Resumen: Background: One of the main challenges of the COVID-19 pandemic is to make sense of available, but often heterogeneous and noisy data. This contribution presents a data-driven methodology that allows exploring the hospitalization dynamics of COVID-19, exemplified with a study of 17 autonomous regions in Spain from summer 2020 to summer 2021.
Methods: We use data on new daily cases and hospitalizations reported by the Spanish Ministry of Health to implement a Bayesian inference method that allows making short-term predictions of bed occupancy of COVID-19 patients in each of the autonomous regions of the country.
Results: We show how to use the temporal series for the number of daily admissions and discharges from hospital to reproduce the hospitalization dynamics of COVID-19 patients. For the case-study of the region of Aragon, we estimate that the probability of being admitted to hospital care upon infection is 0.090 [0.086-0.094], (95% C.I.), with the distribution governing hospital admission yielding a median interval of 3.5 days and an IQR of 7 days. Likewise, the distribution on the length of stay produces estimates of 12 days for the median and 10 days for the IQR. A comparison between model parameters for the regions analyzed allows to detect differences and changes in policies of the health authorities.
Conclusions: We observe important regional differences, signaling that to properly compare very different populations, it is paramount to acknowledge all the diversity in terms of culture, socio-economic status, and resource availability. To better understand the impact of this pandemic, much more data, disaggregated and properly annotated, should be made available. Idioma: Inglés DOI: 10.1186/s12874-023-01842-7 Año: 2023 Publicado en: BMC Medical Research Methodology 23 (2023), 24 [11 pp.] ISSN: 1471-2288 Factor impacto JCR: 3.9 (2023) Categ. JCR: HEALTH CARE SCIENCES & SERVICES rank: 24 / 174 = 0.138 (2023) - Q1 - T1 Factor impacto CITESCORE: 6.5 - Epidemiology (Q1) - Health Informatics (Q2)