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The resilient intensive care unit
BACKGROUND: The COVID-19 pandemic tested the capacity of intensive care units (ICU) to respond to a crisis and demonstrated their fragility. Unsurprisingly, higher than usual mortality rates, lengths of stay (LOS), and ICU-acquired complications occurred during the pandemic. However, worse outcomes...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9038989/ https://www.ncbi.nlm.nih.gov/pubmed/35471746 http://dx.doi.org/10.1186/s13613-022-01011-x |
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author | Salluh, Jorge I. F. Kurtz, Pedro Bastos, Leonardo S. L. Quintairos, Amanda Zampieri, Fernando G. Bozza, Fernando A. |
author_facet | Salluh, Jorge I. F. Kurtz, Pedro Bastos, Leonardo S. L. Quintairos, Amanda Zampieri, Fernando G. Bozza, Fernando A. |
author_sort | Salluh, Jorge I. F. |
collection | PubMed |
description | BACKGROUND: The COVID-19 pandemic tested the capacity of intensive care units (ICU) to respond to a crisis and demonstrated their fragility. Unsurprisingly, higher than usual mortality rates, lengths of stay (LOS), and ICU-acquired complications occurred during the pandemic. However, worse outcomes were not universal nor constant across ICUs and significant variation in outcomes was reported, demonstrating that some ICUs could adequately manage the surge of COVID-19. METHODS: In the present editorial, we discuss the concept of a resilient Intensive Care Unit, including which metrics can be used to address the capacity to respond, sustain results and incorporate new practices that lead to improvement. RESULTS: We believe that a resiliency analysis adds a component of preparedness to the usual ICU performance evaluation and outcomes metrics to be used during the crisis and in regular times. CONCLUSIONS: The COVID-19 pandemic demonstrated the need for a resilient health system. Although this concept has been discussed for health systems, it was not tested in intensive care. Future studies should evaluate this concept to improve ICU organization for standard and pandemic times. |
format | Online Article Text |
id | pubmed-9038989 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-90389892022-04-26 The resilient intensive care unit Salluh, Jorge I. F. Kurtz, Pedro Bastos, Leonardo S. L. Quintairos, Amanda Zampieri, Fernando G. Bozza, Fernando A. Ann Intensive Care Research BACKGROUND: The COVID-19 pandemic tested the capacity of intensive care units (ICU) to respond to a crisis and demonstrated their fragility. Unsurprisingly, higher than usual mortality rates, lengths of stay (LOS), and ICU-acquired complications occurred during the pandemic. However, worse outcomes were not universal nor constant across ICUs and significant variation in outcomes was reported, demonstrating that some ICUs could adequately manage the surge of COVID-19. METHODS: In the present editorial, we discuss the concept of a resilient Intensive Care Unit, including which metrics can be used to address the capacity to respond, sustain results and incorporate new practices that lead to improvement. RESULTS: We believe that a resiliency analysis adds a component of preparedness to the usual ICU performance evaluation and outcomes metrics to be used during the crisis and in regular times. CONCLUSIONS: The COVID-19 pandemic demonstrated the need for a resilient health system. Although this concept has been discussed for health systems, it was not tested in intensive care. Future studies should evaluate this concept to improve ICU organization for standard and pandemic times. Springer International Publishing 2022-04-26 /pmc/articles/PMC9038989/ /pubmed/35471746 http://dx.doi.org/10.1186/s13613-022-01011-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visithttp://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Research Salluh, Jorge I. F. Kurtz, Pedro Bastos, Leonardo S. L. Quintairos, Amanda Zampieri, Fernando G. Bozza, Fernando A. The resilient intensive care unit |
title | The resilient intensive care unit |
title_full | The resilient intensive care unit |
title_fullStr | The resilient intensive care unit |
title_full_unstemmed | The resilient intensive care unit |
title_short | The resilient intensive care unit |
title_sort | resilient intensive care unit |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9038989/ https://www.ncbi.nlm.nih.gov/pubmed/35471746 http://dx.doi.org/10.1186/s13613-022-01011-x |
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