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The coronavirus disease 2019 (COVID-19) pandemic has affected numerous communities, and reports of overburdened hospitals, specifically critical care units, have become commonplace. High-quality supportive care remains the foundation for ensuring that people with COVID-19 who are critically ill have the best chance of surviving. Such care in prepandemic times relied on sufficient expert staffing, specialized equipment, and appropriate environments of care to reliably implement a myriad of processes that are associated with better outcomes. Given that these resources may not all be consistently available when severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is rapidly spreading throughout a community, Bravata et al1 sought to evaluate the association of critical care strain from March through November 2020 with COVID-19 mortality in 88 Veterans Administration hospitals with 10 or more intensive care unit (ICU) beds in the US.
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Published: January 19, 2021. doi:10.1001/jamanetworkopen.2020.35041
Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Rubinson L. JAMA Network Open.
Corresponding Author: Lewis Rubinson, MD, PhD, Morristown Medical Center, Atlantic Health System, 100 Madison Ave, Box 20, Morristown, NJ 07960 (email@example.com).
Conflict of Interest Disclosures: Dr Rubinson reported serving on the advisory board for and owning nominal equity in Ventec Life Systems outside the submitted work.
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