and 3,454 serious inpatients on each day. During the epidemic peak, 19,425 patients (24.5 per 10,000 adults) were hospitalized, 9,689 (12.2 per 10,000 adults) were considered to be in serious condition, and 2,087 patients (2.6 per 10,000 adults) needed critical care per day. In Guangzhou, strict disease control measures were implemented within one week of case importation. Between January 24 and February 29, COVID-19 accounted for an average of 9 ICU patients and 20 inpatients on each day. During the epidemic peak, 15 patients were in critical condition, and 38 were classified as serious. If a Wuhan-like outbreak were to happen in a US city, the need for healthcare resources may be higher in cities with a higher prevalence of vulnerable populations. CONCLUSION: Even after the lockdown of Wuhan on January 23, the number of seriously ill COVID-19 patients continued to rise, exceeding local hospitalization and ICU capacities for at least a month. Plans are urgently needed to mitigate the effect of COVID-19 outbreaks on the local healthcare system in US cities.
has issue date	2020-03-16(xsd:dateTime)
bibo:doi	10.1101/2020.03.09.20033241
bibo:pmid	32511447
has license	cc-by
sha1sum (hex)	27213750fadad85ab77ededb2185f0f8f811f524
schema:url	https://doi.org/10.1101/2020.03.09.20033241
resource representing a document's title	The demand for inpatient and ICU beds for COVID-19 in the US: lessons from Chinese cities
has PubMed Central identifier	PMC7239072
has PubMed identifier	32511447
schema:publication	medRxiv
resource representing a document's body	covid:27213750fadad85ab77ededb2185f0f8f811f524#body_text
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