The burden of COVID-19 care in community and academic intensive care units in Ontario, Canada: a retrospective cohort study
Authors' conclusion
During the pandemic, Ontario's large CHCs provided significantly more days of ICU COVID-19 care per baseline ICU bed compared with AHCs and small CHCs.
Study context
- Population
- Adults admitted to Ontario intensive care units (ICUs) with COVID-19, 1 March 2020 to 31 July 2021 (first three waves)ICU admissions, 72 hospital corporations
- Participants
- 9,651 adults
- Exposure
- Community hospital corporations vs academic hospital corporations
- Academic hospital corporations (AHCs)n = 2,749reference
- Outcome
- Burden of COVID-19 care (days of ICU care per baseline ICU bed)
Main finding
As reported in the abstract
Days of ICU care per baseline ICU bed
Large community hospital corporations (CHCs)
73.7
median · IQR 53.8–110.6
AHCs
42.2
median · IQR 32.7–71.8
Small CHCs
21.4
median · IQR 7.2–40.3
P < 0.001
Observational data: associations, not effects.
Further findings
| Outcome | aOR (95% CI) | |
|---|---|---|
| Receipt of ECMOAHCs vs CHCs · index admission | 6.16 (4.72–8.11) | |
| 0.10.31310Adjusted odds ratio (log scale) |
| Outcome | AHCs |
|---|---|
| ICU admissions by hospital type | 28.5% |
- ICU admissions by hospital type: CHCs 71.5%
Severity of illness
- Direct ICU admissions: CHC patients more severely ill; transfer ICU admissions: AHC patients more severely ill
Mortality (multivariable logistic regression)
- Similar with index admission to a CHC or AHC
Original publication
The burden of COVID-19 care in community and academic intensive care units in Ontario, Canada: a retrospective cohort study. Can J Anaesth. Published 17 December 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →