| Autor: |
Estenssoro E; Hospital Interzonal de Agudos General San Martín, La Plata, Buenos Aires, Argentina. E-mail: estenssoro.elisa@gmail.com.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Plotnikow G; Sanatorio Las Lomas, San Isidro, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Loudet CI; Hospital Interzonal de Agudos General San Martín, La Plata, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Ríos FG; Hospital Juan A. Fernández, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Kanoore Edul VS; Hospital Juan A. Fernández, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Andrian M; Hospital Provincial Dr. Castro Rendón, Neuquén, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Romero I; Sanatorio Güemes, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Sagardía J; Hospital Alejandro Posadas, El Palomar, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Bezzi M; Hospital Santojanni, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Mandich V; Hospital Santojanni, UTICOVID-19, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Groer C; Hospital Juan A. Fernández, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Torres S; Sanatorio Anchorena San Martín, San Martín, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Orlandi C; Hospital Francisco López Lima, General Roca, Río Negro, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Rubatto Birri PN; Sanatorio Otamendi, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Valenti MF; Sanatorio de Los Arcos, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19., Cunto E; Hospital Dr. Francisco J. Muñiz, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Sáenz MG; Hospital Interzonal de Agudos General San Martín, La Plata, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Tiribelli N; Complejo Médico de la Policía Federal Argentina Churruca Visca, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Aphalo V; Sanatorio Las Lomas, San Isidro, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Betttini L; Hospital Provincial del Centenario, Rosario, Santa Fe, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Reina R; Sociedad Argentina de Terapia Intensiva, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina., Dubin A; Sanatorio Otamendi, Buenos Aires, Argentina.; Grupo de investigadores del estudio SATICOVID-19, Argentina. |
| Abstrakt: |
During the SARS-CoV-2 pandemic, there was a marked requirement for critical care beds, supplies and trained professionals to assist patients with severe respiratory failure. The Argentine Society of Intensive Care (SATI) designed a study to characterize these aspects in intensive care units (ICUs). Multicenter, prospective cohort study; the participating ICUs completed a form at the end of the study (31/10/2020) on hospital characteristics, number of beds in pre- and intra-pandemic critical areas, incorporation of professionals, technological resources, and workload. Fifty-eight ICUs participated; 28(48%) were located in Buenos Aires Province, 22(38%) in Buenos Aires Autonomous City and 10 (17%) in other provinces; 31 (53%) of UCIs belonged to the public sector; 23 (47%) to the private-social security. In 35/58 (60%) of the hospitals critical care beds increased from 902 to 1575 (75%), 37% in ICU and 63% mainly in Coronary Care Unit and Emergency-shock room. In 41/55 (75%) UCIs, staff were incorporated: 27(49%) physicians (70% intensivists), 36 (65%) nurses, 28 (51%) respiratory therapists, 20(36%) cleaning staff, and 1(2%) others. A 96% of the ICUS reported having sufficient ventilators and 95% enough supplies and PPE. Of all patients on invasive mechanical ventilation, 55% [43-64] had COVID-19. Oxygen therapy was required as noninvasive support in 14% [8-24] of COVID-19 admissions. There was a significant expansion of critical operational areas, secondary to the increase in beds, staff, and adequate availability of ventilators and essential supplies. The burden of critical illness from COVID-19 was intense, with more than half of patients on mechanical ventilation. |
