Comparing length of hospital stay during COVID-19 pandemic in the USA, Italy and Germany

Author:

Jamshidi Babak1ORCID,Jamshidi Zargaran Shahriar2,Bekrizadeh Hakim3,Rezaei Mansour1,Najafi Farid4

Affiliation:

1. Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Juction of 22 Bahman, Kermanshah, Kermanshah province 59167-67159, Iran

2. Department of Medical Engineering, Tehran University of Medical Sciences, Poursina St, Qods St, Enqelab St, Tehran, Tehran province 14176-13151, Iran

3. Department of Statistics, Payame Noor University, Nakhl square, Artesh Blvd, Mini city, Tehran, Tehran province 4697-19395, Iran

4. Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Isar square, Kermanshah, Kermanshah province 67198-51351, Iran

Abstract

Abstract Background COVID-19 is the most informative pandemic in history. These unprecedented recorded data give rise to some novel concepts, discussions and models. Macroscopic modeling of the period of hospitalization is one of these new issues. Methods Modeling of the lag between diagnosis and death is done by using two classes of macroscopic analytical methods: the correlation-based methods based on Pearson, Spearman and Kendall correlation coefficients, and the logarithmic methods of two types. Also, we apply eight weighted average methods to smooth the time series before calculating the distance. We consider five lags with the least distance. All the computations are conducted on Matlab R2015b. Results The length of hospitalization for the fatal cases in the USA, Italy and Germany are 2–10, 1–6 and 5–19 days, respectively. Overall, this length in the USA is 2 days more than that in Italy and 5 days less than that in Germany. Conclusion We take the distance between the diagnosis and death as the length of hospitalization. There is a negative association between the length of hospitalization and the case fatality rate. Therefore, the estimation of the length of hospitalization by using these macroscopic mathematical methods can be introduced as an indicator to scale the success of the countries fighting the ongoing pandemic.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Health Policy,General Medicine

Reference24 articles.

1. COVID-19 coronavirus pandemic;Worldometer Website.

2. Expert committee on health statistics. Technical report series no. 261. 1963;World Health Organization

3. Using quality indicators to improve hospital care: a review of the literature;De Vos;Int J Qual Health Care,2009

4. Beyond the initial indicators: lessons from the OECD Health Care Quality Indicators Project and the US National Healthcare Quality Report;Kelley;Int J Qual Health Care,2006

5. COVID-19 length of hospital stay: a systematic review and data synthesis;Rees;BMC Med,2020

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