دورية أكاديمية

Surgical Support for Severe COVID-19 Patients: A Retrospective Cohort Study in a French High-Density COVID-19 Cluster

التفاصيل البيبلوغرافية
العنوان: Surgical Support for Severe COVID-19 Patients: A Retrospective Cohort Study in a French High-Density COVID-19 Cluster
المؤلفون: Noll, Eric, Muccioli, Christophe, Ludes, Pierre-Olivier, Pottecher, Julien, Diemunsch, Pierre, Diemunsch, Sophie, Tchentcheli, Anaëlle, Clavert, Philippe, Joshi, Girish P., Liverneaux, Philippe A.
المصدر: Surgical Innovation ; volume 27, issue 6, page 564-569 ; ISSN 1553-3506 1553-3514
بيانات النشر: SAGE Publications
سنة النشر: 2020
مصطلحات موضوعية: Surgery
الوصف: Background. The COVID-19 epidemic has resulted in a massive surge in the need for intensive care unit (ICU) care. To avoid being overwhelmed, hospitals had to adapt and support the ICU teams in structured ICU care including involving surgical teams. This work aims at describing the collaborative efforts between the ICU care team and the Surgical Task Force (STF) during a surge of ICU activity in a University Hospital in a French high-density COVID-19 cluster. Study Design. This retrospective single center study analyzed the STF workflow and the ICU population. The study included 55 patients hospitalized in our ICU, ICU-converted step-down units, and post-anesthesia care units. The primary measure was the global daily STF activity. The secondary measure was the daily activity for each of the 5 tasks accomplished by the STF. Results. The STF attempted 415 phone calls for 55 patients’ families, 237 mobilizations of patients requiring prone positions, follow-up of 20 patients requiring medevac, and contribution to ethical discussion for 2 patients. The mean (SD) daily number of successful phones calls, ethical discussions, mobilizations of patients requiring prone positions and medevac follow-up were 18 (7), .1 (.4), 10 (7), and 2 (3), respectively. No actions for discharge summaries writing were required. The maximum number of daily mobilizations for patients requiring prone positions was 25. The maximum number of daily attempted phone calls and successful phone calls were 37 and 26, respectively. Conclusion. Surgeons’ technical and nontechnical skills represented an effective support for ICU teams during the COVID-19 pandemic.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1177/1553350620954571
الإتاحة: https://doi.org/10.1177/1553350620954571Test
حقوق: http://journals.sagepub.com/page/policies/text-and-data-mining-licenseTest
رقم الانضمام: edsbas.1E080FB
قاعدة البيانات: BASE