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Comparative Outcomes Between Classic and Silent ICU Models During COVID-19 Surge in Taiwan: A Real-World Cohort Analysis from a Dual-Campus Medical Center

Year: 2025

Type: article

Abstract: Background: During Taiwan’s May 2021 COVID-19 surge, hospitals expanded ICU capacity using both conventional and ward-converted (“silent”) ICUs. Methods: We retrospectively compared adults with severe COVID-19 admitted to three ICUs (two classic and one ward-based) between May and August 2021. The primary outcome was ICU mortality; secondary outcomes included ventilator-weaning success and complications. Results: Sixty-four patients were included (28 classic, 36 silent ICU). Baseline severity was comparable (median APACHE II 21 vs. 20). ICU mortality was 29% vs. 36% (risk difference 7.5%, 95% CI –18.6 to 33.1). No difference was found in weaning success or complication rates. No staff infections occurred. Conclusions: Outcomes in the ward-converted silent ICU were comparable to those in classic ICUs. With appropriate infection control and staffing, silent ICUs can safely expand surge capacity.

Source: Healthcare

DOI: 10.3390/healthcare13233092

Authors: Wei-Hung Chang, Ting-Yu Hu, Li-Kuo Kuo

Institutions: Mackay Memorial Hospital, Mackay Medical University

Language: English

Topic: COVID-19 Clinical Research Studies

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,258