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Hospital emergency surge capacity: an empiric New York statewide study.
Ann Emerg Med. 2007 Sep; 50(3):314-9.AE

Abstract

STUDY OBJECTIVE

National policy for emergency preparedness calls for hospitals to accommodate surges of 500 new patients per million population in a disaster, but published studies have not evaluated the ability of existing resources to meet these goals. We describe typical statewide and regional hospital occupancy and patterns of variation in occupancy and estimate the ability of hospitals to accommodate new inpatients.

METHODS

Daily hospital occupancy for each hospital was calculated according to admission date and length of stay for each patient during the study period. Occupancy was expressed as the count of occupied beds. Peak hospital capacity was defined as the 95th percentile highest occupancy at each facility. Data obtained from the New York Statewide Planning and Research Cooperative System were analyzed for 1996 to 2002. Patients were classified as children (0 to 14 years, excluding newborns) or adults. Vacant hospital beds per million age-specific population were determined as the difference between peak capacity and average occupancy.

RESULTS

In New York State, 242 hospitals cared for a peak capacity of 2,707 children and 46,613 adults. Occupancy averaged 60% of the peak for children and 82% for adults, allowing an average statewide capacity for a surge of 268 new pediatric and 555 adult patients for each million age-specific population. After the September 11, 2001, attacks, in the New York City region, a discretionary modification of admissions and discharges resulted in an 11% reduction from the expected occupancy for children and adults.

CONCLUSION

Typically, there are not enough vacant hospital beds available to serve 500 children per million population. Modified standards of hospital care to expand capacity may be necessary to serve children in a mass-casualty event.

Authors+Show Affiliations

Department of Pediatrics, State University of New York-Upstate Medical University, Syracuse, NY 13210, USA. kanterr@upstate.eduNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17178173

Citation

Kanter, Robert K., and John R. Moran. "Hospital Emergency Surge Capacity: an Empiric New York Statewide Study." Annals of Emergency Medicine, vol. 50, no. 3, 2007, pp. 314-9.
Kanter RK, Moran JR. Hospital emergency surge capacity: an empiric New York statewide study. Ann Emerg Med. 2007;50(3):314-9.
Kanter, R. K., & Moran, J. R. (2007). Hospital emergency surge capacity: an empiric New York statewide study. Annals of Emergency Medicine, 50(3), 314-9.
Kanter RK, Moran JR. Hospital Emergency Surge Capacity: an Empiric New York Statewide Study. Ann Emerg Med. 2007;50(3):314-9. PubMed PMID: 17178173.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hospital emergency surge capacity: an empiric New York statewide study. AU - Kanter,Robert K, AU - Moran,John R, Y1 - 2006/12/18/ PY - 2006/02/09/received PY - 2006/09/11/revised PY - 2006/10/20/accepted PY - 2006/12/21/pubmed PY - 2007/9/14/medline PY - 2006/12/21/entrez SP - 314 EP - 9 JF - Annals of emergency medicine JO - Ann Emerg Med VL - 50 IS - 3 N2 - STUDY OBJECTIVE: National policy for emergency preparedness calls for hospitals to accommodate surges of 500 new patients per million population in a disaster, but published studies have not evaluated the ability of existing resources to meet these goals. We describe typical statewide and regional hospital occupancy and patterns of variation in occupancy and estimate the ability of hospitals to accommodate new inpatients. METHODS: Daily hospital occupancy for each hospital was calculated according to admission date and length of stay for each patient during the study period. Occupancy was expressed as the count of occupied beds. Peak hospital capacity was defined as the 95th percentile highest occupancy at each facility. Data obtained from the New York Statewide Planning and Research Cooperative System were analyzed for 1996 to 2002. Patients were classified as children (0 to 14 years, excluding newborns) or adults. Vacant hospital beds per million age-specific population were determined as the difference between peak capacity and average occupancy. RESULTS: In New York State, 242 hospitals cared for a peak capacity of 2,707 children and 46,613 adults. Occupancy averaged 60% of the peak for children and 82% for adults, allowing an average statewide capacity for a surge of 268 new pediatric and 555 adult patients for each million age-specific population. After the September 11, 2001, attacks, in the New York City region, a discretionary modification of admissions and discharges resulted in an 11% reduction from the expected occupancy for children and adults. CONCLUSION: Typically, there are not enough vacant hospital beds available to serve 500 children per million population. Modified standards of hospital care to expand capacity may be necessary to serve children in a mass-casualty event. SN - 1097-6760 UR - https://www.unboundmedicine.com/medline/citation/17178173/Hospital_emergency_surge_capacity:_an_empiric_New_York_statewide_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0196-0644(06)02451-6 DB - PRIME DP - Unbound Medicine ER -