A Nationwide Online Tracking System of pediatric ICU demand and capacity during a respiratory epidemic in Uruguay

preprint OA: closed
Full text JSON View at publisher

Abstract

Monitoring national capacity of pediatric intensive care (PICU) beds is important for resource allocation. We describe the development and application of an online tool for bed occupancy monitoring during the respiratory epidemic of 2023 in Uruguay. A 5-minute survey was sent out daily to each PICU designated staff utilizing an instant messaging application, throughout the 12-week of 2023 winter season. The survey gathered information on staffed bed capacity, occupancy rates, invasive mechanical ventilation (IMV) demand and number of children admitted for lower respiratory tract infections (LRTIs). Data was manually entered using the REDcap Software platform. A comparison between PICUs from the capital city Montevideo (MVD) and the inland region (INN) was performed. Participating PICUs had access to a daily dashboard with nationwide data. We collected data from 100% (n=20) of Uruguayan PICUs, 68% in MVD (2.72 PICU beds per-10,000 <18 years) and 32% in the INN (0.86 PICU beds per-10,000 <18 years). National average bed occupancy rate was 55.5%, without differences between MVD and INN. However, LRTI admissions and IMV incidence were notably higher among INN PICUs compared with MVD PICUs, 83.0% vs. 71% (P<0.01) and 19.9% vs. 14.7% (P<0.01) respectively. During one week occupancy exceeded 80% without differences between MVD and INN. The implementation of a nationwide PICU bed monitoring tool was possible. Although occupancy rates did not reach critical levels at a national grade, regional differences were found that merit further study to improve vital PICUs resource allocation.
Full text 7,256 characters · extracted from preprint-html · click to expand
A Nationwide Online Tracking System of pediatric ICU demand and capacity during a respiratory epidemic in Uruguay | SciELO Preprints window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-3TT8HYRH0Y'); Open Menu Registrar-se Acesso English Español Ir para o conteúdo principal Ir para o menu de navegação principal Ir para o rodapé Preprints Submissão Áreas do Conhecimento Ciências Agrárias Ciências Biológicas Ciências da Saúde Ciências Exatas e da Terra Ciências Humanas Ciências Sociais Aplicadas Engenharias Linguística, letras e artes Educação em Revista Memórias do Instituto Oswaldo Cruz 47º Encontro Anual da ANPOCS 48º Encontro Anual da ANPOCS 49º Encontro Anual da ANPOCS Sobre Sobre o Servidor Declaração de Privacidade Atualizações do Sistema Contato FAQ Ética no SciELO Preprints Avaliação de preprints Anotações em preprints (via Hypothesis) Avalie um preprint Notícias Início / Ciências da Saúde Preprint / Versão 1 A Nationwide Online Tracking System of pediatric ICU demand and capacity during a respiratory epidemic in Uruguay article.authors6a17fbbc2525a Mariana Cosio Universidad de la República image/svg+xml Nicolas Monteverde-Fernandez Red Colaborativa Pediátrica de Latinoamérica (LARed Network), Montevideo, Uruguay https://orcid.org/0000-0002-4734-1633 Cristóbal Carvajal Finis Terrae University image/svg+xml Héctor Telechea Universidad de la República image/svg+xml Sebastián González-Dambrauskas Universidad de la República image/svg+xml DOI: https://doi.org/10.1590/SciELOPreprints.9019 Palavras-chave: Information management, Information storage and retrieval, Pediatric intensive care unit, Resource allocation, Respiratory tract infections Resumo Monitoring national capacity of pediatric intensive care (PICU) beds is important for resource allocation. We describe the development and application of an online tool for bed occupancy monitoring during the respiratory epidemic of 2023 in Uruguay. A 5-minute survey was sent out daily to each PICU designated staff utilizing an instant messaging application, throughout the 12-week of 2023 winter season. The survey gathered information on staffed bed capacity, occupancy rates, invasive mechanical ventilation (IMV) demand and number of children admitted for lower respiratory tract infections (LRTIs). Data was manually entered using the REDcap Software platform. A comparison between PICUs from the capital city Montevideo (MVD) and the inland region (INN) was performed. Participating PICUs had access to a daily dashboard with nationwide data. We collected data from 100% (n=20) of Uruguayan PICUs, 68% in MVD (2.72 PICU beds per-10,000 <18 years) and 32% in the INN (0.86 PICU beds per-10,000 <18 years). National average bed occupancy rate was 55.5%, without differences between MVD and