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Quan L, Xu S, Xu H, Chen F, Wu S, Zhu J, Liu S, Su T. Depression, anxiety, lower sleep quality and social support in square cabin hospitals during Shanghai's COVID-19 lockdown, China. Front Psychiatry 2024; 15:1339774. [PMID: 38374973 PMCID: PMC10875048 DOI: 10.3389/fpsyt.2024.1339774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 01/18/2024] [Indexed: 02/21/2024] Open
Abstract
Objectives To investigate and compare the associated factors of depression, anxiety, and other psychological differences between patients with Corona Virus Disease 2019 quarantined in square cabin hospitals (SCH) and isolation wards (IW) in China. Methods Cluster sampling method was performed during Shanghai's Two-Month Lockdown in 2022. Hospital Anxiety and Depression Scale Depression subscale (HADS-D), 7-tiem Generalized Anxiety Disorder Scale (GAD-7), Pittsburgh sleep quality index (PSQI), and Perceived Social Support Scale (PSSS) were used to investigate psychological differences. Results The HADS-D and GAD-7 scores of SCH patients were significantly higher than those in IW (p < 0.001; p = 0.0295). Sleep latency (SCH-IW = -3.76, p < 0.001), sleep duration (SCH-IW = -2.22, p < 0.05), habitual sleep efficiency (SCH-IW = -4.11, p < 0.001), sleep disturbance (SCH-IW = -3.59, p < 0.001) and use of sleep medication (SCH-IW = -5.18, p < 0.001) of SCH patients were significantly worse. Depression was the main emotional problem of quarantined patients. Patients in SCH had lower social support. Sleep disorders and the lowest oxygen saturation ≤ 93% were risk factors for depression, while social support and child status were protective factors. Myalgia and constipation were risk factors for anxiety, while marital status was the protective factor. Conclusion Patients quarantined in SCH had higher risks of depression and anxiety, lower sleep quality and social support. Somatic discomfort and sleep disorders exacerbated depression and anxiety, which could be ameliorated by social support and taken into consideration in future SCH construction.
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Affiliation(s)
- Li Quan
- Department of Cardiology, Shanghai Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, China
| | - Shuyu Xu
- Faculty of Psychology, Naval Medical University, Shanghai, China
| | - Hao Xu
- Department of Infectious Diseases, the First Affiliated Hospital (Changhai Hospital) of Naval Medical University, Shanghai, China
| | - Feng Chen
- Department of Cardiology, the First Affiliated Hospital (Changhai Hospital) of Naval Medical University, Shanghai, China
| | - Shengyong Wu
- Department of Military Health Statistics, Naval Medical University, Shanghai, China
| | - Jiaqi Zhu
- Department of Cardiology, the First Affiliated Hospital (Changhai Hospital) of Naval Medical University, Shanghai, China
| | - Suxuan Liu
- Department of Cardiology, the First Affiliated Hospital (Changhai Hospital) of Naval Medical University, Shanghai, China
| | - Tong Su
- Faculty of Psychology, Naval Medical University, Shanghai, China
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Yao Y, Cui Y, Gao X, Qian Y, Hu B. Contamination of personal protective equipment and environmental surfaces in Fangcang shelter hospitals. Am J Infect Control 2023; 51:926-930. [PMID: 36435405 PMCID: PMC9683851 DOI: 10.1016/j.ajic.2022.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2022] [Revised: 11/17/2022] [Accepted: 11/17/2022] [Indexed: 11/27/2022]
Abstract
BACKGROUND Fangcang shelter hospitals emerged as a new public health concept after COVID-19. Data regarding contamination of Fangcang shelter environments remains scarce. This study aims to investigate the extent of SARS-CoV-2 contamination on personal protective equipment and surfaces in Fangcang hospitals. METHODS Between March and May 2022, during wave of omicron variant, a prospective study was conducted in 2 Fangcang hospitals in Shanghai, China. Swabs of personal protective equipment worn and environmental surfaces of contaminated areas, doffing rooms, and potentially contaminated areas were collected. SARS-CoV-2 RNA was detected by reverse transcription quantitative polymerase chain reaction. If viral RNA was detected, sampling was repeated after cleaning and disinfection. RESULTS A total of 602 samples were collected. 13.3% of the personal protective equipment were contaminated. Positive rate was higher in the contaminated areas (48.4%) than in the doffing rooms (11.7%) and the potentially contaminated areas (0; P<.05). Contamination was highest in patient occupied areas (67.5%). After cleaning, samples taken at previously contaminated surfaces are all negative. CONCLUSIONS SARS-CoV-2 RNA contamination is prevalent in Fangcang hospitals and healthcare workers are under risk of infection. Potentially contaminated areas and surfaces after cleaning and disinfection are negative, underlying the importance of infection control policy.
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Affiliation(s)
- Yumeng Yao
- Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Yangwen Cui
- Department of Infection Control and Management, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Xiaodong Gao
- Department of Infection Control and Management, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Yiyi Qian
- Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Bijie Hu
- Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai, China; Department of Infection Control and Management, Zhongshan Hospital, Fudan University, Shanghai, China.
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Ma S, Wang H, Zhu K, Chen H, Xie J, Huang Y. Risk Factors and Disease Profile Associated with the Nucleic Acid Conversion Time of COVID-19 Patients Infected with the SARS-CoV-2 Omicron Variant in Fangcang Shelter Hospitals. Infect Drug Resist 2023; 16:3945-3954. [PMID: 37361936 PMCID: PMC10290462 DOI: 10.2147/idr.s410086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 06/15/2023] [Indexed: 06/28/2023] Open
Abstract
Purpose This study aimed to determine the clinical profile connected to the nucleic acid conversion time of COVID-19 patients harboring the SARS-CoV-2 Omicron variant at the hospitals at the Fangcang shelter. Methods We reported 39,584 COVID-19 patients who were hospitalized in Shanghai, China, between April 5 and May 5, 2022, and who had contracted the Omicron strain of SARS-CoV-2. Demographic data, medical and vaccination history, clinical symptoms, and NCT were reported for the patient. Results The median age of the patients with COVID-19 included in this study was 45 (interquartile range [IQR]: 33-54), and 64.2% of them were male. The two most prevalent comorbidities among the patients were hypertension and diabetes. Additionally, we discovered that the percentage of unimmunized patients was negligible (13.2%). We found that male sex, age under 60, and other comorbidities including hypertension and diabetes are significant risk factors for extending NCT when we analyzed the risk variables for NCT. We discovered that vaccination with two or more doses can significantly reduce NCT. The analysis of the young (18-59 years) and older (60 years) populations produced the same outcomes. Conclusion Our findings confirm that a full COVID-19 vaccine series or booster doses are highly recommended to significantly reduce NCT. In order to reduce NCT, it is also advised that elderly people who have no clear contraindications take vaccination shots.
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Affiliation(s)
- Shaolei Ma
- Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, Nanjing, 210009, People’s Republic of China
| | - Haofei Wang
- Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, Nanjing, 210009, People’s Republic of China
| | - Kongbo Zhu
- Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, Nanjing, 210009, People’s Republic of China
| | - Hui Chen
- Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, Nanjing, 210009, People’s Republic of China
| | - Jianfeng Xie
- Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, Nanjing, 210009, People’s Republic of China
| | - Yingzi Huang
- Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, Nanjing, 210009, People’s Republic of China
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Li G, Du H, Fan J, He X, Wang W. The Effect of Fangcang Shelter Hospitals under Resource Constraints on the Spread of Epidemics. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20105802. [PMID: 37239530 DOI: 10.3390/ijerph20105802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 03/20/2023] [Accepted: 05/10/2023] [Indexed: 05/28/2023]
Abstract
Since the outbreak of the COVID-19 pandemic, Fangcang shelter hospitals have been built and operated in several cities, and have played a huge role in epidemic prevention and control. How to use medical resources effectively in order to maximize epidemic prevention and control is a big challenge that the government should address. In this paper, a two-stage infectious disease model was developed to analyze the role of Fangcang shelter hospitals in epidemic prevention and control, and examine the impact of medical resources allocation on epidemic prevention and control. Our model suggested that the Fangcang shelter hospital could effectively control the rapid spread of the epidemic, and for a very large city with a population of about 10 million and a relative shortage of medical resources, the model predicted that the final number of confirmed cases could be only 3.4% of the total population in the best case scenario. The paper further discusses the optimal solutions regarding medical resource allocation when medical resources are either limited or abundant. The results show that the optimal allocation ratio of resources between designated hospitals and Fangcang shelter hospitals varies with the amount of additional resources. When resources are relatively sufficient, the upper limit of the proportion of makeshift hospitals is about 91%, while the lower limit decreases with the increase in resources. Meanwhile, there is a negative correlation between the intensity of medical work and the proportion of distribution. Our work deepens our understanding of the role of Fangcang shelter hospitals in the pandemic and provides a reference for feasible strategies by which to contain the pandemic.
