id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-305575-mdy0fcnn	Zampieri, Fernando Godinho	How to evaluate intensive care unit performance during the COVID-19 pandemic	2020		.txt	text/plain	976	60	49	(5, 9) Of course, many pressing issues may hamper the attempts to measure and improve performance during the COVID-19 pandemic, including the abrupt shift in the ICU case-mix (e.g. increased severity and number of ventilated patients), need for changes in the whole ICU operation due to droplet precautions measures, costs increases due to additional personal protection equipment, and even a reduction of the available staff either due to illness or burnout. This analysis is flexible in the sense it accommodates with different metrics; for example, inputs may include staff levels, available equipment for organ support, number of beds and number of requested admissions (and their respective average illness severity) and outputs can include the number of survivors, mechanical ventilation free-days, ICU-free days, etc. While few data on prognostic scores is available, therefore limiting the use of more traditional metrics, ICUs should focus on measuring indirect performance parameters, especially analyzing case-mix, outcomes, and the rate of adherence to best practices.	./cache/cord-305575-mdy0fcnn.txt	./txt/cord-305575-mdy0fcnn.txt