Evidence map›Paper›PMID 35372442›Full record

ArticleFrontiers in medicine2022

Description of an Integrated and Dynamic System to Efficiently Deal With a Raging COVID-19 Pandemic Peak.

Vanni Agnoletti, Emiliano Gamberini, Alessandro Circelli, Costanza Martino, Domenico Pietro Santonastaso, Giuliano Bolondi, Giorgia Bastoni, Martina Spiga, Paola Ceccarelli, Luca Montaguti and 6 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Vanni AgnolettiDepartment of Emergency Surgery and Trauma, Anesthesia and Intensive Care Unit, M Bufalini Hospital, Cesena, Italy.
Emiliano GamberiniDepartment of Emergency Surgery and Trauma, Anesthesia and Intensive Care Unit, M Bufalini Hospital, Cesena, Italy.
Alessandro CircelliDepartment of Emergency Surgery and Trauma, Anesthesia and Intensive Care Unit, M Bufalini Hospital, Cesena, Italy.
Costanza MartinoDepartment of Emergency Surgery and Trauma, Anesthesia and Intensive Care Unit, M Bufalini Hospital, Cesena, Italy.
Domenico Pietro SantonastasoDepartment of Emergency Surgery and Trauma, Anesthesia and Intensive Care Unit, M Bufalini Hospital, Cesena, Italy.
Giuliano BolondiDepartment of Emergency Surgery and Trauma, Anesthesia and Intensive Care Unit, M Bufalini Hospital, Cesena, Italy.
Giorgia BastoniNursing Department, M Bufalini Hospital, Cesena, Italy.
Martina SpigaNursing Department, M Bufalini Hospital, Cesena, Italy.
Paola CeccarelliNursing Department, M Bufalini Hospital, Cesena, Italy.
Luca MontagutiDepartment of Internal Medicine, M Bufalini Hospital, Cesena, Italy.
Fausto CatenaDepartment of Emergency Surgery and Trauma, M Bufalini Hospital, Cesena, Italy.
Venerino PolettiDepartment of Respiratory Diseases, AUSL Romagna-Morgagni Hospital, Forlì, Italy.
Carlo LusentiHospital Direction M Bufalini Hospital, Cesena, Italy.
Claudio LazzariHospital Direction M Bufalini Hospital, Cesena, Italy.
Mattia AltiniHospital Direction Azienda Unità Sanitaria Locale della Romagna, Ravenna, Italy.
Emanuele RussoDepartment of Emergency Surgery and Trauma, Anesthesia and Intensive Care Unit, M Bufalini Hospital, Cesena, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to describe an innovative and functional method to deal with the increased COVID-19 pandemic-related intensive care unit bed requirements. Methods: We described the emergency creation of an integrated system of internistic ward, step-down unit, and intensive care unit, physically located in reciprocal vicinity on the same floor. The run was carried out under the control of single intensive care staff, through sharing clinical protocols and informatics systems, and following single director supervision. The intention was to create a dynamic and flexible system, allowing for rapid and fluid patient admission/discharge, depending on the requirements due to the third Italian peak of the COVID-19 pandemic in March 2021. Results: This study involved 142 COVID-19 patients and 66 non-COVID-19 patients who were admitted; no critical patient was left unadmitted and no COVID-19 severe patients referring to our center had to be redirected to other hospitals due to bed saturation. This system allowed shorter hospital length-of-stay in general wards (5.9 ± 4 days) than in other internistic COVID-19 wards and overall mortality in line with those reported in literature despite the peak raging. Conclusion: This case report showed the feasibility and the efficiency of this dynamic model of hospital rearrangement to deal with COVID-19 pandemic peaks.

Indexed as

bed managementbed occupancy rateCOVID-19high dependency unithospital admission criteriaintensive care unitpatients throughputstep-down unit

Identifiers

PMID35372442
PMCPMC8971195

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.