Hospital bed capacity across in Tunisia hospital during the first 4 waves of the COVID-19 pandemic:A descriptive analysis

作     者：Slimane BenMiled Chiraz Borgi Mohamed Hsairi Naoufel Somrani Amira Kebir Slimane BenMiled;Chiraz Borgi;Mohamed Hsairi;Naoufel Somrani;Amira Kebir

作者机构：Bio-(InformaticMathematics and Statistic)BIMS-Lab LR09-IPT16Institut Pasteur de TunisUniversity of Tunis el ManarTunis 1002Tunisia Ministry of HealthTunis 1002Tunisia Department of Epidemiology and Preventive MedicineFaculty of MedecinTunis El Manar UniversityTunis 1002Tunisia IPEITUniversity of TunisTunis 1002Tunisia 

出 版 物：《Infectious Medicine》 (感染医学（英文）)

年 卷 期：2023年第2卷第2期

页      面：112-121页

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100401[医学-流行病与卫生统计学] 10[医学] 

基　　金：funded in a part by the French Ministry for Europe and Foreign Affairs via the project REPAIR COVID-19 Africa coordinated by the Pasteur International Network association.The findings and conclusions contained within are those of the authors and do not necessarily reflect positions or policies of the founders.AK and SBM are part of the Vaccine Impact Modelling Consortium 

主　　题：Bed occupancy Daily cases Daily death Ramp duration until the peak(RDUP) Ramp growth until the peak(RGUP) Ramp rate until the peak(RRUP) 

摘      要：Background:In March 2020,the WHO declared COVID-19 as a pandemic,and Tunisia implemented a containment and targeted screening *** country’s public health policy has since focused on managing hospital ***:The study analyzed the bed occupancy rates in public hospitals in Tunisia during the *** evolution of daily cases and nonpharmaceutical interventions(NPI)actions undertaken by the Tunisian Government were also *** study used 3 indices to assess bed flexibility:Ramp duration until the peak,ramp growth until the peak,and ramp rate until the *** study also calculated the time shift at the start and peak of each wave to evaluate the government’s response ***:The study found that the evolution of the epidemic in Tunisia had 2 *** first phase saw the pandemic being controlled due to strong NPI actions,while the second phase saw a relaxation of measures and an increase in wave *** bed availability followed the demand for beds,but ICU bed occupancy remained high,with a maximum of 97%.The government’s response in terms of bed distribution and reallocation was *** study found that the most deadly wave by ICU occupied bed was the third wave due to a historical variant,while the fifth wave due to the delta variant was the most deadly in terms of cumulative ***:The study concluded that decision-makers could use its findings to assess their response capabilities in the current pandemic and future *** study highlighted the importance of flexible and responsive healthcare systems in managing pandemics.