Evidence map›Paper›PMID 39622470›Full record

ArticleChest2025

The Minnesota Critical Care Working Group 1: Monitoring and Coordinating Statewide Critical Care Surge Response in the COVID-19 Pandemic, March 2020 Through July 1, 2021.

Jeffrey R Dichter, Daniel Brown, Clara Zamorano, Joshua Cohen, Elizabeth A Miller, David E Niccum, Michele LeClaire, Christina Bastin De Jong, Deanna Diebold, Jacob Lyons and 34 more

Abstract read
In one paragraph

Article in Chest, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

44 authors.

Jeffrey R DichterUniversity of Minnesota, Minneapolis, MN. Electronic address: jrdichter1@gmail.com.
Daniel BrownMayo Clinic, Rochester, MN.
Clara ZamoranoAbbott Northwestern Hospital, Minneapolis, MN.
Joshua CohenUnited Hospital, St. Paul, MN.
Elizabeth A MillerMethodist Hospital, St. Louis Park, MN.
David E NiccumRegions Hospital, St. Paul, MN.
Michele LeClaireVeterans Administration Hospital, Minneapolis, MN.
Christina Bastin De JongEssentia Health, Duluth, MN.
Deanna DieboldNorth Memorial Health, Robbinsdale, MN.
Jacob LyonsCentracare, St. Cloud, MN.
Ronald ReilkoffUniversity of Minnesota, Minneapolis, MN.
Heidi L EricksonHennepin Healthcare, Minneapolis, MN.
Joseph MartinelliSt. Lukes Hospital, Duluth, MN.
Jennifer A FischerNorthfield Hospital and Clinics, Northfield, MN.
Kyle MairoseRidgeview Hospitals and Healthcare, Waconia, MN.
Jason KallestadRidgeview Hospitals and Healthcare, Waconia, MN.
Christine ChellHennepin Healthcare, Minneapolis, MN.
Adam ShadiowArrowhead EMS Association, Duluth, MN.
Shawn StoenCentral and West Central Healthcare Coalitions, St. Cloud, MN.
John L HickUniversity of Minnesota, Minneapolis, MN; Hennepin Healthcare, Minneapolis, MN.
Cheryl Petersen-KroeberMinnesota Department of Health, St. Paul, MN.
Judy SeabergMinnesota Department of Health, St. Paul, MN.
Erin McLachlanMinnesota Department of Health, St. Paul, MN.
Alexandra T WatermanMinnesota Department of Health, St. Paul, MN.
Walter Y JamesMinnesota Department of Health, St. Paul, MN.
Sean MacDonellMinnesota Department of Health, St. Paul, MN.
James RisserRegions Hospital, St. Paul, MN.
Tom KlemondHennepin Healthcare, Minneapolis, MN.
Erin S DeMartinoMayo Clinic, Rochester, MN.
Joel WuUniversity of Minnesota, Minneapolis, MN.
Debra DeBruinUniversity of Minnesota, Minneapolis, MN.
Susan M WolfUniversity of Minnesota, Minneapolis, MN.
Nneka O SederstromHennepin Healthcare, Minneapolis, MN.
Karyn D BaumUniversity of Minnesota, Minneapolis, MN.
Kay GreenleeCentracare, St. Cloud, MN.
Helen StrikeAllina Health, Minneapolis, MN.
Paul A KettlerM Health Fairview Health, Minneapolis, MN.
Andrea BoehlandEssentia Health, Duluth, MN.
Kimberly A GoodmanNorth Memorial Health, Robbinsdale, MN.
Ken K MaslonkaChildren's Minnesota Hospital Minneapolis, Minneapolis, MN.
Jack M WolfUniversity of Minnesota, Minneapolis, MN.
Jennifer SchoeneckerMinnesota Hospital Association, St. Paul, MN.
Sarah M KeslerUniversity of Minnesota, Minneapolis, MN.
Minnesota Critical Care Working Group

Funding

Heterogeneity in US pandemic allocation policies: state-to-state variation, stakeholder insights and implications for older AmericansR03AG073987 · NIA · MAYO CLINIC ROCHESTER · PI DEMARTINO, ERIN S · 2021 to 2022
$318k
NIA NIH HHS R03 AG073987
6 · The paper itself

Abstract

backgroundIn response to the COVID-19 pandemic and as part of the statewide health care coalition response, the Minnesota Critical Care Working Group (CCWG), composed of interprofessional leaders from the state's 9 largest health systems, was established and entrusted to plan and coordinate critical care support for Minnesota from March 2020 through July 1, 2021. RESEARCH QUESTION: Can a statewide CCWG develop contingency and crisis-level surge strategies and indicators in response to the COVID-19 pandemic while evolving into a highly collaborative team? STUDY DESIGN AND

methodsCCWG members (intensivists, ethicists, nurses, Minnesota Department of Health and Minnesota Hospital Association leaders) met by audio video conferencing as often as daily assessing COVID-19 and non-COVID-19 hospitalization data, developed surge evidence reflecting contingency vs crisis conditions, and planned responses collaboratively. A foundation of collaboration and teamwork developed which facilitated an effective statewide response.

resultsPandemic surge health care system strategies included use of surge ICU beds, adapted staffing models, restriction of nonemergency procedures, augmentation of tele-ICU care, ability to recognize increasing staff shortages, use of PICU beds for younger adults, and use of noninvasive ventilation in non-ICU settings. CCWG supported development of the Minnesota Medical Operations Coordination Center, which was instrumental in load balancing and mitigating crisis conditions. Minnesota surge strategies are compared with published prepandemic and pandemic experiences regarding staff, space, supplies and medications/equipment, and system strategies. Adopted severe surge best practices included use of adapted staffing models and noninvasive ventilation in non-ICU settings. CCWG effectively developed shared strategies and facilitated ICU load balancing, which supported a regionally consistent standard of care.

interpretationThe CCWG developed statewide critical care surge strategies assisting health care organization response to COVID-19 surges, providing a platform for clinical and operational activities. Collaboration, trust, and teamwork between CCWG leaders and health care organizations was essential to success and serves as a model for future events.

Indexed as

COVID-19Critical CareSurge CapacityHumansIntensive Care UnitsMinnesotaPandemicsSARS-CoV-2allocation of scarce resourcescontingency level carecrisis care conditionspandemic best practicessurgesurge-level indicators

Identifiers

PMID39622470
PMCPMC12495548

What OpenQuestion holds

Textmetadata
LicenceTDM
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.