ENCOVUR-2 study: Analysis of the protocols of action, management and availability of intensive care resources for patients with severe COVID-19 attended in Spanish Emergency Departments during the first peak of the pandemic

Background: During the first wave of the COVID-19 pandemic, the availability of a critical care bed was insufficient. The aim of this work was to evaluate the presence of protocols, management in the emergency department (ED) and the availability of intensive care unit (ICU) beds for severe COVID-19...

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Autores: Miro, O, Alquezar-Arbe, A, Pinera, P, Jacob, J, Martin, A, Llorens, P, Jimenez, S, del Castillo, JG, Garcia-Lamberechts, EJ, Martin-Sanchez, FJ, Burillo-Putze, G, Representacion Red Invest SIESTA
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p7463
Acceso en línea:https://isabial.portalinvestigacion.com/publicaciones7463
https://pubmed.ncbi.nlm.nih.gov/34376632/
Access Level:acceso abierto
Palabra clave:COVID-19
Emergency Department
Pandemic
Organization
Intensive Care Units
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spelling ENCOVUR-2 study: Analysis of the protocols of action, management and availability of intensive care resources for patients with severe COVID-19 attended in Spanish Emergency Departments during the first peak of the pandemicMiro, OAlquezar-Arbe, APinera, PJacob, JMartin, ALlorens, PJimenez, Sdel Castillo, JGGarcia-Lamberechts, EJMartin-Sanchez, FJBurillo-Putze, GRepresentacion Red Invest SIESTACOVID-19Emergency DepartmentPandemicOrganizationIntensive Care UnitsBackground: During the first wave of the COVID-19 pandemic, the availability of a critical care bed was insufficient. The aim of this work was to evaluate the presence of protocols, management in the emergency department (ED) and the availability of intensive care unit (ICU) beds for severe COVID-19 patients attended in Spanish hospital EDs during the first peak of the 2020 pandemic. Methods: Questionnaire collecting data regarding ED care in March-April 2020 aimed at all Spanish public health care EDs. The respondents were the Chiefs of EDs. The variables of interest were: 1) Presence and of compliance with ED protocols for decision making and adequacy of therapeutic effort; 2) management of COVID-19 patients with non-invasive mechanical ventilation (NIMV) or high flow nasal cannula (HFNC) in the ED; and 3) ICU bed accessibility for ED patients. The results were compared based on the characteristics of the hospital, impact of the pandemic and autonomous community. A descriptive and inferential analysis of the variables studied was performed using the chi-square test and analysis of variance. Results: A total of 246 questionnaires (89%) were received. Protocols were available in 136 EDs (57.1%). Globally, the protocol was applied in >95% of the EDs, although this was less frequent (76%) in EDs with high impact of the pandemic. 53% of the EDs managed patients with severe COVID-19 with NIMV/HFNC in the ED itself, and 19.4% suffered from lack of ICU beds. The lack of ICU beds for severe COVID-19 patients in the ED significantly differed among periods, and more marked in hospitals with ICC and with high pandemic impact. Conclusions: it is needed to generalize the implementation of protocols in EDs for the management of severe COVID-19 patients and improve the capacity of the ICUs to homogeneously adjust to the needs.MINISTERIO DE SANIDAD Y CONSUMO2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones7463https://pubmed.ncbi.nlm.nih.gov/34376632/Revista Espanola de Salud PublicaISSN: 11355727ISSNe: 21739110reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Españolinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p74632026-06-12T10:20:37Z
dc.title.none.fl_str_mv ENCOVUR-2 study: Analysis of the protocols of action, management and availability of intensive care resources for patients with severe COVID-19 attended in Spanish Emergency Departments during the first peak of the pandemic
title ENCOVUR-2 study: Analysis of the protocols of action, management and availability of intensive care resources for patients with severe COVID-19 attended in Spanish Emergency Departments during the first peak of the pandemic
spellingShingle ENCOVUR-2 study: Analysis of the protocols of action, management and availability of intensive care resources for patients with severe COVID-19 attended in Spanish Emergency Departments during the first peak of the pandemic
Miro, O
COVID-19
Emergency Department
Pandemic
Organization
Intensive Care Units
