Fast tracking intensive care units and operation rooms during the COVID-19 pandemic in resource limited settings

Aggarwal, Richa; Bhatia, Ravi; Soni, Kapil Dev; Trikha, Anjan

doi:10.4103/joacp.joacp_262_20

Cited by 4 publications

(4 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, elective and nonurgent surgeries carried out in COVID-19-positive patients have more significant morbidity and mortality. 7 Determining priorities in the patient population to be enrolled in HaH is crucial as certain specialties, such as internal medicine, may have a patient population more "ready-made" for HaH than other specialties, such as surgical subspecialties, which may require modifications to an existing HaH program to ensure the needs of the patients are met. At the time of the study, not all ACH sites were offering services common to surgical patients, such as suction.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the patients that could have been potential candidates given their low risk, such as elective surgeries, were postponed. Moreover, elective and nonurgent surgeries carried out in COVID‐19‐positive patients have more significant morbidity and mortality 7 . Determining priorities in the patient population to be enrolled in HaH is crucial as certain specialties, such as internal medicine, may have a patient population more “ready‐made” for HaH than other specialties, such as surgical subspecialties, which may require modifications to an existing HaH program to ensure the needs of the patients are met.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Development and evaluation of best practice advisory alert for patient eligibility in a hospital‐at‐home program: A multicenter retrospective study

Maniaci,

Torres‐Guzman,

Avila

et al. 2024

Journal of Hospital Medicine

View full text Add to dashboard Cite

BackgroundHospital‐at‐home (HaH) is a growing model of care that has been shown to improve patient outcomes, satisfaction, and cost‐effectiveness. However, selecting appropriate patients for HaH is challenging, often requiring burdensome manual screening by clinicians. To facilitate HaH enrollment, electronic health record (EHR) tools such as best practice advisories (BPAs) can be used to alert providers of potential HaH candidates.ObjectiveTo describe the development and implementation of a BPA for identifying HaH eligible patients in Mayo Clinic's Advanced Care at Home (ACH) program, and to evaluate the provider response and the patient characteristics that triggered the BPA.Design, Setting, and ParticipantsWe conducted a retrospective multicenter study of hospitalized patients who triggered the BPA notification for ACH eligibility between March and December 2021 at Mayo Clinic in Jacksonville, FL and Mayo Clinic Health System in Eau Claire, WI. We extracted demographic and diagnosis data from the patients as well as characteristics of the providers who received the BPA notification.InterventionThe BPA was developed based on the ACH inclusion and exclusion criteria, which were derived from clinical guidelines, literature review, and expert consensus. The BPA was integrated into the EHR and displayed a pop‐up message to the provider when a patient met the criteria for ACH eligibility. The provider could choose to refer the patient to ACH, dismiss the notification, or defer the decision.Main Outcomes and MeasuresThe main outcomes were the number and proportion of BPA notifications that resulted in a referral to ACH, and the number and proportion of referrals that were accepted by the ACH clinical team and transferred to ACH. We also analyzed the factors associated with the provider's decision to refer or not refer the patient to ACH, such as the provider's role, location, and specialty.ResultsDuring the study period, 8962 notifications were triggered for 2847 patients. Providers opted to refer 711 (11.4%) of the total notifications linked to 324 unique patients. After review by the ACH clinical team, 31 of the 324 referrals (9.6%) met clinical and social criteria and were transferred to ACH. In multivariable analysis, Wisconsin nurses, physician assistants, and in‐training personnel had lower odds of referring the patients to ACH when compared to attending physicians.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Development and evaluation of best practice advisory alert for patient eligibility in a hospital‐at‐home program: A multicenter retrospective study

Maniaci,

Torres‐Guzman,

Avila

et al. 2024

Journal of Hospital Medicine

View full text Add to dashboard Cite

show abstract

“…This evidence represents the French paradox [211]. However, countries with high consumption of wine, such as France and Italy, had a high number of deaths caused by COVID-19 [212,213]. Therefore, studies using standardized methods with these phytoconstituents are needed to advance the knowledge of their therapeutic potential against COVID-19.…”

Section: Natural Phenolic Compounds In Extrapulmonary Complications O...mentioning

confidence: 99%

Anticoronavirus and Immunomodulatory Phenolic Compounds: Opportunities and Pharmacotherapeutic Perspectives

et al. 2021

View full text Add to dashboard Cite

In 2019, COVID-19 emerged as a severe respiratory disease that is caused by the novel coronavirus, Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). The disease has been associated with high mortality rate, especially in patients with comorbidities such as diabetes, cardiovascular and kidney diseases. This could be attributed to dysregulated immune responses and severe systemic inflammation in COVID-19 patients. The use of effective antiviral drugs against SARS-CoV-2 and modulation of the immune responses could be a potential therapeutic strategy for COVID-19. Studies have shown that natural phenolic compounds have several pharmacological properties, including anticoronavirus and immunomodulatory activities. Therefore, this review discusses the dual action of these natural products from the perspective of applicability at COVID-19.

show abstract

“…For example, 37% of ICUs throughout Asian countries do not have NPRs. Since most Latin American countries are classified as middle income, hospitals have insufficient infrastructure and equipment, such as NPRs [18][19][20]. Therefore, longitudinal studies about SARS-CoV-2 surface contamination in hospitals with different infrastructures are needed to improve our understanding of their effectiveness in patient healthcare and to advance our knowledge about viral spread.…”

Section: Introductionmentioning

confidence: 99%

One-Year Monitoring SARS-CoV-2 RNA Surface Contamination in Hospitals Reveals No Correlation with Organic Material and Negative Pressure as a Limiting Factor for Contamination

et al. 2022

View full text Add to dashboard Cite

Fast tracking intensive care units and operation rooms during the COVID-19 pandemic in resource limited settings

Cited by 4 publications

References 24 publications

Development and evaluation of best practice advisory alert for patient eligibility in a hospital‐at‐home program: A multicenter retrospective study

Development and evaluation of best practice advisory alert for patient eligibility in a hospital‐at‐home program: A multicenter retrospective study

Anticoronavirus and Immunomodulatory Phenolic Compounds: Opportunities and Pharmacotherapeutic Perspectives

One-Year Monitoring SARS-CoV-2 RNA Surface Contamination in Hospitals Reveals No Correlation with Organic Material and Negative Pressure as a Limiting Factor for Contamination

Contact Info

Product

Resources

About