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Affiliation(s)
- Guangyu Li
- School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China
| | - Haifeng Du
- School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China
| | - Jiarui Fan
- School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China
| | - Xiaochen He
- School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China
| | - Wenhua Wang
- School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China
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Zeng X, Luo P, Wang T, Wang H, Shen X. Screening visual environment impact factors and the restorative effect of four visual environment components in large-space alternative care facilities. BUILDING AND ENVIRONMENT 2023; 235:110221. [PMID: 36970043 PMCID: PMC10027311 DOI: 10.1016/j.buildenv.2023.110221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Revised: 02/14/2023] [Accepted: 03/17/2023] [Indexed: 06/18/2023]
Abstract
Alternative care facilities (ACFs) based on large-space public buildings were widely used early at the start of the coronavirus disease 2019 (COVID-19) pandemic. However, studies have shown that the indoor spatial environment of ACFs can significantly induce mental health problems among users. Thus, this study hypothesizes that improving the visual environment in the interiors of large-space ACFs may reduce mental health problems among users. To verify this hypothesis, this study used critical analysis to screen the influencing factors and used analytic hierarchy process analysis to determine the weights. Particularly, the analyses were based on ACF research in Wuhan and questionnaire surveys of patients with experience using ACFs. Subsequently, virtual reality experiments were conducted to measure physiological indicators and subjective questionnaire collection based on the orthogonal experimental design of the four screened visual environment components. The results revealed the following related to large-space ACFs: 1) Lifestyle support was the most dominant patient requirement and preference for the visual environment. 2) The visual environment can influence the participants' efficiency of psychological stress relief, emotional regulation, and subjective perception. 3) Different design characteristics of the four visual environment components were causally related to restorative effects. To the best of our knowledge, this is the first study analyzing patients' preferences and psychological needs for the visual environment of large-space ACFs and combining subjective and objective measures to investigate the restorative effects of the visual environment. Improving the quality of the visual environment in large-space ACFs presents an effective intervention for alleviating the psychological problems of admitted patients.
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Affiliation(s)
- Xianqi Zeng
- School of Architecture, Harbin Institute of Technology, Harbin, 150001, China
- Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, Harbin, 150001, China
| | - Peng Luo
- School of Architecture, Harbin Institute of Technology, Harbin, 150001, China
- Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, Harbin, 150001, China
| | - Taiyang Wang
- School of Architecture, Harbin Institute of Technology, Harbin, 150001, China
- Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, Harbin, 150001, China
| | - Hao Wang
- School of Architecture, Harbin Institute of Technology, Harbin, 150001, China
- Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, Harbin, 150001, China
| | - Xiaoying Shen
- School of Architecture, Harbin Institute of Technology, Harbin, 150001, China
- Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, Harbin, 150001, China
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Hamis AA, Md Bukhori AB, Heng PP, Jane Ling MY, Shaharuddin MAA, A Fauzi NAF, Masdor NA, Othman R, Ismail A. Strategies, challenges and opportunities in the implementation of COVID-19 field hospitals: a scoping review. BMJ Open 2023; 13:e067227. [PMID: 36918252 PMCID: PMC10015674 DOI: 10.1136/bmjopen-2022-067227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/16/2023] Open
Abstract
OBJECTIVES COVID-19 has strained healthcare systems, requiring the redesign of their structure, human resource management and clinical approach. Countries have adopted implementation strategies and maximise field hospital functionality to address the issue of overflow of patients with COVID-19. This scoping review was based on the main research question, 'What are the implementation strategies, challenges and opportunities in managing the field hospital during the COVID-19 pandemic?', and aimed to consolidate all recent evidence on COVID-19 field hospital implementation approaches, challenges and potentialities. DESIGN Scoping review, following the Arksey and O'Malley's framework, and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. DATA SOURCES PubMed, Web of Science and Scopus were searched from 1 January 2020 through 31 December 2021. ELIGIBILITY CRITERIA Original articles, reviews, case studies and reports written in English were included. Works without full article and articles that did not answer the research questions were excluded. DATA EXTRACTION AND SYNTHESIS Data were extracted using a standardised data extraction form in Microsoft Excel. The findings of all included articles were synthesised narratively. RESULTS Eighty-five records were reviewed and 25 studies were included. For the field hospital implementation strategies, 'surge capacity', namely space, human resource, supply and system, was discussed in addition to the preparation and workflow of other services such as pharmacy, rehabilitation, food and nutrition. The management of COVID-19 field hospitals is challenging with respect to staff and resource shortages, inability to anticipate patient load and poor communication. The opportunities and recommendations for improvement of management were also highlighted. CONCLUSIONS The compilation of lessons learnt may help improve the future management of field hospitals, administratively and clinically.
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Affiliation(s)
- Amy Azira Hamis
- Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Ayuzeity Bistari Md Bukhori
- Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Pei Pei Heng
- Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Miaw Yn Jane Ling
- Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Muhammad Al-Amin Shaharuddin
- Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | | | - Noor Azreen Masdor
- Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Rahayu Othman
- Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Aniza Ismail
- Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
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Wu X, Wang X, Guo H, Zhang L, Wu G. Application of SHEL Model in the Management of Respiratory Tract Exposure in Fangcang Shelter Hospitals for COVID-19. J Multidiscip Healthc 2023; 16:819-826. [PMID: 37006342 PMCID: PMC10065004 DOI: 10.2147/jmdh.s391737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Accepted: 02/24/2023] [Indexed: 03/29/2023] Open
Abstract
Objective To explore the application effect of the (software factors, hardware factors, environmental factors, parties and other factors, SHEL) model in respiratory tract exposure protection of staff in temporary COVID-19 hospitals. Methods 207 Staff members working in the isolation units of Fangcang shelter hospitals between 20 May 2022 and 5 June 2022 were selected as research subjects. The SHEL model was used to protect and manage the respiratory exposure of the isolation unit staff to the novel coronavirus. The incidence of respiratory exposure among the staff in the isolation units was compared before the SHEL model's implementation (20 May 2022-28 May 2022) and afterwards the SHEL model's implementation (29 May 2022-5 June 2022). Results Before the implementation of the SHEL model, a total of nine cases (4.35%) from 207 workers had respiratory exposure. Occurrence location: six cases in the isolation room (one-out room, level-one protection zone) and three cases in the drop-off area for patients outside the ward. After implementation, a total of two cases (0.97%) of respiratory tract exposure occurred among the 207 staff members; both occurred in the unprotected zone (two-out room, level-two protection zone), and the difference was statistically significant before and after the implementation (P < 0.05). Conclusion New coronary pneumonia Fangcang shelter hospitals should use the SHEL model to manage the respiratory exposure of their isolation unit staff to reduce the respiratory exposure risk to staff in isolation units.
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Affiliation(s)
- Xiulian Wu
- Department of Nursing, Beijing Youan Hospital, Capital Medical University, Beijing, People’s Republic of China
| | - Xin Wang
- Department of Nursing, Beijing Youan Hospital, Capital Medical University, Beijing, People’s Republic of China
- Correspondence: Xin Wang, Department of Nursing, Beijing Youan Hospital, Capital Medical University, No. 8, You an Men Outer Street, Fengtai District, Beijing, 100069, People’s Republic of China, Tel +86-13521101275, Email
| | - Huimin Guo
- Department of Nursing, Beijing Youan Hospital, Capital Medical University, Beijing, People’s Republic of China
| | - Lili Zhang
- Department of Nursing, Beijing Youan Hospital, Capital Medical University, Beijing, People’s Republic of China
| | - Guangjiang Wu
- Department of Nursing, Beijing Youan Hospital, Capital Medical University, Beijing, People’s Republic of China
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Chen M, Fan Y, Xu Q, Huang H, Zheng X, Xiao D, Fang W, Qin J, Zheng J, Dong E. Medical implementation practice and its medical performance evaluation of a giant makeshift hospital during the COVID-19 pandemic: An innovative model response to a public health emergency in Shanghai, China. Front Public Health 2023; 10:1019073. [PMID: 36684897 PMCID: PMC9853970 DOI: 10.3389/fpubh.2022.1019073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Accepted: 12/05/2022] [Indexed: 01/07/2023] Open
Abstract
Introduction In confronting the sudden COVID-19 epidemic, China and other countries have been under great pressure to block virus transmission and reduce fatalities. Converting large-scale public venues into makeshift hospitals is a popular response. This addresses the outbreak and can maintain smooth operation of a country or region's healthcare system during a pandemic. However, large makeshift hospitals, such as the Shanghai New International Expo Center (SNIEC) makeshift hospital, which was one of the largest makeshift hospitals in the world, face two major problems: Effective and precise transfer of patients and heterogeneity of the medical care teams. Methods To solve these problems, this study presents the medical practices of the SNIEC makeshift hospital in Shanghai, China. The experiences include constructing two groups, developing a medical management protocol, implementing a multi-dimensional management mode to screen patients, transferring them effectively, and achieving homogeneous quality of medical care. To evaluate the medical practice performance of the SNIEC makeshift hospital, 41,941 infected patients were retrospectively reviewed from March 31 to May 23, 2022. Multivariate logistic regression method and a tree-augmented naive (TAN) Bayesian network mode were used. Results We identified that the three most important variables were chronic disease, age, and type of cabin, with importance values of 0.63, 0.15, and 0.11, respectively. The constructed TAN Bayesian network model had good predictive values; the overall correct rates of the model-training dataset partition and test dataset partition were 99.19 and 99.05%, respectively, and the respective values for the area under the receiver operating characteristic curve were 0.939 and 0.957. Conclusion The medical practice in the SNIEC makeshift hospital was implemented well, had good medical care performance, and could be copied worldwide as a practical intervention to fight the epidemic in China and other developing countries.