title_short ENCOVUR-2 study: Analysis of the protocols of action, management and availability of intensive care resources for patients with severe COVID-19 attended in Spanish Emergency Departments during the first peak of the pandemic
title_full ENCOVUR-2 study: Analysis of the protocols of action, management and availability of intensive care resources for patients with severe COVID-19 attended in Spanish Emergency Departments during the first peak of the pandemic
title_fullStr ENCOVUR-2 study: Analysis of the protocols of action, management and availability of intensive care resources for patients with severe COVID-19 attended in Spanish Emergency Departments during the first peak of the pandemic
title_full_unstemmed ENCOVUR-2 study: Analysis of the protocols of action, management and availability of intensive care resources for patients with severe COVID-19 attended in Spanish Emergency Departments during the first peak of the pandemic
title_sort ENCOVUR-2 study: Analysis of the protocols of action, management and availability of intensive care resources for patients with severe COVID-19 attended in Spanish Emergency Departments during the first peak of the pandemic
dc.creator.none.fl_str_mv Miro, O
Alquezar-Arbe, A
Pinera, P
Jacob, J
Martin, A
Llorens, P
Jimenez, S
del Castillo, JG
Garcia-Lamberechts, EJ
Martin-Sanchez, FJ
Burillo-Putze, G
Representacion Red Invest SIESTA
author Miro, O
author_facet Miro, O
Alquezar-Arbe, A
Pinera, P
Jacob, J
Martin, A
Llorens, P
Jimenez, S
del Castillo, JG
Garcia-Lamberechts, EJ
Martin-Sanchez, FJ
Burillo-Putze, G
Representacion Red Invest SIESTA
author_role author
author2 Alquezar-Arbe, A
Pinera, P
Jacob, J
Martin, A
Llorens, P
Jimenez, S
del Castillo, JG
Garcia-Lamberechts, EJ
Martin-Sanchez, FJ
Burillo-Putze, G
Representacion Red Invest SIESTA
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv COVID-19
Emergency Department
Pandemic
Organization
Intensive Care Units
topic COVID-19
Emergency Department
Pandemic
Organization
Intensive Care Units
description Background: During the first wave of the COVID-19 pandemic, the availability of a critical care bed was insufficient. The aim of this work was to evaluate the presence of protocols, management in the emergency department (ED) and the availability of intensive care unit (ICU) beds for severe COVID-19 patients attended in Spanish hospital EDs during the first peak of the 2020 pandemic. Methods: Questionnaire collecting data regarding ED care in March-April 2020 aimed at all Spanish public health care EDs. The respondents were the Chiefs of EDs. The variables of interest were: 1) Presence and of compliance with ED protocols for decision making and adequacy of therapeutic effort; 2) management of COVID-19 patients with non-invasive mechanical ventilation (NIMV) or high flow nasal cannula (HFNC) in the ED; and 3) ICU bed accessibility for ED patients. The results were compared based on the characteristics of the hospital, impact of the pandemic and autonomous community. A descriptive and inferential analysis of the variables studied was performed using the chi-square test and analysis of variance. Results: A total of 246 questionnaires (89%) were received. Protocols were available in 136 EDs (57.1%). Globally, the protocol was applied in >95% of the EDs, although this was less frequent (76%) in EDs with high impact of the pandemic. 53% of the EDs managed patients with severe COVID-19 with NIMV/HFNC in the ED itself, and 19.4% suffered from lack of ICU beds. The lack of ICU beds for severe COVID-19 patients in the ED significantly differed among periods, and more marked in hospitals with ICC and with high pandemic impact. Conclusions: it is needed to generalize the implementation of protocols in EDs for the management of severe COVID-19 patients and improve the capacity of the ICUs to homogeneously adjust to the needs.
publishDate 2021
dc.date.none.fl_str_mv 2021
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://isabial.portalinvestigacion.com/publicaciones7463
https://pubmed.ncbi.nlm.nih.gov/34376632/
url https://isabial.portalinvestigacion.com/publicaciones7463
https://pubmed.ncbi.nlm.nih.gov/34376632/
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MINISTERIO DE SANIDAD Y CONSUMO
publisher.none.fl_str_mv MINISTERIO DE SANIDAD Y CONSUMO
dc.source.none.fl_str_mv Revista Espanola de Salud Publica
ISSN: 11355727
ISSNe: 21739110
reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
instname_str Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
reponame_str r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
collection r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
repository.name.fl_str_mv
repository.mail.fl_str_mv
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