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Description of an Integrated and Dynamic System to Efficiently Deal With a Raging COVID-19 Pandemic Peak

BACKGROUND: This study aimed to describe an innovative and functional method to deal with the increased COVID-19 pandemic-related intensive care unit bed requirements. METHODS: We described the emergency creation of an integrated system of internistic ward, step-down unit, and intensive care unit, p...

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Autores principales: Agnoletti, Vanni, Gamberini, Emiliano, Circelli, Alessandro, Martino, Costanza, Santonastaso, Domenico Pietro, Bolondi, Giuliano, Bastoni, Giorgia, Spiga, Martina, Ceccarelli, Paola, Montaguti, Luca, Catena, Fausto, Poletti, Venerino, Lusenti, Carlo, Lazzari, Claudio, Altini, Mattia, Russo, Emanuele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8971195/
https://www.ncbi.nlm.nih.gov/pubmed/35372442
http://dx.doi.org/10.3389/fmed.2022.819134
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author Agnoletti, Vanni
Gamberini, Emiliano
Circelli, Alessandro
Martino, Costanza
Santonastaso, Domenico Pietro
Bolondi, Giuliano
Bastoni, Giorgia
Spiga, Martina
Ceccarelli, Paola
Montaguti, Luca
Catena, Fausto
Poletti, Venerino
Lusenti, Carlo
Lazzari, Claudio
Altini, Mattia
Russo, Emanuele
author_facet Agnoletti, Vanni
Gamberini, Emiliano
Circelli, Alessandro
Martino, Costanza
Santonastaso, Domenico Pietro
Bolondi, Giuliano
Bastoni, Giorgia
Spiga, Martina
Ceccarelli, Paola
Montaguti, Luca
Catena, Fausto
Poletti, Venerino
Lusenti, Carlo
Lazzari, Claudio
Altini, Mattia
Russo, Emanuele
author_sort Agnoletti, Vanni
collection PubMed
description BACKGROUND: This study aimed to describe an innovative and functional method to deal with the increased COVID-19 pandemic-related intensive care unit bed requirements. METHODS: We described the emergency creation of an integrated system of internistic ward, step-down unit, and intensive care unit, physically located in reciprocal vicinity on the same floor. The run was carried out under the control of single intensive care staff, through sharing clinical protocols and informatics systems, and following single director supervision. The intention was to create a dynamic and flexible system, allowing for rapid and fluid patient admission/discharge, depending on the requirements due to the third Italian peak of the COVID-19 pandemic in March 2021. RESULTS: This study involved 142 COVID-19 patients and 66 non-COVID-19 patients who were admitted; no critical patient was left unadmitted and no COVID-19 severe patients referring to our center had to be redirected to other hospitals due to bed saturation. This system allowed shorter hospital length-of-stay in general wards (5.9 ± 4 days) than in other internistic COVID-19 wards and overall mortality in line with those reported in literature despite the peak raging. CONCLUSION: This case report showed the feasibility and the efficiency of this dynamic model of hospital rearrangement to deal with COVID-19 pandemic peaks.
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spelling pubmed-89711952022-04-02 Description of an Integrated and Dynamic System to Efficiently Deal With a Raging COVID-19 Pandemic Peak Agnoletti, Vanni Gamberini, Emiliano Circelli, Alessandro Martino, Costanza Santonastaso, Domenico Pietro Bolondi, Giuliano Bastoni, Giorgia Spiga, Martina Ceccarelli, Paola Montaguti, Luca Catena, Fausto Poletti, Venerino Lusenti, Carlo Lazzari, Claudio Altini, Mattia Russo, Emanuele Front Med (Lausanne) Medicine BACKGROUND: This study aimed to describe an innovative and functional method to deal with the increased COVID-19 pandemic-related intensive care unit bed requirements. METHODS: We described the emergency creation of an integrated system of internistic ward, step-down unit, and intensive care unit, physically located in reciprocal vicinity on the same floor. The run was carried out under the control of single intensive care staff, through sharing clinical protocols and informatics systems, and following single director supervision. The intention was to create a dynamic and flexible system, allowing for rapid and fluid patient admission/discharge, depending on the requirements due to the third Italian peak of the COVID-19 pandemic in March 2021. RESULTS: This study involved 142 COVID-19 patients and 66 non-COVID-19 patients who were admitted; no critical patient was left unadmitted and no COVID-19 severe patients referring to our center had to be redirected to other hospitals due to bed saturation. This system allowed shorter hospital length-of-stay in general wards (5.9 ± 4 days) than in other internistic COVID-19 wards and overall mortality in line with those reported in literature despite the peak raging. CONCLUSION: This case report showed the feasibility and the efficiency of this dynamic model of hospital rearrangement to deal with COVID-19 pandemic peaks. Frontiers Media S.A. 2022-03-18 /pmc/articles/PMC8971195/ /pubmed/35372442 http://dx.doi.org/10.3389/fmed.2022.819134 Text en Copyright © 2022 Agnoletti, Gamberini, Circelli, Martino, Santonastaso, Bolondi, Bastoni, Spiga, Ceccarelli, Montaguti, Catena, Poletti, Lusenti, Lazzari, Altini and Russo. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Agnoletti, Vanni
Gamberini, Emiliano
Circelli, Alessandro
Martino, Costanza
Santonastaso, Domenico Pietro
Bolondi, Giuliano
Bastoni, Giorgia
Spiga, Martina
Ceccarelli, Paola
Montaguti, Luca
Catena, Fausto
Poletti, Venerino
Lusenti, Carlo
Lazzari, Claudio
Altini, Mattia
Russo, Emanuele
Description of an Integrated and Dynamic System to Efficiently Deal With a Raging COVID-19 Pandemic Peak
title Description of an Integrated and Dynamic System to Efficiently Deal With a Raging COVID-19 Pandemic Peak
title_full Description of an Integrated and Dynamic System to Efficiently Deal With a Raging COVID-19 Pandemic Peak
title_fullStr Description of an Integrated and Dynamic System to Efficiently Deal With a Raging COVID-19 Pandemic Peak
title_full_unstemmed Description of an Integrated and Dynamic System to Efficiently Deal With a Raging COVID-19 Pandemic Peak
title_short Description of an Integrated and Dynamic System to Efficiently Deal With a Raging COVID-19 Pandemic Peak
title_sort description of an integrated and dynamic system to efficiently deal with a raging covid-19 pandemic peak
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8971195/
https://www.ncbi.nlm.nih.gov/pubmed/35372442
http://dx.doi.org/10.3389/fmed.2022.819134
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