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Affiliation(s)
- Minjie Chen
- Department of Outpatient and Emergency Management, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China
| | - Yiling Fan
- Department of Neurosurgery, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China
| | - Qingrong Xu
- Department of Orthopaedics, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China
| | - Hua Huang
- Department of Administration, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China
| | - Xinyi Zheng
- Department of Pharmacy, Huashan Hospital, Fudan University, Shanghai, China
| | - Dongdong Xiao
- Department of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China
| | - Weilin Fang
- Department of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China
| | - Jun Qin
- Department of Gastroenterology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China
| | - Junhua Zheng
- Department of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China
| | - Enhong Dong
- School of Nursing and Health Management, Shanghai University of Medicine and Health Sciences, Shanghai, China
- Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China
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Zhu J, Zhu GP, Weng YM, Zhang Y, Li BX. Clinical Practice and Effectiveness Analysis of the Management of Corona Virus Disease 2019 Infected at Shanghai Fangcang Shelter Hospital: A Descriptive Study. Risk Manag Healthc Policy 2023; 16:337-346. [PMID: 36883054 PMCID: PMC9985874 DOI: 10.2147/rmhp.s403414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 02/23/2023] [Indexed: 03/06/2023] Open
Abstract
Background The Fangcang shelter hospital has gradually become the primary management mode in China's fight against this Corona Virus Disease 2019 (COVID-19) in 2020. In early 2022, the Fangcang shelter hospital management model was successfully applied to the new outbreak of COVID-19 in Shanghai also. Although Fangcang shelter hospitals are no longer the prevailing mode of prevention of COVID-19, the management experience of Shanghai makeshift hospitals is worthy of reference for public health. Methods The authors conducted a descriptive statistical analysis of Hall 6-2 of the Shanghai National Convention and Exhibition Center Fangcang shelter hospital. The whole hall of the Fangcang shelter hospital was managed by the one hospital, and the inclusion of third-party management personnel alleviated the shortage of medical personnel human resources. Through practice, a new procedure for treating batch infected people was introduced. Results By optimizing ward management, 72 on-duty doctors, 360 on-duty nurses, 3 sense-control administrators, and 15 administrators cured 18,574 infected people in 40 days, and created a record of a doctor managing 700 infected people without compromising the quality of treatment. There have been no deaths and no complaints from the infected people located in Hall 6-2 of the Shanghai National Convention and Exhibition Center Fangcang shelter hospital. Conclusion Compared with previous data, the new management mode of Fangcang shelter hospitals provides a reference for the management of the new infectious diseases for public health.
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Affiliation(s)
- Jian Zhu
- Department of Thoracic Cardiovascular Surgery, General Hospital of Central Theater Command of the People's Liberation Army, Wuhan, People's Republic of China
| | - Guang-Ping Zhu
- Department of Endocrinology, General Hospital of Central Theater Command of the People's Liberation Army, Wuhan, People's Republic of China
| | - Yan-Ming Weng
- Department of Stomatology, General Hospital of Central Theater Command of the People's Liberation Army, Wuhan, People's Republic of China
| | - Yong Zhang
- Department of Integrative Medicine, General Hospital of Central Theater Command of the People's Liberation Army, Wuhan, People's Republic of China
| | - Bi-Xi Li
- Department of Anesthesiology, General Hospital of Central Theater Command of the People's Liberation Army, Wuhan, Hubei Province, People's Republic of China
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Yu P, Bian X, Xie Z, Wang X, Zhang X, Gu Z, Yang Z, Jing F, Qiu W, Lin J, Tang J, Huang C, Zhang Y, Chen Y, Zhang Z, Bi Y, Shang H, Chen E. Risk factor analysis of omicron patients with mental health problems in the Fangcang shelter hospital based on psychiatric drug intervention during the COVID-19 pandemic in Shanghai, China. Front Psychiatry 2023; 14:1100849. [PMID: 36860503 PMCID: PMC9969094 DOI: 10.3389/fpsyt.2023.1100849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 01/18/2023] [Indexed: 02/15/2023] Open
Abstract
BACKGROUNDS The widespread coronavirus disease 2019 (COVID-19) outbreak impacted the mental health of infected patients admitted to Fangcang shelter hospital a large-scale, temporary structure converted from existing public venues to isolate patients with mild or moderate symptoms of COVID-19 infection. OBJECTIVE This study aimed to investigate the risk factors of the infected patients from a new pharmacological perspective based on psychiatric drug consumption rather than questionnaires for the first time. METHODS We summarised the medical information and analysed the prevalence proportion, characteristics, and the related risk factors of omicron variants infected patients in the Fangcang Shelter Hospital of the National Exhibition and Convention Center (Shanghai) from 9 April 2022 to 31 May 2022. RESULTS In this study, 6,218 individuals at 3.57% of all admitted patients in the Fangcang shelter were collected suffering from mental health problems in severe conditions including schizophrenia, depression, insomnia, and anxiety who needed psychiatric drug intervention. In the group, 97.44% experienced their first prescription of psychiatric drugs and had no diagnosed historical psychiatric diseases. Further analysis indicated that female sex, no vaccination, older age, longer hospitalization time, and more comorbidities were independent risk factors for the drug-intervened patients. CONCLUSION This is the first study to analyse the mental health problems of omicron variants infected patients hospitalised in Fangcang shelter hospitals. The research demonstrated the necessity of potential mental and psychological service development in Fangcang shelters during the COVID-19 pandemic and other public emergency responses.
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Affiliation(s)
- Ping Yu
- Department of Pharmacy, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xiaolan Bian
- Department of Pharmacy, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Zhihui Xie
- Department of Medical Affairs, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xu Wang
- Department of Asset Management, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xujing Zhang
- Department of Foreign Cooperation and Development, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Zhidong Gu
- Ruijin-Hainan Hospital, Shanghai Jiao Tong University School of Medicine, Bo'ao Research Hospital, Qionghai, Hainan, China
| | - Zhitao Yang
- Department of Emergency, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Feng Jing
- Department of Emergency, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Weiyu Qiu
- Department of Pharmacy, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jingsheng Lin
- Department of Disciplinary Development and Planning, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jie Tang
- Department of Disciplinary Development and Planning, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Chen Huang
- Department of Emergency, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yibo Zhang
- Department of Hospital-infection Control, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Ying Chen
- Department of Emergency, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Zongfeng Zhang
- Department of Psychiatry, Ningbo Kangning Hospital, Ningbo, Zhejiang, China
| | - Yufang Bi
- Department of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Hanbing Shang
- Ruijin-Hainan Hospital, Shanghai Jiao Tong University School of Medicine, Bo'ao Research Hospital, Qionghai, Hainan, China.,Department of Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Erzhen Chen
- Department of Emergency, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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11
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Gebczynska-Janowicz A, Janowicz R, Targowski W, Cudnik R, Paszko K, Zielinska-Dabkowska KM. Evaluation of Medical Staff Satisfaction for Workplace Architecture in Temporary COVID-19 Hospital: A Case Study in Gdańsk, Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:639. [PMID: 36612960 PMCID: PMC9819390 DOI: 10.3390/ijerph20010639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 12/23/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
This article analyses the architecture that was used in the temporary AmberExpo hospital in Gdańsk, Poland which was installed during the COVID-19 pandemic. The construction of this type of facility is often based on experimental approaches, aimed at caring for patients suffering from an infectious disease in emergency conditions. In order to assess the level of employee satisfaction with the architectural and technical elements used in the first period of the hospital's activity, medical staff were asked to fill out a questionnaire. The analysis of the survey's results indicated that the majority of employees expressed satisfaction with the architectural and technical elements, with the design of the spatial layout of the individual medical zones receiving the most positive feedback. However, frequently selected drawbacks in the design included the lack of natural daylight, the artificial light that was used and the acoustics of the facility. This detailed examination of the satisfaction and feedback from medical employees working in this type of emergency facility enables the development of solutions that in the future will allow for the improved adaptive reuse and implementation of such structures, with enhanced time and economic efficiency, and most importantly, the ability to provide a safer workplace.
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Affiliation(s)
| | - Rafal Janowicz
- Faculty of Architecture, Gdańsk University of Technology, 80-233 Gdansk, Poland
| | - Wojciech Targowski
- Faculty of Architecture, Gdańsk University of Technology, 80-233 Gdansk, Poland
| | - Rafal Cudnik
- Copernicus Podmiot Leczniczy Sp. z o. o., 80-803 Gdansk, Poland
| | - Krystyna Paszko
- Institute of Nursing and Midwifery, Medical University of Gdańsk, 80-210 Gdansk, Poland
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12
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Li T, Guo Y. Optimal control and cost-effectiveness analysis of a new COVID-19 model for Omicron strain. PHYSICA A 2022; 606:128134. [PMID: 36039105 PMCID: PMC9404231 DOI: 10.1016/j.physa.2022.128134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 07/27/2022] [Indexed: 06/15/2023]
Abstract
Omicron, a mutant strain of COVID-19, has been sweeping the world since November 2021. A major characteristic of Omicron transmission is that it is less harmful to healthy adults, but more dangerous for people with underlying disease, the elderly, or children. To simulate the spread of Omicron in the population, we developed a new 9-dimensional mathematical model with high-risk and low-risk exposures. Then we analyzed its dynamic properties and obtain the basic reproduction number R 0 . With the data of confirmed cases from March 1, 2022 published on the official website of Shanghai, China, we used the weighted nonlinear least square estimation method to estimate the parameters, and get the basic reproduction number R 0 ≈ 1 . 5118 . Finally, we considered three control measures (isolation, detection and treatment), and studied the optimal control strategy and cost-effectiveness analysis of the model. The control strategy G is determined to be the optimal control strategy from the purpose of making fewer people infected. In strategy G, the three human control measures contain six control variables, and the control strength of these variables needs to be varied according to the pattern shown in Figure 11, so that the number of infections can be minimized and the percentage of reduction of infections can reach more than 95%.
