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Desarrollo de un sistema nacional de monitoreo diario de capacidad y demanda de las unidades de cuidados intensivos pediátricas durante una epidemia respiratoria en Uruguay.

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Title: Desarrollo de un sistema nacional de monitoreo diario de capacidad y demanda de las unidades de cuidados intensivos pediátricas durante una epidemia respiratoria en Uruguay.
Alternate Title: Development of a national daily monitoring system for demand and capacity of pediatric intensive care units during a respiratory epidemic in Uruguay.
Authors: Cosio, Mariana1 (AUTHOR), Monteverde-Fernández, Nicolás2,3 (AUTHOR) nmonteverdefernandez@live.com, Carvajal, Cristóbal4 (AUTHOR), Telechea, Héctor1 (AUTHOR), González-Dambrauskas, Sebastián1,2 (AUTHOR)
Source: Boletín Médico del Hospital Infantil de México. jul/ago2025, Vol. 82 Issue 4, p228-237. 10p.
Subjects: PEDIATRIC intensive care, INTENSIVE care units, OCCUPANCY rates, INFORMATION organization, RESPIRATORY infections
Abstract (English): Background: An online tool for national monitoring of pediatric intensive care unit (PICU) bed occupancy was developed and implemented for 12 weeks in the winter of 2023 in Uruguay. Methods: Using a daily 5-minute survey in each PICU, operational bed capacity, occupancy rates, invasive mechanical ventilation demand, and the number of children admitted for acute lower respiratory infections (ALRI) were collected. The REDCap software platform was used for data capture. Results: Data were collected from 100% (n = 20) of Uruguayan PICUs, 68% located in Montevideo, with 2.72 PICU beds per 10,000 children under 18 years of age, and 32% in the rest of the country, with 0.86 PICU beds per 10,000 children under 18 years of age. The national average bed occupancy rate was 55.5%, with marked variability between centers (32% to 86%). During epidemiological week (SEPI) 28, the system expanded by 36% compared to the initial value of operational beds. The highest percentage of bed occupancy was observed between SEPIs 25 and 28, when the average was above 70%. This peak reached 78% during SEPI 26, coinciding with the epidemiological peak of cumulative incidence of LRTI in children under 15 years of age. Conclusions: In Uruguay, a national ICU bed monitoring tool was implemented, which showed that occupancy rates did not reach critical levels. However, regional and inter-center differences were found that warrant further study to optimize system management. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: Se desarrolló una herramienta en línea para el monitoreo nacional de la ocupación de camas de unidades de cuidados intensivos pediátricos (UCIP) y se implementó durante 12 semanas del invierno de 2023 en Uruguay. Métodos: Mediante una encuesta diaria de 5 minutos a cada UCIP, se recopilaron la capacidad de camas operativas, las tasas de ocupación, la demanda de ventilación mecánica invasiva y el número de niños admitidos por infecciones respiratorias agudas bajas (IRAB). Se utilizó la plataforma del software REDCap para la captura de datos. Resultados: Se recolectaron datos del 100% (n = 20) de las UCIP uruguayas, el 68% ubicadas en Montevideo, con 2.72 camas de UCIP por 10.000 menores de 18 años, y el 32% en el resto del país, con 0.86 camas de UCIP por 10.000 menores de 18 años. La tasa de ocupación de camas promedio nacional fue del 55.5%, con una marcada variabilidad entre centros (32 a 86%). Durante la semana epidemiológica (SEPI) 28 se evidenció una expansión del sistema en un 36% respecto al valor inicial de camas operativas. El mayor porcentaje de ocupación de camas se observó entre las SEPI 25 y 28, cuando el promedio fue superior al 70%, alcanzando un máximo del 78% durante la SEPI 26, coincidiendo con el pico epidemiológico de incidencia acumulada de IRAB en menores de 15 años. Conclusiones: En Uruguay, fue posible la implementación de una herramienta nacional de monitoreo de camas de UCIP, la cual evidenció que las tasas de ocupación no alcanzaron niveles críticos. Sin embargo, se encontraron diferencias regionales y entre centros que merecen más estudio para optimizar la gestión del sistema. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Background: An online tool for national monitoring of pediatric intensive care unit (PICU) bed occupancy was developed and implemented for 12 weeks in the winter of 2023 in Uruguay. Methods: Using a daily 5-minute survey in each PICU, operational bed capacity, occupancy rates, invasive mechanical ventilation demand, and the number of children admitted for acute lower respiratory infections (ALRI) were collected. The REDCap software platform was used for data capture. Results: Data were collected from 100% (n = 20) of Uruguayan PICUs, 68% located in Montevideo, with 2.72 PICU beds per 10,000 children under 18 years of age, and 32% in the rest of the country, with 0.86 PICU beds per 10,000 children under 18 years of age. The national average bed occupancy rate was 55.5%, with marked variability between centers (32% to 86%). During epidemiological week (SEPI) 28, the system expanded by 36% compared to the initial value of operational beds. The highest percentage of bed occupancy was observed between SEPIs 25 and 28, when the average was above 70%. This peak reached 78% during SEPI 26, coinciding with the epidemiological peak of cumulative incidence of LRTI in children under 15 years of age. Conclusions: In Uruguay, a national ICU bed monitoring tool was implemented, which showed that occupancy rates did not reach critical levels. However, regional and inter-center differences were found that warrant further study to optimize system management. [ABSTRACT FROM AUTHOR]
ISSN:05396115
DOI:10.24875/BMHIM.24000109