A national healthcare response to intensive care bed requirements during the COVID-19 outbreak in France
| العنوان: | A national healthcare response to intensive care bed requirements during the COVID-19 outbreak in France |
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| المؤلفون: | Lefrant, Jean-Yves, Fischer, Marc-Olivier, Potier, Hugo, Degryse, Cécile, Jaber, Samir, Muller, Laurent, Pottecher, Julien, Charboneau, Hélène, Meaudre, Eric, Lanot, Pierre, Bruckert, Vincent, Plaud, Benoît, Dureuil, Bertrand, Samain, Emmanuel, Bouaziz, Hervé, Ecoffey, Claude, Capdevila, Xavier, Lammens, Stéphane, Bonnet, Vincent, Prevost, Fabrice, Aussant, Philippe, Merouani, Karim, Alaoui, Samir Sidiki, Kalfon, Pierre, Mfam, Willy-Serge, Oilleau, Jean-Ferréol, Moussa, Mouhamed, Arab, Osama Abou, FELLAHI, Jean-Luc, Suzanne, Stéphanie, Coucoravas, Jérémy, Espitalier, Fabien, Bavozet, Florent, Fermier, Brice, Vincent, Jean-François, Ouchikhe, Abdelali, Herbland, Alexandre, Godde, Fréféric, Frasca, Denis, Desebe, Oliver, Riu, Béatrice, Faure, Henri, Hurel, Dominique, Bedos, Jean-Pierre, Lefevres-Scelles, Antoine, Hayon, Jan, Chanques, Gerald, Boutonnet, Mathieu, Pasquier, Pierre, Audibert, Gérard, Mertes, Paul Michel, Losser, Marie Reine, Collange, Olivier, Pottecher, Thierry, Aubrun, Frédéric, Payen, Jean François, Albaladejo, Pierre, Bouzat, Pierre, Ichaï, Carole, Leone, Marc, Bruder, Nicolas, Velly, Lionel, Fourcade, Olivier, Biais, Matthieu, Ouattara, Alexandre, Debaene, Bertrand, Fizelier, Claire Dahyot, Asehnoune, Karim, Lasocki, Sigismond, Roquilly, Antoine, Tavernier, Benoit, Kipnis, Eric, Lorne, Emmanuel, Bouhemad, Belaid, Dupont, Hervé, Morel, Jérome, Molliex, Serge, Beuret, Pascal, Constantin, Jean-Michel, Gayat, Etienne, Mebazaa, Alexandre, Schoeffler, Mathieu, Mateu, Philippe, Verdier, Philippe |
| المساهمون: | Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Initial MAnagement and prevention of acute orGan failures IN critically ill patiEnts (IMAGINE), Université de Montpellier (UM), Université de Caen Normandie (UNICAEN), Normandie Université (NU), CHU Caen, Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN), BESPIM, CHU Bordeaux [Bordeaux], Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] (PhyMedExp), Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Les Hôpitaux Universitaires de Strasbourg (HUS), Fédération de Médecine Translationnelle de Strasbourg (FMTS), Université de Strasbourg (UNISTRA), Clinique Pasteur [Toulouse], Hôpital d'Instruction des Armées Sainte Anne, Service de Santé des Armées, École du Val de Grâce (EVDG), Hôpital Privé d'Antony, Centre Hospitalier Universitaire de Nice (CHU Nice), Hopital Saint-Louis [AP-HP] (AP-HP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université de Paris (UP), CHU Rouen, Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), CHU Pontchaillou [Rennes], Institut des Neurosciences de Montpellier - Déficits sensoriels et moteurs (INM), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM) |
| المصدر: | Anaesthesia, Critical Care & Pain Medicine Anaesthesia Critical Care & Pain Medicine Anaesthesia Critical Care & Pain Medicine, Elsevier Masson, 2020, ⟨10.1016/j.accpm.2020.09.007⟩ |
| بيانات النشر: | Elsevier BV, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, National Health Programs, Coronavirus disease 2019 (COVID-19), [SDV]Life Sciences [q-bio], health care facilities, manpower, and services, Personnel Staffing and Scheduling, Context (language use), Critical Care and Intensive Care Medicine, Pacu, law.invention, 03 medical and health sciences, 0302 clinical medicine, law, Acute care, Intensive care, Bed availability, Health care, medicine, Humans, Bed Conversion, 030212 general & internal medicine, Pandemics, ComputingMilieux_MISCELLANEOUS, Retrospective Studies, Ventilators, Mechanical, biology, SARS-CoV-2, business.industry, COVID-19, Outbreak, 030208 emergency & critical care medicine, General Medicine, biology.organism_classification, medicine.disease, Intensive care unit, 3. Good health, Hospitalization, Personnel, Hospital, Intensive Care Units, Anesthesiology and Pain Medicine, Hospital Bed Capacity, Health Care Surveys, ICU, Original Article, France, Medical emergency, business |
| الوصف: | Background Whereas 5415 Intensive Care Unit (ICU) beds were initially available, 7148 COVID-19 patients were hospitalised in the ICU at the peak of the outbreak. The present study reports how the French Health Care system created temporary ICU beds to avoid being overwhelmed. Methods All French ICUs were contacted for answering a questionnaire focusing on the available beds and health care providers before and during the outbreak. Results Among 336 institutions with ICUs before the outbreak, 315 (94%) participated, covering 5054/5531 (91%) ICU beds. During the outbreak, 4806 new ICU beds (+95% increase) were created from Acute Care Unit (ACU, 2283), Post Anaesthetic Care Unit and Operating Theatre (PACU & OT, 1522), other units (374) or real build-up of new ICU beds (627), respectively. At the peak of the outbreak, 9860, 1982 and 3089 ICU, ACU and PACU beds were made available. Before the outbreak, 3548 physicians (2224 critical care anaesthesiologists, 898 intensivists and 275 from other specialties, 151 paediatrics), 1785 residents, 11,023 nurses and 6763 nursing auxiliaries worked in established ICUs. During the outbreak, 2524 physicians, 715 residents, 7722 nurses and 3043 nursing auxiliaries supplemented the usual staff in all ICUs. A total number of 3212 new ventilators were added to the 5997 initially available in ICU. Conclusion During the COVID-19 outbreak, the French Health Care system created 4806 ICU beds (+95% increase from baseline), essentially by transforming beds from ACUs and PACUs. Collaboration between intensivists, critical care anaesthesiologists, emergency physicians as well as the mobilisation of nursing staff were primordial in this context. |
| تدمد: | 2352-5568 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c92c8d62cfc09b6edc8d3d7212aaf914Test https://doi.org/10.1016/j.accpm.2020.09.007Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....c92c8d62cfc09b6edc8d3d7212aaf914 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23525568 |
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