Cargando…
Surging critical care capacity for COVID-19: Key now and in the future
The COVID-19 pandemic has shocked health systems worldwide, with visible impacts on intensive care units and emergency departments. The concept of “surge capacity” should be analyzed within this context as this crisis could be seen as an opportunity to improve the knowledge base of intensive care un...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Authors. Published by Elsevier Ltd.
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7669481/ https://www.ncbi.nlm.nih.gov/pubmed/34173451 http://dx.doi.org/10.1016/j.pdisas.2020.100136 |
_version_ | 1783610580615036928 |
---|---|
author | Rodriguez-Llanes, Jose M. Castro Delgado, Rafael Pedersen, Morten Gram Meneghini, Matteo Arcos González, Pedro |
author_facet | Rodriguez-Llanes, Jose M. Castro Delgado, Rafael Pedersen, Morten Gram Meneghini, Matteo Arcos González, Pedro |
author_sort | Rodriguez-Llanes, Jose M. |
collection | PubMed |
description | The COVID-19 pandemic has shocked health systems worldwide, with visible impacts on intensive care units and emergency departments. The concept of “surge capacity” should be analyzed within this context as this crisis could be seen as an opportunity to improve the knowledge base of intensive care units and emergency departments. We reflected, based on our experience from work at the frontlines, on health service planning and with epidemiological data, about the importance of surging critical care capacity for COVID, now and as lessons for the future. We summarize and relate virus clinical characteristics, epidemiological patterns and critical care surge capacity as important factors to consider for effective health systems response. Some practical aspects are described, but also the role that mathematical models can play to improve intensive care units surge capacity by considering its importance as a predictor of needs according to epidemiological patterns. Also, in the transitional phase, we consider the importance of coexisting COVID-19 and non-covid-19 health care services, and the importance of a new surge capacity for postponed activities. In this new transitional phase, also emergency departments will have to adapt their surge capacity for a rebound effect due to delayed visits from non-COVID-19 health conditions during the pandemic. Health systems and society must remain vigilant for potential resurgence of cases as measures are relaxed to restart the economy and a new normal. Emergency departments and intensive care units have to develop surge strategies to deal together with COVID-19 and non-COVID-19 flow of patients. |
format | Online Article Text |
id | pubmed-7669481 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Authors. Published by Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-76694812020-11-17 Surging critical care capacity for COVID-19: Key now and in the future Rodriguez-Llanes, Jose M. Castro Delgado, Rafael Pedersen, Morten Gram Meneghini, Matteo Arcos González, Pedro Prog Disaster Sci Article The COVID-19 pandemic has shocked health systems worldwide, with visible impacts on intensive care units and emergency departments. The concept of “surge capacity” should be analyzed within this context as this crisis could be seen as an opportunity to improve the knowledge base of intensive care units and emergency departments. We reflected, based on our experience from work at the frontlines, on health service planning and with epidemiological data, about the importance of surging critical care capacity for COVID, now and as lessons for the future. We summarize and relate virus clinical characteristics, epidemiological patterns and critical care surge capacity as important factors to consider for effective health systems response. Some practical aspects are described, but also the role that mathematical models can play to improve intensive care units surge capacity by considering its importance as a predictor of needs according to epidemiological patterns. Also, in the transitional phase, we consider the importance of coexisting COVID-19 and non-covid-19 health care services, and the importance of a new surge capacity for postponed activities. In this new transitional phase, also emergency departments will have to adapt their surge capacity for a rebound effect due to delayed visits from non-COVID-19 health conditions during the pandemic. Health systems and society must remain vigilant for potential resurgence of cases as measures are relaxed to restart the economy and a new normal. Emergency departments and intensive care units have to develop surge strategies to deal together with COVID-19 and non-COVID-19 flow of patients. The Authors. Published by Elsevier Ltd. 2020-12 2020-11-17 /pmc/articles/PMC7669481/ /pubmed/34173451 http://dx.doi.org/10.1016/j.pdisas.2020.100136 Text en © 2020 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Rodriguez-Llanes, Jose M. Castro Delgado, Rafael Pedersen, Morten Gram Meneghini, Matteo Arcos González, Pedro Surging critical care capacity for COVID-19: Key now and in the future |
title | Surging critical care capacity for COVID-19: Key now and in the future |
title_full | Surging critical care capacity for COVID-19: Key now and in the future |
title_fullStr | Surging critical care capacity for COVID-19: Key now and in the future |
title_full_unstemmed | Surging critical care capacity for COVID-19: Key now and in the future |
title_short | Surging critical care capacity for COVID-19: Key now and in the future |
title_sort | surging critical care capacity for covid-19: key now and in the future |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7669481/ https://www.ncbi.nlm.nih.gov/pubmed/34173451 http://dx.doi.org/10.1016/j.pdisas.2020.100136 |
work_keys_str_mv | AT rodriguezllanesjosem surgingcriticalcarecapacityforcovid19keynowandinthefuture AT castrodelgadorafael surgingcriticalcarecapacityforcovid19keynowandinthefuture AT pedersenmortengram surgingcriticalcarecapacityforcovid19keynowandinthefuture AT meneghinimatteo surgingcriticalcarecapacityforcovid19keynowandinthefuture AT arcosgonzalezpedro surgingcriticalcarecapacityforcovid19keynowandinthefuture |