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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


doi:10.55834/plj.6582574723


Abstract

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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