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

COVID-19; Intensive care medicine; Hospital organization

Detalhes bibliográficos
Autores: Nunez-Villaveiran, Teresa, González Castro, Alejandro, Nevado Losada, Emilio, García-de-Lorenzo, Abelardo, Garro, Pau
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Recursos:Departament de Salut de la Generalitat de Catalunya (DS)
Repositorio:Scientia. Dipòsit d'Informació Digital del Departament de Salut
OAI Identifier:oai:scientiasalut.gencat.cat:11351/7878
Acesso em linha:https://hdl.handle.net/11351/7878
Access Level:acceso abierto
Palavra-chave:COVID-19 (Malaltia)
Medicina intensiva
Hospitals - Planificació
HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Facilities::Hospital Units::Intensive Care Units
ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::centros sanitarios::unidades hospitalarias::unidades de cuidados intensivos
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spelling All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in SpainNunez-Villaveiran, TeresaGonzález Castro, AlejandroNevado Losada, EmilioGarcía-de-Lorenzo, AbelardoGarro, PauCOVID-19 (Malaltia)Medicina intensivaHospitals - PlanificacióHEALTH CARE::Health Care Facilities, Manpower, and Services::Health Facilities::Hospital Units::Intensive Care UnitsATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::centros sanitarios::unidades hospitalarias::unidades de cuidados intensivosCOVID-19; Intensive care medicine; Hospital organizationCOVID-19; Medicina intensiva; Organització hospitalàriaCOVID-19; Medicina Intensiva; Organización hospitalariaObjectives: 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.Cambridge University Press[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, SpainHospital General de Granollers202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/7878Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésDisaster Medicine and Public Health Preparedness;16(2)https://doi.org/10.1017/dmp.2020.375Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/78782026-06-12T09:38:37Z
dc.title.none.fl_str_mv All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
title All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
spellingShingle All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
Nunez-Villaveiran, Teresa
COVID-19 (Malaltia)
Medicina intensiva
Hospitals - Planificació
HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Facilities::Hospital Units::Intensive Care Units
ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::centros sanitarios::unidades hospitalarias::unidades de cuidados intensivos
title_short All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
title_full All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
title_fullStr All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
title_full_unstemmed All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
title_sort All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain
dc.creator.none.fl_str_mv Nunez-Villaveiran, Teresa
González Castro, Alejandro
Nevado Losada, Emilio
García-de-Lorenzo, Abelardo
Garro, Pau
author Nunez-Villaveiran, Teresa
author_facet Nunez-Villaveiran, Teresa
González Castro, Alejandro
Nevado Losada, Emilio
García-de-Lorenzo, Abelardo
Garro, Pau
author_role author
author2 González Castro, Alejandro
Nevado Losada, Emilio
García-de-Lorenzo, Abelardo
Garro, Pau
author2_role author
author
author
author
dc.contributor.none.fl_str_mv [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
dc.subject.none.fl_str_mv COVID-19 (Malaltia)
Medicina intensiva
Hospitals - Planificació
HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Facilities::Hospital Units::Intensive Care Units
ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::centros sanitarios::unidades hospitalarias::unidades de cuidados intensivos
topic COVID-19 (Malaltia)
Medicina intensiva
Hospitals - Planificació
HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Facilities::Hospital Units::Intensive Care Units
ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::centros sanitarios::unidades hospitalarias::unidades de cuidados intensivos
description COVID-19; Intensive care medicine; Hospital organization
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/7878
url https://hdl.handle.net/11351/7878
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Disaster Medicine and Public Health Preparedness;16(2)
https://doi.org/10.1017/dmp.2020.375
dc.rights.none.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv Scientia
reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname:Departament de Salut de la Generalitat de Catalunya (DS)
instname_str Departament de Salut de la Generalitat de Catalunya (DS)
reponame_str Scientia. Dipòsit d'Informació Digital del Departament de Salut
collection Scientia. Dipòsit d'Informació Digital del Departament de Salut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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