A national healthcare response to intensive care bed requirements during the COVID-19 outbreak in France.
Jean-Yves Lefrant,Marc-Olivier Fischer,Hugo Potier,Cecile Degryse,Samir Jaber,Laurent Muller,Julien Pottecher,Helene Charboneau,Eric Meaudre,Pierre Lanot,Vincent Bruckert,Benoit Plaud,Bertrand Dureuil,Emmanuel Samain,Hervé Bouaziz,Claude Ecoffey,Xavier Capdevila +16 more
Reads0
Chats0
TLDR
How the French Health Care system created temporary ICU beds to avoid being overwhelmed in the COVID-19 outbreak is reported, essentially by transforming beds from ACUs and PACUs.Abstract:
Background Whereas 5415 Intensive Care Unit (ICU) beds were initially available, 7148 COVID-19 patients were hospitalised in the ICU at the peak of the outbreak. The present study reports how the French Health Care system created temporary ICU beds to avoid being overwhelmed. Methods All French ICUs were contacted for answering a questionnaire focusing on the available beds and health care providers before and during the outbreak. Results Among 336 institutions with ICUs before the outbreak, 315 (94%) participated, covering 5054/5531 (91%) ICU beds. During the outbreak, 4806 new ICU beds (+95% increase) were created from Acute Care Unit (ACU, 2283), Post Anaesthetic Care Unit and Operating Theatre (PACU & OT, 1522), other units (374) or real build-up of new ICU beds (627), respectively. At the peak of the outbreak, 9860, 1982 and 3089 ICU, ACU and PACU beds were made available. Before the outbreak, 3548 physicians (2224 critical care anaesthesiologists, 898 intensivists and 275 from other specialties, 151 paediatrics), 1785 residents, 11,023 nurses and 6763 nursing auxiliaries worked in established ICUs. During the outbreak, 2524 physicians, 715 residents, 7722 nurses and 3043 nursing auxiliaries supplemented the usual staff in all ICUs. A total number of 3212 new ventilators were added to the 5997 initially available in ICU. Conclusion During the COVID-19 outbreak, the French Health Care system created 4806 ICU beds (+95% increase from baseline), essentially by transforming beds from ACUs and PACUs. Collaboration between intensivists, critical care anaesthesiologists, emergency physicians as well as the mobilisation of nursing staff were primordial in this context.read more
Citations
More filters
Journal ArticleDOI
How the COVID-19 pandemic will change the future of critical care.
Yaseen M. Arabi,Elie Azoulay,Hasan M. Al-Dorzi,Jason Phua,Jorge I. F. Salluh,Alexandra Binnie,Carol L. Hodgson,Derek C. Angus,Maurizio Cecconi,Bin Du,Rob Fowler,Rob Fowler,Charles D. Gomersall,Peter Horby,Nicole P. Juffermans,Jozef Kesecioglu,Ruth M. Kleinpell,Flávia Ribeiro Machado,Greg S. Martin,Geert Meyfroidt,Andrew Rhodes,Kathryn M Rowan,Jean-François Timsit,Jean Louis Vincent,Giuseppe Citerio +24 more
TL;DR: The COVID-19 pandemic has highlighted key elements of emergency preparedness, such as having national or regional strategic reserves of personal protective equipment, intensive care unit (ICU) devices, consumables and pharmaceuticals, as well as effective supply chains and efficient utilization protocols as discussed by the authors.
Journal ArticleDOI
An analysis of the COVID-19 vaccination campaigns in France, Israel, Italy and Spain and their impact on health and economic outcomes
TL;DR: In this article , the authors present an overview of the vaccination campaigns in France, Israel, Italy, and Spain during the first eleven months from the first COVID-19 vaccine approval (Dec 2020 - Nov 2021).
Journal ArticleDOI
A National Healthcare Response to Intensive Care Bed Requirements During the COVID-19 Outbreak in France
Jean-Yves Lefrant,Marc-Olivier Fischer,Hugo Potier,Cecile Degryse,Samir Jaber,Laurent Muller,Julien Pottecher,Helene Charboneau,Eric Meaudre,Pierre Lanot,Vincent Bruckert,Benoit Plaud,Bertrand Dureuil,Emmanuel Samain,Hervé Bouaziz,Claude Ecoffey,Xavier Capdevila +16 more
TL;DR: During the COVID-19 outbreak, the French Health Care system created 4,806 ICU beds (+ 95% increase from baseline), essentially by transforming beds from ACUs and PACUs.