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Affiliation(s)
- Tingting Li
- College of Science, Guilin University of Technology, Guilin, Guangxi 541004, PR China
- Guangxi Colleges and Universities Key Laboratory of Applied Statistics, Guilin University of Technology, Guilin, Guangxi 541004, PR China
| | - Youming Guo
- College of Science, Guilin University of Technology, Guilin, Guangxi 541004, PR China
- Guangxi Colleges and Universities Key Laboratory of Applied Statistics, Guilin University of Technology, Guilin, Guangxi 541004, PR China
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13
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Jin A, Li G, Yu Y, Wang J, Nie Q. Establishment of hospital resilience framework in urban China: insight from Wuhan City. COMPUTATIONAL URBAN SCIENCE 2022; 2:31. [PMID: 36160756 PMCID: PMC9483400 DOI: 10.1007/s43762-022-00060-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Accepted: 08/25/2022] [Indexed: 11/24/2022]
Abstract
AbstractSince the Corona Virus Disease 2019 (COVID-19) swept the world, many countries face a problem that is a shortage of medical resources. The role of emergency medical facilities in response to the epidemic is beginning to arouse public attention, and the construction of the urban resilient emergency response framework has become the critical way to resist the epidemic. Today, China has controlled the domestically transmitted COVID-19 cases through multiple emergency medical facilities and inclusive patient admission criteria. Most of the existing literature focuses on case studies or characterizations of individual facilities. This paper constructs an evaluation system to measure urban hospital resilience from the spatial perspective and deciphered the layout patterns and regularities of emergency medical facilities in Wuhan, the city most affected by the epidemic in China. Findings indicate that the pattern of one center and two circles are a more compelling layout structure for urban emergency medical facilities in terms of accessibility and service coverage for residents. Meanwhile, the Fangcang shelter hospital has an extraordinary performance in terms of emergency response time, and it is a sustainable facility utilization approach in the post-epidemic era. This study bolsters areas of the research on the urban resilient emergency response framework. Moreover, the paper summarizes new medical facilities’ planning and location characteristics and hopes to provide policy-makers and urban planners with valuable empirical evidence.
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Affiliation(s)
- Annan Jin
- College of Urban and Environmental Sciences, Northwest University, 710127 Xi’an, China
- Shaanxi Key Laboratory of Earth Surface System and Environmental Carrying Capacity, 710127 Xi’an, China
| | - Gang Li
- College of Urban and Environmental Sciences, Northwest University, 710127 Xi’an, China
- Shaanxi Key Laboratory of Earth Surface System and Environmental Carrying Capacity, 710127 Xi’an, China
| | - Yue Yu
- College of Urban and Environmental Sciences, Northwest University, 710127 Xi’an, China
- Shaanxi Key Laboratory of Earth Surface System and Environmental Carrying Capacity, 710127 Xi’an, China
| | - Jiaobei Wang
- College of Urban and Environmental Sciences, Northwest University, 710127 Xi’an, China
- Shaanxi Key Laboratory of Earth Surface System and Environmental Carrying Capacity, 710127 Xi’an, China
| | - Qifan Nie
- Alabama Transportation Institute, 248 Kirkbride Lane, Tuscaloosa, AL 35487 USA
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14
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Wang H, Luo P, Wu Y, Zeng X. Factors and optimizations of healthcare workers' perception in alternative care facilities. Front Public Health 2022; 10:891503. [PMID: 35968426 PMCID: PMC9364931 DOI: 10.3389/fpubh.2022.891503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 06/28/2022] [Indexed: 11/17/2022] Open
Abstract
Background Diverse measures have been carried out worldwide to establish Alternative Care Facilities (ACFs) for different ends, such as receiving, curing or isolating patients, aiming to cope with tremendous shock in the urban medical system during the early passage of the COVID-19 epidemic. Healthcare workers always felt anxious and stressed during multiple major public health emergencies in medical facilities. Some active measures to improve healthcare workers' perceptions, such as temporary training, workflow improvement, and supplementary facilities, were proved insufficient in several past public health emergencies. Therefore, this study aims to analyze the contributing factors of the healthcare workers' perceptions of the ACFs in this pandemic, which can help find an innovative path to ensure their health, well-being and work efficiency. Method This paper conducted semi-structured in-depth interviews with the world's first batch of healthcare workers who have worked in ACFs through a qualitative study based on Grounded Theory. The healthcare workers interviewed from Heilongjiang, Shandong, Fujian, and Hubei provinces, have worked in one of the four different ACFs built in Wuhan. The results are obtained through the three-level codes and analyses of the interview recordings. Results The factors affecting the perception of healthcare workers in ACFs during the epidemic situation can be summarized into five major categories: individual characteristics, organization management, facilities and equipment, space design, and internal environment. The five major categories affecting the composition of perception can be further divided into endogenous and exogenous factors, which jointly affect the perception of healthcare workers in ACFs. Among them, individual characteristics belong to endogenous factors, which are the primary conditions, while other categories belong to exogenous factors, which are the decisive conditions. Conclusion This paper clarifies factors affecting the perception of healthcare workers in ACFs and analyzes the mechanism of each factor. It is posited that the passive strategies are a promising solution to protect healthcare workers' health, improve their work efficiency, and help reduce the operation stress of ACFs. We should train multidisciplinary professionals for future healthcare and enhance collaborations between healthcare workers and engineers. To sum up, this paper broadens new horizons for future research on the optimization of ACFs and finds new paths for alleviating healthcare workers' adverse perceptions of ACFs.
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Affiliation(s)
- Hao Wang
- School of Architecture, Harbin Institute of Technology, Harbin, China
- Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, Harbin Institute of Technology, Harbin, China
| | - Peng Luo
- School of Architecture, Harbin Institute of Technology, Harbin, China
- Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, Harbin Institute of Technology, Harbin, China
| | - Yimeng Wu
- College of Architecture and Urban Planning, Tongji University, Shanghai, China
| | - Xianqi Zeng
- School of Architecture, Harbin Institute of Technology, Harbin, China
- Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, Harbin Institute of Technology, Harbin, China
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15
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Cheng S, Zhao Y, Kaminga AC, Zhang X, Xu H. China's Fight Against COVID-19: What We Have Done and What We Should Do Next? Front Public Health 2022; 10:548056. [PMID: 35844877 PMCID: PMC9282890 DOI: 10.3389/fpubh.2022.548056] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 03/17/2022] [Indexed: 11/13/2022] Open
Abstract
Background Chinese government conducted unprecedented massive public health prevention interventions at the national level, which have effectively contained the spread of Coronavirus Disease 2019 (COVID-19) infections. Specifically, the outbreak in Wuhan has been effectively controlled. Meanwhile, the Chinese efforts to contain the virus have been widely recognized. Even the World Health Organization has praised the efforts of the Chinese government and advised other countries to learn from China's experience in the fight against COVID-19. However, the measures that have been conducted by China to effectively prevent the spread of COVID 19 in the country have not been rigorously analyzed. Therefore, this study aimed to explore the characteristics of China's control and prevention strategies, and identify the elements that changed the epidemiological curve of rapidly rising new confirmed cases of COVID-19. Methods Public health intervention measures and their effects on the spread of COVID-19 in terms of daily newly confirmed and cumulative cases were collected between January 20, 2020, and March 5. Notices of the Joint Prevention and Control Mechanism for COVID-19 of the State Council on Implementing Measures in Hubei were collected. Information obtained by relevant important documents and announcements was collected from the official website of the Chinese government. Additionally, from other media platforms, news, articles, and reviews were used to explain the intervention measure. Thus, using these data, we performed a retrospective description of the intervention strategies at three stages. Results The Chinese government adopted non-pharmacological interventions measures (NPIs) timely and efficiently. On February 20, the declining epidemic trend in China indicated that the three strictest disease prevention and control strategies issued by the Hubei Government had contributed to a smooth decline in the spread of the epidemic. Conclusions The NPIs taken by China play a decisive role to control the spread of novel coronavirus outbreaks. Further research and action are needed to ensure a sufficiently sensitive surveillance system and strong response mechanism, including the establishment of a highly accessible laboratory network, maintenance of awareness of both primary healthcare providers and the public, and regular training and exercise of local Centers for Disease Control and Prevention and general practitioners in the community-level.
