All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain

Autor: Emilio Nevado-Losada, Abelardo García-de-Lorenzo, Teresa Nunez-Villaveiran, Alejandro González-Castro, Pau Garro
Přispěvatelé: [Nunez-Villaveiran T] Plastic and Reconstructive Surgery Unit, Hospital General de Granollers, Granollers, Spain. [González-Castro A] Intensive Care Department, Hospital Universitario Marques de Valdecilla, Santander, Spain. [Nevado-Losada E] Intensive Care Department, Hospital Universitario Príncipe de Asturias, Madrid, Spain. [García-de-Lorenzo A] Intensive Care Department, Hospital Universitario La Paz, Madrid, Spain. [Garro P] Intensive Care Department, Hospital General de Granollers, Granollers, Spain, Hospital General de Granollers
Rok vydání: 2020
Předmět:
hospital organization
medicine.medical_specialty
Critical Care
Coronavirus disease 2019 (COVID-19)
surge capacity
intensive care medicine
COVID-19 (Malaltia)
mass critical care
disaster medicine
03 medical and health sciences
Medicina intensiva
0302 clinical medicine
Physicians
Intensive care
Pandemic
Humans
Medicine
030212 general & internal medicine
Pandemics
Retrospective Studies
Original Research
Surge Capacity
business.industry
Critically ill
Hospitals - Planificació
Public Health
Environmental and Occupational Health
COVID-19
Outbreak
030208 emergency & critical care medicine
Intensive Care Units
Health Care Facilities
Manpower
and Services::Health Facilities::Hospital Units::Intensive Care Units [HEALTH CARE]
instalaciones
servicios y personal de asistencia sanitaria::centros sanitarios::unidades hospitalarias::unidades de cuidados intensivos [ATENCIÓN DE SALUD]
Spain
Turnover
Emergency medicine
business
Disaster medicine
Zdroj: Scientia
Disaster Medicine and Public Health Preparedness
ISSN: 1938-744X
1935-7893
DOI: 10.1017/dmp.2020.375
Popis: Objectives:Our purpose was to determine the intensive care units’ (ICU’s) medical staff surge capacity during the coronavirus disease 2019 (COVID-19) outbreak in Spring 2020 in Spain.Methods:A multicenter retrospective survey was performed addressing the medical specialties present in the ICUs and the increase in bed capacity during this period.Results:Sixty-seven centers (62.04%) answered the questionnaire. The ICU bed capacity during the pandemic outbreak increased by 160% (95% confidence interval [CI], 128.97-191.03%). The average number of beds per intensive care medicine (ICM) specialist was 1.5 ± 0.60 and 3.71 ± 2.44 beds/specialist before and during the COVID-19 outbreak, respectively. Non-ICM specialists and residents were present in 50 (74.63%) and 23 (34.3%) ICUs during the outbreak, respectively. The number of physicians (ICM and non-ICM residents and specialists) in the ICU increased by 89.40% (95% CI, 64.26114.53%). The increase in ICM specialists was, however, 4.94% (95% CI, −1.35-11.23%). Most non-ICM physicians were anesthetists, followed by pediatricians and cardiologists.Conclusions:The majority of ICUs in our study were able to rapidly expand critical care capacity by adapting areas outside of the normal ICU to manage critically ill patients, and by extending the critical care staff with noncritical care physicians working as force multipliers.
Databáze: OpenAIRE
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