1
|
Gupta S, Gaiki D, Joshi M. Devising the Set-up of Essential Equipments for a 250 Bedded COVID-19 Healthcare Facility for Mumbai and Suburban Regions. Hosp Top 2022:1-7. [PMID: 35801614 DOI: 10.1080/00185868.2022.2091070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The article assists with understanding the need to change the current accessible clinical resources; as well as gauging and sorting out the devices needed to provide food the uncommon requirements of the COVID-19 patients without trading off the smooth working of the medical services office without taking a chance with the security of the medical care experts conveying it. A primary objective of this study is to provide interim guidance for planning the medical equipment for an isolation facility in a way that satisfies the needs of patients in an exact manner. Additionally, to assist healthcare facility to follow the accreditation standards and plan the modifications necessary to ensure the safety of patients and employees. The documents reviewed for this study mainly focus on providing interim guidance, specifications, and essential devices for setting up of quarantine facilities in a COVID-19 healthcare facility. This study assists with understanding the rules to keep up with the current accessible clinical supplies and intending to procure more and usage of them at which departments to cater the extraordinary necessities of the COVID-19 patients without bargaining the smooth working of the medical care office and not taking a chance with the wellbeing of the medical care experts conveying it.
Collapse
Affiliation(s)
- Shivangi Gupta
- Symbiosis Institute of Health Sciences, Symbiosis International (Deemed) University, Lavale, Pune, India
| | - Dharna Gaiki
- Yadavrao Tasgaonkar Institute of Engineering and Technology, Mumbai University, Karjat, India
| | - Miheer Joshi
- Symbiosis Institute of Health Sciences, Symbiosis International (Deemed) University, Lavale, Pune, India
| |
Collapse
|
2
|
Santiago-Espinosa O, Prieto-Torres ME, Cabrera-Gaytán DA. Laboratory-confirmed SARS-CoV-2 reinfection in the population treated at social security. Respir Med Case Rep 2021; 34:101493. [PMID: 34395189 PMCID: PMC8351271 DOI: 10.1016/j.rmcr.2021.101493] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Revised: 07/09/2021] [Accepted: 08/02/2021] [Indexed: 11/30/2022] Open
Abstract
The scientific community has questioned whether reinfection with SARS-CoV-2 is possible. Gradually, cases of reinfection have been documented. In Mexico, people with SARS-CoV-2 reinfection have not been officially identified. To allow a retrospective investigation of patients with PCR-confirmed SARS-CoV-2 and to identify how reinfected with this virus occurs in a population that requires medical attention. A retrospective search of the epidemiological surveillance system was performed to identify people who met the clinical criteria based on laboratory diagnosis of SARS-CoV-2 and temporality to identify cases of reinfection. Clinical information was collected from clinical records. Seven people with two separate COVID-19 events were identified in medical units in Quintana Roo, Mexico between April and December 2020. The overall median interval between the two events was 156 days (61-191 days). Six people were health workers, and one was a member of the general population. This is one of the first reports of reinfection in health personnel in Mexico, revealing that the frequency of reinfection is low among positive cases and that the interval between infection episodes was three months. There are several scenarios in the natural history of the disease that must be considered based on adequate anamnesis with a clinical-epidemiological approach to determine the correct diagnostic category.
Collapse
Affiliation(s)
- Oscar Santiago-Espinosa
- Instituto Mexicano del Seguro Social. Coordinación de Información y Análisis Estratégico. Av. Politécnico, entre Tepich y Knic SM 509, Manzana 1, Lote 1. CP. 077533. Cancún, Quintana Roo. México
| | - María Erandhi Prieto-Torres
- Instituto Mexicano del Seguro Social. Coordinación de Información y Análisis Estratégico. Av. Politécnico, entre Tepich y Knic SM 509, Manzana 1, Lote 1. CP. 077533. Cancún, Quintana Roo. México
| | - David Alejandro Cabrera-Gaytán
- Instituto Mexicano del Seguro Social. Coordinación de Investigación en Salud. Av. Cuauhtémoc # 330, Bloque “B” 4° piso, Anexo a la Unidad de Congresos del Centro Médico Nacional Siglo XXI, Col. Doctores, Alcaldía Cuauhtémoc, CP. 06720, Ciudad de México, México
| |
Collapse
|
3
|
Tuominen J, Hällberg V, Oksala N, Palomäki A, Lukkarinen T, Roine A. NYU-EDA in modelling the effect of COVID-19 on patient volumes in a Finnish emergency department. BMC Emerg Med 2020; 20:97. [PMID: 33308165 PMCID: PMC7729695 DOI: 10.1186/s12873-020-00392-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Accepted: 12/06/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Emergency departments (EDs) worldwide have been in the epicentre of the novel coronavirus disease (COVID-19). However, the impact of the pandemic and national emergency measures on the number of non-COVID-19 presentations and the assessed acuity of those presentations remain uncertain. METHODS We acquired a retrospective cohort containing all ED visits in a Finnish secondary care hospital during years 2018, 2019 and 2020. We compared the number of presentations in 2020 during the national state of emergency, i.e. from March 16 to June 11, with numbers from 2018 and 2019. Presentations were stratified using localized New York University Emergency Department Algorithm (NYU-EDA) to evaluate changes in presentations with different acuity levels. RESULTS A total of 27,526 presentations were observed. Compared to previous two years, total daily presentations were reduced by 23% (from 113 to 87, p < .001). In NYU-EDA classes, Non-Emergent visits were reduced the most by 42% (from 18 to 10, p < .001). Emergent presentations were reduced by 19 to 28% depending on the subgroup (p < .001). Number of injuries were reduced by 25% (from 27 to 20, p < .001). The NYU-EDA distribution changed statistically significantly with 4% point reduction in Non-Emergent visits (from 16 to 12%, p < .001) and 0.9% point increase in Alcohol-related visits (from 1.6 to 2.5%, p < .001). CONCLUSIONS We observed a significant reduction in total ED visits in the course of national state of emergency. Presentations were reduced in most of the NYU-EDA groups irrespective of the assessed acuity. A compensatory increase in presentations was not observed in the course of the 3 month lockdown. This implies either reduction in overall morbidity caused by decreased societal activity or widespread unwillingness to seek required medical advice.