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Affiliation(s)
- Sixiang Cheng
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
- College of Data Science and Information Engineering, Guizhou Minzu University, Guiyang, China
| | - Yuxin Zhao
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
| | - Atipatsa Chiwanda Kaminga
- Department of Mathematics and Statistics, Mzuzu University, Mzuzu, Malawi
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China
| | - Xinping Zhang
- School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
| | - Huilan Xu
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
- *Correspondence: Huilan Xu
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16
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Butkiewicz S, Zaczyński A, Hampel M, Pańkowski I, Gałązkowski R, Rzońca P. Analysis of Risk Factors for In-Hospital Death Due to COVID-19 in Patients Hospitalised at the Temporary Hospital Located at the National Stadium in Warsaw: A Retrospective Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19073932. [PMID: 35409617 PMCID: PMC8998082 DOI: 10.3390/ijerph19073932] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 03/23/2022] [Accepted: 03/24/2022] [Indexed: 02/04/2023]
Abstract
The outbreak of the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) pandemic has affected all aspects of social life and brought massive changes to the healthcare sector. The aim of this study was to identify the factors affecting the mortality of COVID-19 patients at a temporary hospital in Warsaw (Poland). The present study was conducted based on a retrospective analysis of the medical records of patients hospitalised at the temporary hospital located at the National Stadium in Warsaw between 1 March 2020 and 30 April 2021. The study included all cases of patients who were brought directly or transferred to the National Hospital from other hospitals for further treatment. With regard to comorbidities, the analysis found that five comorbidities—namely, diabetes (OR = 1.750, 95% CI: 1.009−2.444, p < 0.05), stroke history (OR = 2.408, 95% CI: 1.208−4.801, p < 0.05), renal failure (OR = 2.141, 95% CI: 1.052−4.356, p < 0.05), chronic obstructive pulmonary disease (OR = 2.044, 95% CI: 1.133−3.690, p < 0.05) and heart failure (OR = 1.930, 95% CI: 1.154−3.227, p < 0.05)—had a significant impact on the survival of COVID-19 patients. The analysis identified 14 factors that had a significant impact on the prognosis and mortality of the COVID-19 patients studied.
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Affiliation(s)
- Sławomir Butkiewicz
- Emergency Department, Central Clinical Hospital of the Ministry of the Interior and Administration in Warsaw, 137 Wołoska St., 02-004 Warsaw, Poland; (S.B.); (I.P.)
| | - Artur Zaczyński
- Clinical Department of Neurosurgery, Central Clinical Hospital of the Ministry of the Interior and Administration in Warsaw, 137 Wołoska St., 02-004 Warsaw, Poland;
| | - Michał Hampel
- Department of Gastroenterological and Transplant Surgery, Central Clinical Hospital of the Ministry of the Interior and Administration in Warsaw, 137 Wołoska St., 02-004 Warsaw, Poland;
| | - Igor Pańkowski
- Emergency Department, Central Clinical Hospital of the Ministry of the Interior and Administration in Warsaw, 137 Wołoska St., 02-004 Warsaw, Poland; (S.B.); (I.P.)
| | - Robert Gałązkowski
- Department of Emergency Medical Services, Faculty of Health Sciences, Medical University of Warsaw, 14/16 Litewska St., 00-575 Warsaw, Poland;
| | - Patryk Rzońca
- Department of Human Anatomy, Faculty of Health Sciences, Medical University of Warsaw, 5 Chałubińskiego St., 02-004 Warsaw, Poland
- Correspondence: ; Tel.: +48-22-629-98-92
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17
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Kessler SE, Aunger R. The evolution of the human healthcare system and implications for understanding our responses to COVID-19. Evol Med Public Health 2022; 10:87-107. [PMID: 35284079 PMCID: PMC8908543 DOI: 10.1093/emph/eoac004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 01/14/2022] [Indexed: 12/15/2022] Open
Abstract
The COVID-19 pandemic has revealed an urgent need for a comprehensive, multidisciplinary understanding of how healthcare systems respond successfully to infectious pathogens-and how they fail. This study contributes a novel perspective that focuses on the selective pressures that shape healthcare systems over evolutionary time. We use a comparative approach to trace the evolution of care-giving and disease control behaviours across species and then map their integration into the contemporary human healthcare system. Self-care and pro-health environmental modification are ubiquitous across animals, while derived behaviours like care for kin, for strangers, and group-level organizational responses have evolved via different selection pressures. We then apply this framework to our behavioural responses to COVID-19 and demonstrate that three types of conflicts are occurring: (1) conflicting selection pressures on individuals, (2) evolutionary mismatches between the context in which our healthcare behaviours evolved and our globalized world of today and (3) evolutionary displacements in which older forms of care are currently dispensed through more derived forms. We discuss the significance of understanding how healthcare systems evolve and change for thinking about the role of healthcare systems in society during and after the time of COVID-19-and for us as a species as we continue to face selection from infectious diseases.
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Affiliation(s)
- Sharon E Kessler
- Department of Psychology, Faculty of Natural Sciences, University of Stirling, Stirling, UK
| | - Robert Aunger
- Environmental Health Group, London School of Hygiene and Tropical Medicine, London, UK
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18
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Gu Y, Zhu Y, Xu G. Factors associated with mental health outcomes among health care workers in the Fangcang shelter hospital in China. Int J Soc Psychiatry 2022; 68:64-72. [PMID: 33295238 DOI: 10.1177/0020764020975805] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Faced with surging infections and considering that 80% of cases were mild and moderate, the city government transformed stadiums and exhibition centers into the Fangcang shelter hospitals (temporary treatment centers) in Wuhan. AIM The aims of this study were to evaluate psychological impact on health care workers in the Fangcang shelter hospitals and analyze potential risk factors associated with these symptoms, including PTSS, symptoms of anxiety, depression, insomnia, and perceived stress. METHODS This cross-sectional study used an online survey to assess mental health problems of 522 health care workers in a Jianghan Fangcang shelter from February 21 to February 28, 2020. RESULTS Overall, 25.3%, 25.3%, 51.0%, 58.0%, 14.8%, and 39.1% of all participants reported symptoms of posttraumatic stress, anxiety, depression, insomnia, and perceived stress, respectively. Multivariable logistic regression analysis showed that, occupation and technical title were associated with all investigated outcomes. Nurses were more likely to endorse posttraumatic stress symptoms (OR, 4.63; 95% CI, 2.43-8.82; p < .001), anxiety symptom (OR, 4.58; 95% CI, 2.76-7.62; p < .001), depression symptom (OR, 3.45; 95% CI, 2.17-5.64; p < .001). Participants with senior technical title were associated with higher perceived stress and insomnia than other technical title. CONCLUSION In this survey, participants reported high rates of symptoms of posttraumatic stress, anxiety, depression, insomnia, and perceived stress. Combining with the special environment of the shelter hospitals and the psychological needs, the health care workers should be given more effective interventions to relieve their stress and improve mental symptoms.
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Affiliation(s)
- Yingqi Gu
- Department of Psychology, Zhejiang Sci-Tech University, Hangzhou, China
| | - Yi Zhu
- School of Psychology, Hainan Medical University, Haikou, China.,Department of Psychology, The First Affiliated Hospital of Hainan Medical University, Haikou, China
| | - Guangxing Xu
- School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
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19
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Shi F, Li H, Liu R, Liu Y, Liu X, Wen H, Yu C. Emergency Preparedness and Management of Mobile Cabin Hospitals in China During the COVID-19 Pandemic. Front Public Health 2022; 9:763723. [PMID: 35047472 PMCID: PMC8761647 DOI: 10.3389/fpubh.2021.763723] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 11/29/2021] [Indexed: 12/23/2022] Open
Abstract
The healthcare systems in China and globally have faced serious challenges during the coronavirus disease (COVID-19) pandemic. The shortage of beds in traditional hospitals has exacerbated the threat of COVID-19. To increase the number of available beds, China implemented a special public health measure of opening mobile cabin hospitals. Mobile cabin hospitals, also called Fangcang shelter hospitals, refer to large-scale public venues such as indoor stadiums and exhibition centers converted to temporary hospitals. This study is a mini review of the practice of mobile cabin hospitals in China. The first part is regarding emergency preparedness, including site selection, conversion, layout, and zoning before opening the hospital, and the second is on hospital management, including organization management, management of nosocomial infections, information technology support, and material supply. This review provides some practical recommendations for countries that need mobile cabin hospitals to relieve the pressure of the pandemic on the healthcare systems.
