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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