Collapse
Affiliation(s)
- Jalmari Tuominen
- Faculty of Medicine and Life Sciences, Tampere University, Tampere, Finland.
| | - Ville Hällberg
- Emergency Department, Kanta-Häme Central Hospital, Hämeenlinna, Finland
| | - Niku Oksala
- Faculty of Medicine and Life Sciences, Tampere University, Tampere, Finland.,Division of Vascular Surgery, Tampere University Hospital, Tampere, Finland
| | - Ari Palomäki
- Faculty of Medicine and Life Sciences, Tampere University, Tampere, Finland.,Emergency Department, Kanta-Häme Central Hospital, Hämeenlinna, Finland
| | - Timo Lukkarinen
- City of Helsinki, Social Services and Health Care, Helsinki, Finland
| | - Antti Roine
- Faculty of Medicine and Life Sciences, Tampere University, Tampere, Finland
| |
Collapse
|
4
|
Anteby R, Zager Y, Barash Y, Nadler R, Cordoba M, Klang E, Klein Y, Ram E, Gutman M, Horesh N. The Impact of the Coronavirus Disease 2019 Outbreak on the Attendance of Patients with Surgical Complaints at a Tertiary Hospital Emergency Department. J Laparoendosc Adv Surg Tech A 2020; 30:1001-1007. [PMID: 32589496 DOI: 10.1089/lap.2020.0465] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
Introduction: Emergency departments (EDs) during the novel coronavirus disease 2019 (COVID-19) pandemic are perceived as possible sources of infection. The effects of COVID-19 on patients presenting to the hospital with surgical complaints remain uncertain. Methods: A single tertiary center retrospective study analysis compared the ED attendance rate and severity of patients with surgical complaints between March 2020 (COVID-19 outbreak) and pre-COVID-19 periods: February 2020 and the same 2 months in 2019 and 2018. Results: Overall, 6,017 patients were included. The mean daily ED visits of patients with nontrauma surgical complaints in the COVID-19 outbreak period declined by 27%-32% (P value <.01) compared with pre-COVID-19 periods. The log number of confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) cases in Israel in March 2020 was negatively correlated with the number of ED visits (Pearson's r = -0.59, P < .01). The proportion of patients requiring hospitalization increased by up to 8% during the outbreak period (P < .01), and there was a higher proportion of tachycardic patients (20% versus 15.5%, P = .01). The percentage of visits to the ED by men declined by 5% (P < .01). The ED diagnosis distribution significantly changed during COVID-19 (P = .013), with an 84% decrease in the number of patients hospitalized for diverticular disease (P < .05). Conclusion: During the COVID-19 outbreak, the overall number of patients presenting at the ED with surgical complaints decreased significantly, and there was a higher admissions ratio. The extent to which the pandemic affects hospital ED attendance can help health care professionals prepare for future such events. ClinicalTrials.gov ID: NCT04338672.
Collapse
Affiliation(s)
- Roi Anteby
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Surgery and Transplantation B, Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - Yaniv Zager
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Surgery and Transplantation B, Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - Yiftach Barash
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Diagnostic Imaging, The Chaim Sheba Medical Center, Tel Hashomer, Israel.,Deep Vision Lab, Sheba Medical Center, Tel Hashomer, Israel
| | - Roy Nadler
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Surgery and Transplantation B, Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - Mordehay Cordoba
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Surgery and Transplantation B, Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - Eyal Klang
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Diagnostic Imaging, The Chaim Sheba Medical Center, Tel Hashomer, Israel.,Deep Vision Lab, Sheba Medical Center, Tel Hashomer, Israel
| | - Yoram Klein
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Surgery and Transplantation B, Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - Edward Ram
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Surgery and Transplantation B, Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - Mordechai Gutman
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Surgery and Transplantation B, Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - Nir Horesh
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Surgery and Transplantation B, Chaim Sheba Medical Center, Tel Hashomer, Israel
| |
Collapse
|