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All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain

OBJECTIVES: Our purpose was to determine the intensive care units’ (ICU’s) medical staff surge capacity during the coronavirus disease 2019 (COVID-19) outbreak in Spring 2020 in Spain. METHODS: A multicenter retrospective survey was performed addressing the medical specialties present in the ICUs an...

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Autores principales: Nunez-Villaveiran, Teresa, González-Castro, Alejandro, Nevado-Losada, Emilio, García-de-Lorenzo, Abelardo, Garro, Pau
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737119/
https://www.ncbi.nlm.nih.gov/pubmed/33040768
http://dx.doi.org/10.1017/dmp.2020.375
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author Nunez-Villaveiran, Teresa
González-Castro, Alejandro
Nevado-Losada, Emilio
García-de-Lorenzo, Abelardo
Garro, Pau
author_facet Nunez-Villaveiran, Teresa
González-Castro, Alejandro
Nevado-Losada, Emilio
García-de-Lorenzo, Abelardo
Garro, Pau
author_sort Nunez-Villaveiran, Teresa
collection PubMed
description OBJECTIVES: Our purpose was to determine the intensive care units’ (ICU’s) medical staff surge capacity during the coronavirus disease 2019 (COVID-19) outbreak in Spring 2020 in Spain. METHODS: A multicenter retrospective survey was performed addressing the medical specialties present in the ICUs and the increase in bed capacity during this period. RESULTS: Sixty-seven centers (62.04%) answered the questionnaire. The ICU bed capacity during the pandemic outbreak increased by 160% (95% confidence interval [CI], 128.97-191.03%). The average number of beds per intensive care medicine (ICM) specialist was 1.5 ± 0.60 and 3.71 ± 2.44 beds/specialist before and during the COVID-19 outbreak, respectively. Non-ICM specialists and residents were present in 50 (74.63%) and 23 (34.3%) ICUs during the outbreak, respectively. The number of physicians (ICM and non-ICM residents and specialists) in the ICU increased by 89.40% (95% CI, 64.26114.53%). The increase in ICM specialists was, however, 4.94% (95% CI, −1.35-11.23%). Most non-ICM physicians were anesthetists, followed by pediatricians and cardiologists. CONCLUSIONS: The majority of ICUs in our study were able to rapidly expand critical care capacity by adapting areas outside of the normal ICU to manage critically ill patients, and by extending the critical care staff with noncritical care physicians working as force multipliers.
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spelling pubmed-77371192020-12-15 All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain Nunez-Villaveiran, Teresa González-Castro, Alejandro Nevado-Losada, Emilio García-de-Lorenzo, Abelardo Garro, Pau Disaster Med Public Health Prep Original Research OBJECTIVES: Our purpose was to determine the intensive care units’ (ICU’s) medical staff surge capacity during the coronavirus disease 2019 (COVID-19) outbreak in Spring 2020 in Spain. METHODS: A multicenter retrospective survey was performed addressing the medical specialties present in the ICUs and the increase in bed capacity during this period. RESULTS: Sixty-seven centers (62.04%) answered the questionnaire. The ICU bed capacity during the pandemic outbreak increased by 160% (95% confidence interval [CI], 128.97-191.03%). The average number of beds per intensive care medicine (ICM) specialist was 1.5 ± 0.60 and 3.71 ± 2.44 beds/specialist before and during the COVID-19 outbreak, respectively. Non-ICM specialists and residents were present in 50 (74.63%) and 23 (34.3%) ICUs during the outbreak, respectively. The number of physicians (ICM and non-ICM residents and specialists) in the ICU increased by 89.40% (95% CI, 64.26114.53%). The increase in ICM specialists was, however, 4.94% (95% CI, −1.35-11.23%). Most non-ICM physicians were anesthetists, followed by pediatricians and cardiologists. CONCLUSIONS: The majority of ICUs in our study were able to rapidly expand critical care capacity by adapting areas outside of the normal ICU to manage critically ill patients, and by extending the critical care staff with noncritical care physicians working as force multipliers. Cambridge University Press 2020-10-12 /pmc/articles/PMC7737119/ /pubmed/33040768 http://dx.doi.org/10.1017/dmp.2020.375 Text en © Society for Disaster Medicine and Public Health, Inc. 2020 http://creativecommons.org/licenses/by/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Nunez-Villaveiran, Teresa
González-Castro, Alejandro
Nevado-Losada, Emilio
García-de-Lorenzo, Abelardo
Garro, Pau
All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
title All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
title_full All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
title_fullStr All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
title_full_unstemmed All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
title_short All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
title_sort all for one and one for all: voluntary physicians in the intensive medicine units during the covid-19 outbreak in spain
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737119/
https://www.ncbi.nlm.nih.gov/pubmed/33040768
http://dx.doi.org/10.1017/dmp.2020.375
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