About: COVID-19 length of hospital stay: a systematic review and data synthesis

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	COVID-19 length of hospital stay: a systematic review and data synthesis
Creator	Jombart, Thibaut Clifford, Samuel Pearson, Carl Group, Working Nightingale, Emily Procter, Simon Jafari, Yalda Knight, Gwenan Rees, Eleanor Waterlow, Naomi
source	MedRxiv
abstract	Background The COVID-19 pandemic has placed an unprecedented strain on health systems, with rapidly increasing demand for healthcare in hospitals and intensive care units (ICUs) worldwide. As the pandemic escalates, determining the resulting needs for healthcare resources (beds, staff, equipment) has become a key priority for many countries. Projecting future demand requires estimates of how long patients with COVID-19 need different levels of hospital care. Methods We performed a systematic review to gather data on length of stay (LoS) of patients with COVID-19 in hospital and in ICU. We subsequently developed a method to generate LoS distributions which combines summary statistics reported in multiple studies, accounting for differences in sample sizes. Applying this approach we provide distributions for general hospital and ICU LoS from studies in China and elsewhere, for use by the community. Results We identified 52 studies, the majority from China (46/52). Median hospital LoS ranged from 4 to 53 days within China, and 4 to 21 days outside of China, across 45 studies. ICU LoS was reported by eight studies - four each within and outside China - with median values ranging from 6 to 12 and 4 to 19 days, respectively. Our summary distributions have a median hospital LoS of 14 (IQR: 10-19) days for China, compared with 5 (IQR: 3-9) days outside of China. For ICU, the summary distributions are more similar (median (IQR) of 8 (5-13) days for China and 7 (4-11) days outside of China). There was a visible difference by discharge status, with patients who were discharged alive having longer LoS than those who died during their admission, but no trend associated with study date. Conclusion Patients with COVID-19 in China appeared to remain in hospital for longer than elsewhere. This may be explained by differences in criteria for admission and discharge between countries, and different timing within the pandemic. In the absence of local data, the combined summary LoS distributions provided here can be used to model bed demands for contingency planning and then updated, with the novel method presented here, as more studies with aggregated statistics emerge outside China.
has issue date	2020-05-05(xsd:dateTime)
bibo:doi	10.1101/2020.04.30.20084780
has license	medrxiv
sha1sum (hex)	48a0aadb24f38bfbc7fccd4e48a3f84c9459fa3f
schema:url	https://doi.org/10.1101/2020.04.30.20084780
resource representing a document's title	COVID-19 length of hospital stay: a systematic review and data synthesis
resource representing a document's body	covid:48a0aadb24f38bfbc7fccd4e48a3f84c9459fa3f#body_text
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