Vršna opterećenja zdravstvenog sustava tijekom prva tri vala COVID-19 pandemije u Republici Hrvatskoj

Autor: Jelena Dimnjaković, Krunoslav Capak, Ivana Pavić, Pero Ivanko, Ivan Pristaš, Tamara Poljičanin
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Infektološki glasnik
Volume 41
Issue 4
ISSN: 1848-7769
1331-2820
Popis: Uvod: Preopterećenje kapaciteta zdravstvenog sustava predstavlja jednu od glavnih prijetnji tijekom COVID-19 pandemije. Cilj je prikazati vršne vrijednosti odabranih indikatora tijekom COVID-19 valova u RH i osigurati informacije koje će omogućiti reviziju plana spremnosti i moguću re(organizaciju) rada bolnica. Metode: Retrospektivna analiza rezultata COVID-19 testiranja, infekcija, hospitalizacija, JIL popunjenosti te podataka o osobama na respiratoru i preminulih prikupljanih sustavom nadzora kapaciteta tijekom prva tri vala u RH. Rezultati: Vršna popunjenost bolničkih kreveta opažena u 2. i 3. valu bila je 70,19% i 54,60%, u usporedbi s maksimalnim kapacitetima raspoloživim tijekom COVID-19 valova, te 168,90% i 131,38%, u usporedbi s kapacitetima dostupnima između dva vala, JIL kreveta 75,51% i 70,73% odnosno 170,51% i 160,37%. Vršne dnevne vrijednosti bile su kako slijedi (prvi/drugi/treći val); pozitivni: 53/4827/3198; testirani: 1984/13325/11622; ukupno hospitalizirani: 372/2976/2315; ukupno na respiratoru: 31/306/278; ukupno JIL hospitalizirani: nepoznato/370/348, preminuli: 8/92/52. Zaključak: Tijekom korona valova, zahtjevi za bolničkim i JIL posteljama značajno su nadmašili postojeće standardne kapacitete zdravstvenog sustava. Sustav se akutno uspio prilagoditi povećanjem broja raspoloživih kreveta za COVID-19 pacijente. Međutim, obzirom na do sada opažene vršne vrijednosti, potrebno je trajno dodatno povećanje ili reorganizacija bolničkih kapaciteta koji bi osigurali da se tijekom predstojećih valova izbjegne ugroza zdravlja ne-COVID-19 i COVID-19 bolesnika te preopterećenja dijela osoblja.
Introduction: One of the main concerns during the COVID-19 pandemic was the overload of health care sector capacities. The objective of this paper was to show peak numbers of selected indicators during the three COVID-19 waves in Croatia and ensure information that will enable revision of preparedness plan and potential hospitals` (re)organization. Methods: Retrospective analysis of COVID-19 testing, infections, hospitalizations, ICU admissions, mechanical ventilation support and deceased data collected via capacity surveillance in the Republic of Croatia during the first three waves. Results: Peak hospital bed occupancy rates observed in the 2nd and 3rd waves were 70.19% and 54.60%, compared to maximum capacity during the COVID-19 wave, and 168.90% and 131.38%, compared to maximum capacity between waves, while ICU beds occupancy rates were 75.51% and 70.73%, and 170.51% and 160.37%, respectively. Peak daily numbers were as follows (first/ second/third wave); positive persons: 53/4827/3198; tested persons: 1984/13325/11622; total hospitalized persons: 372/2976/2315; total mechanical ventilation needed: 31/306/278; total ICU hospitalized: unknown/370/348; deceased: 8/92/52. Conclusion: During pandemic waves, the requirements for hospital and ICU beds significantly exceeded standard available health sector capacities. The system has acutely adjusted by increasing the number of beds available for COVID-19 patients. However, given the peaks observed so far, a permanent additional increase or reorganization of hospital capacity is needed to ensure that during the upcoming waves non-COVID-19 and COVID-19 patients won’t be endangered or part of the staff overloaded.
Databáze: OpenAIRE
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