Table 3. Changes in Occupancy by Service Line During Low and High COVID-19 Admissions for 45 US Statesa.
Service line | Occupancy per 100 beds | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
2019, Mean (SE)b | 2020 with COVID-19, % | Low COVID-19 admissions | High COVID-19 admissions | |||||||
Weeks 11-26 | Weeks 27-48 | Weeks 11-26 | Weeks 27-48 | |||||||
Percentage-point change (95% CI) | Change relative to mean, %c | Percentage-point change (95% CI) | Change relative to mean, % | Percentage-point change (95% CI) | Change relative to mean, % | Percentage-point change (95% CI) | Change relative to mean, % | |||
Maternal | 11.1 (0.2) | 1.1 (0.1) | −0.6 (−0.7 to −0.5) | −5.4 | −0.9 (−1.1 to −0.7) | −8.1 | −1.1 (−1.3 to −0.8) | −9.9 | −0.7 (−0.9 to −0.5) | −6.3 |
Mental health and substance use disorder | 5.7 (0.2) | 1.5 (0.1) | −0.7 (−0.8 to −0.6) | −12.3 | −0.4 (−0.7 to −0.2) | −7.0 | −2.3 (−2.8 to −1.9) | −40.4 | −0.3 (−0.4 to −0.2) | −5.3 |
Injury | 4.2 (0.1) | 2.0 (0) | −0.4 (−0.4 to −0.3) | −9.5 | 0 (−0.1 to 0.1) | 0 | −1.2 (−1.3 to −1.0) | −28.6 | −0.2 (−0.3 to −0.1) | −4.8 |
Surgery | 19.7 (0.2) | 4.2 (0.1) | −3.7 (−3.9 to −3.5) | −18.8 | −1.2 (−1.4 to −1.0) | −6.1 | −8.5 (−9.3 to −7.6) | −43.1 | −2.3 (−2.5 to −2.0) | −11.7 |
Medical | 39.4 (0.3) | 11.8 (0.1) | −7.5 (−7.7 to −7.2) | −19.0 | −3.3 (−3.7 to −2.9) | −8.4 | 10.7 (9.5 to 11.9) | 27.2 | 12.4 (11.9 to 13.0) | 31.5 |
Data are from the Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project State Inpatient Databases (2019-2020) for 45 US states.
All results were weighted by the number of admissions for each hospital in 2019.
Changes compared outcomes for each hospital-week in weeks 11 to 48 of 2020 to the corresponding hospital-week in 2019 (ie, regression models included hospital-week fixed effects). Low COVID-19 admission rates correspond to less than 1 weekly COVID-19 admission per 100 beds, whereas high COVID-19 admission rates correspond to 15 or more weekly COVID-19 admissions per 100 beds.