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Affiliation(s)
- Fang Shi
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan, China
| | - Hao Li
- Global Health Institute, Wuhan University, Wuhan, China
| | - Rui Liu
- National Health Commission Key Lab of Radiation Biology, Jilin University, Changchun, China
| | - Yan Liu
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan, China
| | - Xiaoxue Liu
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan, China
| | - Haoyu Wen
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan, China
| | - Chuanhua Yu
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan, China.,Global Health Institute, Wuhan University, Wuhan, China
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20
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Fuselli T, Raven A, Milloy S, Barnes S, Dubé M, Kaba A. Commissioning Clinical Spaces During a Pandemic: Merging Methodologies of Human Factors and Simulation. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2021; 15:277-292. [PMID: 34961357 DOI: 10.1177/19375867211066933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES The objective of this case study is to demonstrate the value of applying tabletop and simulation techniques to highlight high-risk, high-impact outcomes and organizational recommendations in the commissioning of a new clinical spaces. PURPOSE/AIM Generalizability of lessons learned from this case study aim to support other health organizations in commissioning of clinical spaces during communicable disease outbreaks. BACKGROUND COVID-19 challenged our healthcare system, requiring teams to prepare in a short span of time. Bridging expertise of human factor and simulation teams provided a novel, interdisciplinary, and timely approach to evaluate and commission spaces. METHODS Human factors and simulation teams were enlisted to conduct an evaluation of a new space prior to readiness for delivery of safe patient care. An adapted tabletop evaluation and subsequent systems integration simulation was conducted. The goal of the tabletop exercise was to identify and define processes and risks to tested in the physical space using simulation. RESULTS Applying both human factors science and systems simulation proactively identified the highest risk, highest impact outcomes, validated existing processes and allowed for refining of potential solutions and recommendations of the new space. A strong working relationship between teams fostered an opportunity to share information, debrief, evaluate, and adapt methods while applying timely changes based on emergent findings. CONCLUSIONS These combined methodologies are important tools that can be learned and applied to healthcare commissioning of new clinical spaces in the identification of high-risk, high-impact outcomes affecting staff and organizational preparedness and safety.
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Affiliation(s)
- Tara Fuselli
- eSIM Provincial Simulation Program, Alberta Health Services, Edmonton, Canada
| | - Amanda Raven
- Human Factors Safety Specialist, Human Factors Team, Provincial Patient Safety, Alberta Health Services, Edmonton, Canada
| | - Shaunna Milloy
- Human Factors Safety Specialist, Human Factors Team, Provincial Patient Safety, Alberta Health Services, Edmonton, Canada
| | - Sue Barnes
- eSIM Provincial Simulation Program, Alberta Health Services, Edmonton, Canada
| | - Mirette Dubé
- eSIM Provincial Simulation Program, Alberta Health Services, Edmonton, Canada
| | - Alyshah Kaba
- eSIM Provincial Simulation Program, Alberta Health Services, Edmonton, Canada.,Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Canada
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21
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Chen ZH, Wan SP, Dong JY. An efficiency-based interval type-2 fuzzy multi-criteria group decision making for makeshift hospital selection. Appl Soft Comput 2021; 115:108243. [PMID: 34899106 PMCID: PMC8641977 DOI: 10.1016/j.asoc.2021.108243] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 10/20/2021] [Accepted: 11/29/2021] [Indexed: 11/25/2022]
Abstract
Since makeshift hospitals have strong ability in blocking the spread of the virus, how to design some methods to select the reasonable sites of makeshift hospitals is vitally important for containing COVID-19. This paper investigates an efficiency-based multi-criteria group decision making (MCGDM) method by combining the best-worst method (BWM) and data envelopment analysis (DEA) in trapezoidal interval type-2 fuzzy (TrIT2F) environment. This MCGDM method is called TrIT2F-BWM-DEA, where the TrIT2F-BWM is used to determine the weights of criteria and decision-makers, and the TrIT2F-DEA is employed to rank alternatives by measuring their overall efficiencies. Based on cut set theory, the expectation and average expectation (AE) of TrIT2FSs are successively defined. To solve three key issues in the development of the TrIT2F-BWM, this paper proposes a flexible ranking relation of TrIT2FSs to transform the TrIT2F constraints, initiates an efficient theorem to normalize the TrIT2F weights, and designs an input-based consistency ratio to check the reliability of the determined weights. A fully TrIT2F-DEA model is originally built to measure the TrIT2F efficiencies of alternatives. The alternatives are finally ranked according to the AEs of alternatives’ TrIT2F efficiencies. A site selection case of Fangcang hospitals and some comparative analyses are provided to confirm the validity and merits of the proposed TrIT2F-BWM-DEA.
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Affiliation(s)
- Ze-Hui Chen
- School of Information Management, Jiangxi University of Finance and Economics, Nanchang 330013, China
| | - Shu-Ping Wan
- School of Information Management, Jiangxi University of Finance and Economics, Nanchang 330013, China
| | - Jiu-Ying Dong
- School of Statistics, Jiangxi University of Finance and Economics, Nanchang 330013, China
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22
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Deng YP, Xie W, Liu T, Wang SY, Zan YX, Wang MR, Meng XB, Zheng J, Xiong HR, Fu XD. Association of diabetes with severity and mortality in hospitalized patients with COVID-19 in Wuhan, China: a single-centered, retrospective study. ARCHIVES OF ENDOCRINOLOGY AND METABOLISM 2021; 65:596-608. [PMID: 34283900 PMCID: PMC10528582 DOI: 10.20945/2359-3997000000384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Accepted: 04/22/2021] [Indexed: 01/08/2023]
Abstract
OBJECTIVE Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread worldwide. The aim this study was to investigate the association of diabetes with severity and mortality among hospitalized patients with COVID-19 in Wuhan, China. METHODS This retrospective, single-center case study enrolled a total of 564 patients diagnosed with COVID-19 at the Seventh Hospital of Wuhan City, between January 20 and March 15, 2020. RESULTS Among the 564 patients with confirmed COVID-19, 509 (85.1%) were discharged and 55 (9.8%) died. The median age was 59 years (range, 10-93 years). A total of 85 (15.1%) patients were diagnosed with diabetes on admission (median age, 65.0 [range, 34-91] years). Patients with diabetes had significantly higher proportions of critical cases (24 [28.2%] vs. 66 [13.8%]) and in-hospital mortality (17 [20%] vs. 38 [7.9%]). Moreover, patients with diabetes presented abnormal levels of multiple indicators concerning lymphopenia, inflammation, heart, liver, kidney, and lung function on admission, while diabetic patient group still display higher troponin T (TnT) levels when approaching discharge. The Kaplan-Meier survival curve indicated a trend toward poorer survival in diabetic patients compared to non-diabetic patients, also evidenced by abnormal laboratory biomarker changes regarding multiple system impairments among COVID-19 patients with diabetes with in-hospital death. CONCLUSION The detailed clinical investigation of 564 hospitalized patients with COVID-19 indicated a considerable association between diabetes and COVID-19 severity or mortality. Thus, more intensive treatment may be considered for COVID-19 patients with diabetes, especially regarding to cardiac injury.
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Affiliation(s)
- You-Ping Deng
- Department of Pediatrics, Zhongnan Hospital of Wuhan University, Wuhan, P.R. China
| | - Wen Xie
- Department of Clinical Laboratory, Zhongnan Hospital of Wuhan University, Wuhan, P.R. China
| | - Tao Liu
- Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, P.R. China
| | - Shou-Yi Wang
- Department of Pediatrics, Zhongnan Hospital of Wuhan University, Wuhan, P.R. China
| | - Yu-Xing Zan
- State Key Laboratory of Virology/Institute of Medical Virology, School of Basic Medical Sciences, Wuhan University, Wuhan, P.R. China
| | - Mei-Rong Wang
- State Key Laboratory of Virology/Institute of Medical Virology, School of Basic Medical Sciences, Wuhan University, Wuhan, P.R. China
| | - Xiao-Bo Meng
- Department of Pediatrics, Zhongnan Hospital of Wuhan University, Wuhan, P.R. China
| | - Jie Zheng
- Department of Pediatrics, Zhongnan Hospital of Wuhan University, Wuhan, P.R. China
| | - Hai-Rong Xiong
- State Key Laboratory of Virology/Institute of Medical Virology, School of Basic Medical Sciences, Wuhan University, Wuhan, P.R. China,
| | - Xue-Dong Fu
- Department of Pediatrics, Zhongnan Hospital of Wuhan University, Wuhan, P.R. China,
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Itotani K, Kawahata K, Takashima W, Mita W, Minematsu H, Fujita H. Myofascial Release of the Hamstrings Improves Physical Performance-A Study of Young Adults. Healthcare (Basel) 2021; 9:healthcare9060674. [PMID: 34199938 PMCID: PMC8227463 DOI: 10.3390/healthcare9060674] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 05/30/2021] [Accepted: 05/31/2021] [Indexed: 12/25/2022] Open
Abstract
Physical performance is mainly assessed in terms of gait speed, chair rise capacity, and balance skills, and assessments are often carried out on the lower limbs. Such physical performance is largely influenced by the strength of the quadriceps and hamstrings muscles. Flexibility of the hamstrings is important because quadriceps muscle activity influences the hip flexion angle. Therefore, hamstring flexibility is essential to improve physical performance. In this study, Myofascial Release (MFR) was applied to the hamstrings to evaluate its effects. MFR on the hamstrings was performed on 17 young adults. Physical function and physical performance were measured before, immediately after, and 5 days after the MFR intervention: finger floor distance (FFD), range of motion (ROM) of the straight leg raising test (SLR), standing long jump (SLJ), squat jump (SJ), functional reach test (FRT), comfortable walking speeds (C-walking speed), and maximum walking speeds (M-walking speed). The results of the analysis show a significant increase in FFD (−2.6 ± 8.9 vs. 0.4 ± 9.4 vs. 2.4 ± 8.9, p < 0.01), SLJ (185.6 ± 44.5 vs. 185.0 ± 41.8 vs. 196.6 ± 40.1, p < 0.01), and M-walking speed (2.9 ± 0.6 vs. 3.0 ± 0.6 vs. 3.3 ± 0.6, p < 0.01). This study has shown that MFR for hamstrings not only improves flexibility but also increases M-walking speed and physical performance of the SLJ. As MFR is safe and does not involve joint movement, it may be useful for maintaining and improving performance and flexibility during inactivity and for stretching before exercise.