INN. However, LRTI admissions and IMV incidence were notably higher among INN PICUs compared with MVD PICUs, 83.0% vs. 71% (P<0.01) and 19.9% vs. 14.7% (P<0.01) respectively. During one week occupancy exceeded 80% without differences between MVD and INN. The implementation of a nationwide PICU bed monitoring tool was possible. Although occupancy rates did not reach critical levels at a national grade, regional differences were found that merit further study to improve vital PICUs resource allocation. Downloads Os dados de download ainda não estão disponíveis. Biografia do Autor Nicolas Monteverde-Fernandez, Red Colaborativa Pediátrica de Latinoamérica (LARed Network), Montevideo, Uruguay Presidente de la CD de la Sociedad Uruguaya de Neonatología y Pediatría Intensiva 2022 - 2025 PDF (Espanhol) Postado 04/06/2024 Como Citar A Nationwide Online Tracking System of pediatric ICU demand and capacity during a respiratory epidemic in Uruguay. (2024). Em SciELO Preprints . https://doi.org/10.1590/SciELOPreprints.9019 Formatos de Citação ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Baixar Citação Endnote/Zotero/Mendeley (RIS) BibTeX Série Ciências da Saúde Copyright (c) 2024 Mariana Cosio, Nicolas Monteverde-Fernandez, Cristóbal Carvajal, Héctor Telechea, Sebastián González-Dambrauskas Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License . .citations-container { overflow-y: auto; overflow-x: hidden; max-height: 1000px; } Plaudit Declaração de dados Os dados de pesquisa estão contidos no próprio manuscrito Aviso de preprints Preprints são manuscritos não avaliados por um periódico científico ou já avaliados mas em processo de publicação. .block_announcements_article:not(:last-child) { padding-bottom: 1.5em; border-bottom: 1px solid; } .block_announcements_article { text-align: left; } .block_announcements #show-all{ font-style: italic; } Notícias SciELO Preprints adota obrigatoriedade de declaração de disponibilização de dados de pesquisa 19 agosto 2025 A partir de 1º de setembro de 2025 os manuscritos submetidos ao SciELO Preprints devem incluir uma declaração de disponibilidade de dados informando sobre onde e como os dados da pesquisa que deram origem ao artigo podem ser acessados. Atualização da Política Editorial e FAQ 21 maio 2025 Todos(as) os(as) autores(as) são solicitados(as) a consultarem a nossa Política Editorial e nossas FAQs antes de submeterem o seu manuscrito. Prêmio Ben Barres Spotlight: Inscrições abertas para 2024 20 maio 2024 Prêmios de até US$ 5.000 estão agora disponíveis para pesquisadores de origens sub-representadas ou países com financiamento limitado para apoiar sua pesquisa, carreira e comunidade. Preprints do SciELO Preprints nas ciências da vida ou biomédicas com pelo menos uma revisão disponível no Sciety são elegíveis! Show all announcements ... SciELO - Scientific Electronic Library Online Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil E-mail: [email protected] app = {"hypothesisHandlerUrl":"https:\/\/preprints.scielo.org\/index.php\/scielo\/$$$call$$$\/plugins\/generic\/hypothesis\/controllers\/hypothesis\/"}; var pkpUsageStats = pkpUsageStats || {};pkpUsageStats.data = pkpUsageStats.data || {};pkpUsageStats.data.Submission = pkpUsageStats.data.Submission || {};pkpUsageStats.data.Submission[9019] = {"data":{"2024":{"6":"66","7":"16","8":"7","9":"23","10":"9","11":"7","12":"8"},"2025":{"1":"7","2":"6","3":"2","4":"5","5":"16","6":"4","7":"16","8":"10","9":"13","10":"8","11":"13","12":"13"},"2026":{"1":"10","2":"8","3":"5","4":"19","5":"13"}},"label":"Todos os downloads","color":"79,181,217","total":304}; var pkpUsageStats = pkpUsageStats || {};pkpUsageStats.locale = pkpUsageStats.locale || {};pkpUsageStats.locale.months = ["Jan","Fev","Mar","Abr","Mai","Jun","Jul","Ago","Set","Out","Nov","Dez"];pkpUsageStats.config = pkpUsageStats.config || {};pkpUsageStats.config.chartType = "bar"; (function (w, d, s, l, i) { w[l] = w[l] || []; var f = d.getElementsByTagName(s)[0], j = d.createElement(s), dl = l != 'dataLayer' ? '&l=' + l : ''; j.async = true; j.src = 'https://www.googletagmanager.com/gtag/js?id=' + i + dl; f.parentNode.insertBefore(j, f); function gtag(){dataLayer.push(arguments)}; gtag('js', new Date()); gtag('config', i); }) (window, document, 'script', 'dataLayer', '3TT8HYRH0Y');

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: preprint-html

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. This is a recent paper (2024) — citers typically take a year or two to land, and the OpenAlex reference graph may still be filling in.

Source provenance

europepmc
last seen: 2026-05-20T01:45:00.602351+00:00