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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...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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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. |
format | Online Article Text |
id | pubmed-8971195 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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