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American Association for Physician Leadership
American Association for Physician Leadership

The Impact of COVID-19 on Benchmarking ICU and Hospital Performance During the Pandemic

Thomas L. Higgins MD, MBA, FACP, FAAPL

Eric Ringle, MSN, RN

Kathy N. Henson, BSN, RN

Bridgette R. Collins, BSEE

Nov 8, 2022

Physician Leadership Journal

Volume 9, Number 3, Pages 28-34



The COVID-19 pandemic created unprecedented demand for hospital and intensive care unit (ICU) services, with excess mortality and length-of-stay (LOS) that may not be attributable to COVID-19 patients alone. We examined risk-adjusted outcomes in adult ICU patients overall, and for subgroups with and without COVID-19. Severity-adjusted mortality, LOS, and ventilator days in COVID-19 patients were higher than expected when adjusted by APACHE for age, chronic illness, and physiology. Non-COVID-19 patients had worse outcomes during high COVID-19 census. These findings have implications for physician executives evaluating and presenting hospital and ICU outcomes during the pandemic.

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