Impact of COVID-19 pandemic on severity of illness and resources required during intensive care in the greater New York City area

Omar Badawi; Xinggang Liu; Iris Berman; Pamela J Amelung; Martin Doerfler; Saurabh Chandra

Northwell Health is a large health system in the greater NYC area using a tele-ICU system to provide supplementary coverage for many of its ICUs. Data integration occurs from the electronic health record and vital sign monitoring devices via HL7 interfaces. Additionally, the ICU admission diagnosis and other care plans are captured directly in the remote monitoring software. On March 23, 2020 a routine query to extract data related to unit type, patient demographics, mechanical ventilation use, severity of illness (DRS), and outcomes was installed to obtain a de-identified snapshot of each monitored ICU bed and transferred securely to Philips Healthcare for quality improvement analytics and reporting. For comparison, a query was run on a historical cohort from the same health system across all of 2019. Due to the prior reporting process requiring patients be discharged from the hospital for five days prior to analysis, we were limited in our ability to describe data in the weeks immediately prior to installing the prospective query.