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Affiliation(s)
- Keisuke Itotani
- Department of General Rehabilitation, Faculty of Allied Health Sciences, Yamato University, 2-5-1 Katayama-cho, Suita City, Osaka 564-0082, Japan; (K.K.); (W.T.); (W.M.); (H.M.)
- Correspondence: ; Tel.: +81-66-385-8010
| | - Kanta Kawahata
- Department of General Rehabilitation, Faculty of Allied Health Sciences, Yamato University, 2-5-1 Katayama-cho, Suita City, Osaka 564-0082, Japan; (K.K.); (W.T.); (W.M.); (H.M.)
| | - Wakana Takashima
- Department of General Rehabilitation, Faculty of Allied Health Sciences, Yamato University, 2-5-1 Katayama-cho, Suita City, Osaka 564-0082, Japan; (K.K.); (W.T.); (W.M.); (H.M.)
| | - Wakana Mita
- Department of General Rehabilitation, Faculty of Allied Health Sciences, Yamato University, 2-5-1 Katayama-cho, Suita City, Osaka 564-0082, Japan; (K.K.); (W.T.); (W.M.); (H.M.)
| | - Hitomi Minematsu
- Department of General Rehabilitation, Faculty of Allied Health Sciences, Yamato University, 2-5-1 Katayama-cho, Suita City, Osaka 564-0082, Japan; (K.K.); (W.T.); (W.M.); (H.M.)
| | - Hiroyuki Fujita
- Department of Physical Therapy, Faculty of Health Care, Osaka University of Human Sciences, 1-4-1 Shoujaku, Settsu City, Osaka 566-8510, Japan;
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24
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Gu Y, Zhu Y, Xu F, Xi J, Xu G. Factors associated with mental health outcomes among patients with COVID-19 treated in the Fangcang shelter hospital in China. Asia Pac Psychiatry 2021; 13:e12443. [PMID: 33135397 DOI: 10.1111/appy.12443] [Citation(s) in RCA: 44] [Impact Index Per Article: 14.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 10/14/2020] [Indexed: 01/22/2023]
Abstract
INTRODUCTION Faced with surging infections and considering that 80% of cases were mild and moderate, the city government transformed stadiums and exhibition centers into the Fangcang shelter hospitals in Wuhan. The aims of this study were to evaluate mental health outcomes among patients with COVID-19 treated in the Fangcang shelter hospitals and analyze potential risk factors associated with these symptoms, including PTSS, symptoms of anxiety, depression, insomnia, and perceived stress. METHOD This cross-sectional study used an online survey to assess mental health problems of 461 confirmed COVID-19 patients in a Jianghan Fangcang shelter from February 15 to 22, 2020. A multivariable logistic regression analysis was performed to explore potential risk factors. RESULTS Overall, 25.2%, 50.1%, 54.4%, 10.2%, and 39.7% of all patients reported symptoms of posttraumatic stress, anxiety, depression, insomnia, and perceived stress, respectively. Multivariable logistic regression analysis showed that female sex was associated with all investigated outcomes except insomnia. Patients with lower education level were more likely to endorse anxiety, depression, and higher perceived stress, while patients' family members with other diseases were more likely to endorse severe insomnia. Patients with illness onset to admission less than 7 days were associated with higher perceived stress. DISCUSSION In this survey study, patients reported high rates of symptoms of posttraumatic stress, anxiety, depression, insomnia, and perceived stress. Combining with the special environment of the shelter hospitals and patient's psychological needs, the health care workers should give more effective interventions to relieve the patients' stress and improve their mental symptoms.
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Affiliation(s)
- Yingqi Gu
- Department of Psychology, Zhejiang Sci-Tech University, Hangzhou, China
| | - Yi Zhu
- School of Psychology, Hainan Medical University, Haikou, China.,Department of Psychology, The First Affiliated Hospital of Hainan Medical University, Haikou, China
| | - Fangzhong Xu
- Department of Clinical Psychology, Tongde Hospital of Zhejiang Province, Hangzhou, China
| | - Juzhe Xi
- School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
| | - Guangxing Xu
- School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
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25
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Chia ML, Him Chau DH, Lim KS, Yang Liu CW, Tan HK, Tan YR. Managing COVID-19 in a Novel, Rapidly Deployable Community Isolation Quarantine Facility. Ann Intern Med 2021; 174:247-251. [PMID: 32941059 PMCID: PMC7505018 DOI: 10.7326/m20-4746] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Singapore is one of the most densely populated small island-states in the world. During the coronavirus disease 2019 (COVID-19) pandemic, Singapore implemented large-scale institutional isolation units called Community Care Facilities (CCFs) to combat the outbreak in the community by housing low-risk COVID-19 patients from April to August 2020. The CCFs were created rapidly by converting existing public spaces and used a protocolized system, augmented by telemedicine to enable a low health care worker-patient ratio (98 health care workers for 3200 beds), to operate these unique facilities. In the first month, a total of 3758 patients were admitted to 4 halls, 4929 in-house medical consults occurred, 136 patients were transferred to a hospital, 1 patient died 2 weeks after discharge, and no health care workers became infected. This article shares the authors' experience in operating these massive-scale isolation facilities while prioritizing safety for all and ensuring holistic patient care in the face of a public health crisis and lean health care resources.
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Affiliation(s)
| | | | - Kheng Sit Lim
- Singapore General Hospital, Singapore (D.H.H., K.S.L., C.W.Y., H.K.T., Y.R.T.)
| | | | - Hiang Khoon Tan
- Singapore General Hospital, Singapore (D.H.H., K.S.L., C.W.Y., H.K.T., Y.R.T.)
| | - Yan Ru Tan
- Singapore General Hospital, Singapore (D.H.H., K.S.L., C.W.Y., H.K.T., Y.R.T.)
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26
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Zhang GY, Liu Q, Lin JY, Yan L, Shen L, Si TM. Mental health outcomes among patients from Fangcang shelter hospitals exposed to coronavirus disease 2019: An observational cross-sectional study. Chronic Dis Transl Med 2020; 7:57-64. [PMID: 33318879 PMCID: PMC7723755 DOI: 10.1016/j.cdtm.2020.12.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Indexed: 12/23/2022] Open
Abstract
Background The coronavirus disease 2019 (COVID-19) is not only attacking physical health, but it is also increasing psychological suffering. This study aimed to observe the impact of the COVID-19 pandemic on mental health outcomes among patients with mild to moderate illness in Fangcang shelter hospitals. Methods We conducted an observational, cross-sectional study of 129 patients with mild to moderate illness from Jiangxia Fangcang shelter hospitals in Wuhan, China. The participants were assessed by quantifying their symptoms of depression, anxiety, insomnia, and stressful life events and analyzing potential risk factors associated with these symptoms. Using correlation analysis, we examined associations between exposure to COVID-19 and subsequent psychological distress in response to the outbreak. Results In total, 49.6% of participants had depressive or anxiety symptoms. The depressive and anxiety symptoms were highly related to sleep disturbances and hypochondriasis (all r > 0.50, P < 0.01). The impact of the event was positively related to depressive symptoms, anxiety symptoms, sleep disturbances, hypochondriasis and life events (all r > 0.35, P < 0.01) but was negatively related to psychological resilience (r = −0.41, P < 0.01). The presence of the COVID-19 infection in this setting was associated with increased anxiety, depression and stress levels, and decreased sleep quality, and seriously affected patients’ quality of life as well as adversely affecting the course and prognosis of physical diseases. Conclusion The sleep quality, anxiety, and depression of COVID-19 patients in Fangcang shelter hospitals were significantly related to the impact of the epidemic.
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Affiliation(s)
- Guang-Yin Zhang
- Department of Psychosomatic Medicine, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
- Peking University Sixth Hospital & Peking University Institute of Mental Health, Beijing 100191, China
| | - Qi Liu
- Peking University Sixth Hospital & Peking University Institute of Mental Health, Beijing 100191, China
- NHC Key Laboratory of Mental Health (Peking University) & National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Jing-Yu Lin
- Peking University Sixth Hospital & Peking University Institute of Mental Health, Beijing 100191, China
- NHC Key Laboratory of Mental Health (Peking University) & National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Lin Yan
- Department of Gastroenterology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
| | - Li Shen
- Department of Psychosomatic Medicine, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
| | - Tian-Mei Si
- Peking University Sixth Hospital & Peking University Institute of Mental Health, Beijing 100191, China
- NHC Key Laboratory of Mental Health (Peking University) & National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
- Corresponding author. Peking University Sixth Hospital/Institute of Mental Health, No. 51 Hua Yuan Bei Road, Haidian District, Beijing, 100191, China.