Journal ArticleDOI
Delayed Admission to the Intensive Care Unit and Mortality of Critically Ill Adults: Systematic Review and Meta-analysis
Panagiotis Kiekkas,Anastasios Tzenalis,Vasiliki Gklava,Nikolaos Stefanopoulos,Gregorios Voyagis,Diamanto Aretha +5 more
TL;DR: It is indicated that delayed ICU admission is significantly associated with mortality of critically ill adults and highlight the importance of providing timely critical care in non-ICU settings.
References
More filters
Journal ArticleDOI
The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies
E von Elm,Douglas G. Altman,Matthias Egger,Matthias Egger,Stuart J. Pocock,Peter C Gøtzsche,Jan P. Vandenbroucke +6 more
TL;DR: The STROBE Statement is a checklist of items that should be addressed in articles reporting on the 3 main study designs of analytical epidemiology: cohort, casecontrol, and cross-sectional studies; these recommendations are not prescriptions for designing or conducting studies.
Journal ArticleDOI
The REDCap consortium: Building an international community of software platform partners.
Paul A. Harris,Paul A. Harris,Robert Taylor,Brenda L. Minor,Veida Elliott,Michelle Fernandez,Lindsay O'Neal,Laura McLeod,Giovanni Delacqua,Francesco Delacqua,Jacqueline Kirby,Stephany N. Duda +11 more
TL;DR: The Research Electronic Data Capture (REDCap) data management platform was developed in 2004 to address an institutional need at Vanderbilt University, then shared with a limited number of adopting sites beginning in 2006, and a broader consortium sharing and support model was created.
Journal ArticleDOI
Baseline Characteristics and Outcomes of 1591 Patients Infected With SARS-CoV-2 Admitted to ICUs of the Lombardy Region, Italy.
Giacomo Grasselli,Giacomo Grasselli,Alberto Zangrillo,Alberto Zanella,Alberto Zanella,Massimo Antonelli,Massimo Antonelli,Luca Cabrini,Antonio Castelli,Danilo Cereda,Antonio Coluccello,Giuseppe Foti,Roberto Fumagalli,Giorgio Antonio Iotti,Nicola Latronico,Luca Lorini,Stefano Merler,Giuseppe Natalini,Alessandra Piatti,Marco Ranieri,Anna Mara Scandroglio,Enrico Storti,Maurizio Cecconi,Antonio Pesenti,Antonio Pesenti +24 more
TL;DR: Patients with coronavirus disease 2019 (COVID-19) requiring treatment in an intensive care unit (ICU) in the Lombardy region of Italy were characterized, including data on clinical management, respiratory failure, and patient mortality.
Journal ArticleDOI
Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle.
TL;DR: A new-type coronav virus, tentatively named by World Health Organization as the 2019-new coronavirus (2019-nCoV), had caused this outbreak in Wuhan city, Hubei Province, China, it was announced today.
Journal ArticleDOI
Features of 20 133 UK patients in hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: prospective observational cohort study.
Annemarie B Docherty,Ewen M Harrison,Christopher A Green,Hayley E Hardwick,Riinu Pius,Lisa Norman,Karl A Holden,Jonathan M. Read,Frank Dondelinger,Gail Carson,Laura Merson,James A. Lee,Daniel Plotkin,Louise Sigfrid,Sophie Halpin,Clare Jackson,Carrol Gamble,Peter Horby,Jonathan S. Nguyen-Van-Tam,Antonia Ho,Clark D Russell,Jake Dunning,Jake Dunning,Peter J. M. Openshaw,J Kenneth Baillie,Malcolm G Semple +25 more
TL;DR: In study participants, mortality was high, independent risk factors were increasing age, male sex, and chronic comorbidity, including obesity, and the importance of pandemic preparedness and the need to maintain readiness to launch research studies in response to outbreaks is shown.