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27
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COVID-19 Surge Capacity Solutions: Our Experience of Converting a Concert Hall into a Temporary Hospital for Mild and Moderate COVID-19 Patients. Disaster Med Public Health Prep 2020; 16:1273-1276. [PMID: 33100254 PMCID: PMC7943956 DOI: 10.1017/dmp.2020.412] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The 2019 coronavirus disease (COVID-19) pandemic has stressed the health care system in Italy as well as around the world, with hospitals implementing their surge capacity to increase the number of available beds for patients positive to the virus.At the end of March, the Piemonte (Northern Italy) Government decided to build a temporary rapid-assembly emergency hospital for the treatment of mild and moderate COVID-19 patients, converting an existing concert hall in the city of Turin. The decision was prompted not only by the urgent need of hospital beds, but also by a forward-looking approach for the months immediately after the emergency, when it will be essential for conventional hospitals to return to a normal configuration.This paper documents the temporary hospital project, describing the site, the layout and the equipment, the idea behind structural choices, and the staff involved. The aim of the work is to share the experience and to provide some practical recommendations to other professionals who are fighting the COVID-19 pandemic worldwide.
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28
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Wang KW, Gao J, Song XX, Huang J, Wang H, Wu XL, Yuan QF, Li XS, Cheng F, Cheng Y. Fangcang shelter hospitals are a One Health approach for responding to the COVID-19 outbreak in Wuhan, China. One Health 2020; 10:100167. [PMID: 33117879 PMCID: PMC7582216 DOI: 10.1016/j.onehlt.2020.100167] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Revised: 08/10/2020] [Accepted: 08/26/2020] [Indexed: 01/10/2023] Open
Abstract
In February 2020, the exponential growth of COVID-19 cases in Wuhan city posed a huge economic burden to local medical systems. Consequently, Wuhan established Fangcang Shelter hospitals as a One Health approach for responding to and containing the COVID-19 outbreak by isolating and caring for mild-to-moderate cases. However, it is unclear to what degree the hospitals contained COVID-19. This study performed an interrupted time series analysis to compare the number of new confirmed cases of COVID-19 before and after the operation of Fangcang Shelter hospitals. The initial number of confirmed cases in Wuhan increased significantly by 68.54 cases per day prior to February 4, 2020. Compared with the number of cases noted 20 days before the use of Fangcang Shelter hospitals, a sustained reduction in the number of confirmed cases (trend change, -125.57; P < 0.0001) was noted 41 days after the use of the hospitals. Immediate-level changes were observed for confirmed cases (level change, 725.97; P = 0.025). These changes led to an estimated 5148 fewer confirmed cases (P < 0.0001). According to the mean confirmed cases of 395.71 per day before the intervention, we estimated that Wuhan had advanced the terminal phase of COVID-19 by 13 days. Furthermore, immediately after introduction of Fangcang Shelter Hospitals on February 5, the reproduction number dropped rapidly, from a pre-introduction rate of 4.0 to 2.0. The Fangcang Shelter hospitals most likely to reversed the epidemic trend of COVID-19 while a containment strategy was implemented in Wuhan. In a One Health perspective, Fangcang Shelter hospitals, with their functions of isolation and treatment of confirmed COVID-19 patients, engaging professionals from many disciplines, such as medicine, engineering, architecture, psychology, environmental health, and social sciences. The results of this study provide a valuable reference for health policy makers in other countries.
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Affiliation(s)
- Ke-Wei Wang
- Department of hospital infection, Affiliated Hospital of Jiangnan University, Wuxi 214041, China
- Department of Public Health and Preventive Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi 214122, China
| | - Jie Gao
- Maternal and Child Health Development Research Center, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Shandong University, Jinan 250038, China
| | - Xiao-Xiao Song
- Department of epidemiology and statistics/School of Public Health, School of Public Health, Kunming Medical University, Kunming 650032, China
| | - Jiang Huang
- Wuxi Lung Transplant Center, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi 214023, China
| | - Hua Wang
- Department of Public Health and Preventive Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi 214122, China
| | - Xiao-Long Wu
- Department of hospital infection, Affiliated Hospital of Jiangnan University, Wuxi 214041, China
| | - Qin-Fang Yuan
- Department of hospital infection, Affiliated Hospital of Jiangnan University, Wuxi 214041, China
| | - Xiao-Shan Li
- Wuxi Lung Transplant Center, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi 214023, China
| | - Feng Cheng
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
- Corresponding authors.
| | - Yang Cheng
- Department of Public Health and Preventive Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi 214122, China
- Corresponding authors.
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29
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Yan N, Xu Z, Mei B, Gao Y, Lv D, Zhang J. Neurological Implications of Non-critically Ill Patients With Coronavirus Disease 2019 in a Fangcang Shelter Hospital in Wuhan, China. Front Neurol 2020; 11:895. [PMID: 32982925 PMCID: PMC7479333 DOI: 10.3389/fneur.2020.00895] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 07/13/2020] [Indexed: 12/18/2022] Open
Abstract
Background: Coronavirus disease 2019 (COVID-19) is a new viral respiratory disease and has become a pandemic. Fever, weakness, and dry cough are the main clinical manifestations. However, little is known about neurological symptoms of non-critically ill COVID-19 patients. Objective: To investigate the neurological symptoms and implications of patients with non-critically ill COVID-19 patients. Materials and Methods: This retrospective cohort study investigated all COVID-19 patients admitted to Wuhan East-West Lake Fangcang shelter hospital. Demographic data, clinical manifestations, comorbidities, radiological data, the result of nucleic acid test, and treatments were collected and analyzed. Results: Among 1,682 patients with confirmed non-critically ill COVID-19, 509 patients (30.3%) had neurological symptoms, including myalgia (311, 18.5%), headache (216, 12.8%), fatigue (83, 4.9%), and dizziness (15, 0.9%). One hundred and fourteen patients (6.8%) were the expansion of pulmonary infection according to their chest CT images and medical history. Compared with patients without neurological symptoms, patients with neurological symptoms had a significantly longer length of hospital stay, time of nucleic acid turning negative, and the mean time from onset of symptom to hospital admission (p < 0.05). Patients with neurological symptoms were more likely to occur the expansion of pulmonary infection compared with the patients without neurological symptoms (46/509 [9.0%] vs. 68/1,173 [5.8%]). Conclusions: Non-critically ill COVID-19 patients commonly have neurological symptoms. Neurological symptoms are significantly associated with the processes of COVID-19. Early identification and aggressive treatment are particularly important for COVID-19 patients with neurological symptoms.
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Affiliation(s)
- Nao Yan
- Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Zhipeng Xu
- Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Bin Mei
- Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Yongzhe Gao
- Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Dongwei Lv
- Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Junjian Zhang
- Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China
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30
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Zhang C, Peng D, Lv L, Zhuo K, Yu K, Shen T, Xu Y, Wang Z. Individual Perceived Stress Mediates Psychological Distress in Medical Workers During COVID-19 Epidemic Outbreak in Wuhan. Neuropsychiatr Dis Treat 2020; 16:2529-2537. [PMID: 33149594 PMCID: PMC7604251 DOI: 10.2147/ndt.s266151] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 09/12/2020] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND Since the novel coronavirus disease (COVID-19) outbreak in Wuhan, thousands of medical workers have been dispatched to support Wuhan against the virus. The purpose of this study was to identify the independent risk factors for psychological distress in order to develop a more effective strategy and precise evidence-based psychological intervention for medical workers. METHODS This multisite cross-sectional survey recruited doctors and nurses from local and nonlocal medical teams working at 16 hospitals in Wuhan to complete this online survey from February to March, 2020. Psychological status was evaluated through Perceived Stress Scales (PSS), Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder Scale (GAD-7) and Acute Stress Disorder Scale (ASDS). RESULTS Of 966 participants, the prevalence of stress (95.9%), depression (46.0%) and anxiety (39.3%) were high. Local medical workers exhibited even higher scores of PSS, PHQ-9, GAD-7 and ASDS than those from outside Hubei (P<0.001). Females had more severe perceived stress, depression and anxiety than males (P<0.001). Multiple logistic regression showed that perceived stress is associated with increased odds of depression (OR=1.413; 95% CI: 1.338-1.493; P<0.001) and anxiety (OR=1.515; 95% CI: 1.407-1.631; P<0.001). CONCLUSION Our findings demonstrated a high prevalence of stress, depression, anxiety and acute distress among medical workers on the front-line during the COVID-19 outbreak in Wuhan. The level of psychological impact may be mediated by individual perceptions of stressful events.
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Affiliation(s)
- Chen Zhang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.,Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.,Shanghai Psychological Medical Team Supporting Hubei, Shanghai, People's Republic of China
| | - Daihui Peng
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.,Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.,Shanghai Psychological Medical Team Supporting Hubei, Shanghai, People's Republic of China
| | - Lu Lv
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
| | - Kaiming Zhuo
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.,Shanghai Psychological Medical Team Supporting Hubei, Shanghai, People's Republic of China
| | - Kai Yu
- MoE Key Laboratory of Artificial Intelligence, AI Institute Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Tian Shen
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
| | - Yifeng Xu
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.,Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
| | - Zhen Wang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.,Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.,Shanghai Psychological Medical Team Supporting Hubei, Shanghai, People's Republic of China
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