Hospital Response to COVID-19 A Consensus Report on Ain Shams University Hospital Strategy

Abstract

Socioeconomically disadvantaged people are more frequent users of healthcare, as are the elderly. This situation is now disrupted with the rapid onset COVID-19 pandemic and its effect on the health system. Amidst a great deal of uncertainty and mixed messages from the WHO, Ministries of health and scientific communities, a methodology to keep the standard operating procedures of the school needs to be in place in order to allow the hospital to respond to its catchment area requirements. A number of focus groups and planning sessions were conducted using a purposeful sample of service providers in Ain Shams University Hospitals. A set of three guiding documents were generated and tested for agreeability and utility. All hospitals need to join forces to systematically organize the chaotic situation we are living with this post COVID-19 pandemic.

Comparison of hemoglobin level and neutrophil to lymphocyte ratio as prognostic markers in patients with COVID-19

“…The patients were divided into three groups based on disease severity according to the Ain Shams University Hospitals Consensus Statement on Management of Adult COVID-19 Patients. 20 Mild COVID-19 was defined as patients who were either: (i) asymptomatic with abnormal laboratory findings (D-dimer <1 mg/L, absolute white blood cell count <800/μL, ferritin <500 ng/mL, liver function within normal) or computed tomography (CT) findings of COVID-19 pneumonia, or (ii) symptomatic with no CT findings of COVID-19 pneumonia. Moderate COVID-19 was defined as patients who were symptomatic with clinical signs of non-severe pneumonia (e.g., fever, cough, dyspnea) as well as CT findings of COVID-19 pneumonia and/or abnormal laboratory findings.…”

Role of hemogram-derived ratios and systemic-Immune inflammation index in prediction of COVID-19 progression in Egyptian patients

“…Consensus Statement on Management of Adult COVID-19 Patients. It was as follows: (a) mild cases: asymptomatic with abnormal laboratory findings or high-resolution computed tomography (HRCT) findings of COVID-19 pneumonia /or symptomatic with no HRCT findings of COVID-19 pneumonia; (b) moderate cases: symptomatic with clinical signs of non-severe pneumonia (e.g., fever, cough, dyspnea) and HRCT findings of COVID-19 pneumonia and/or abnormal laboratory test results; (c) severe cases: at rest oxygen saturation of ≤ 93%; dyspnea with a respiratory rate of ≥ 30 breath/min; arterial partial oxygen pressure (PaO2)/fraction of inspired oxygen (FiO2) ≤ 300 mmHg; (d) critical cases: occurrence of respiratory failure requiring mechanical ventilation; presence of shock; sepsis, and other organ failure that requires monitoring and treatment in the ICU [5]. Based on the above classification, we divided all patients into two groups: (1) the mild group, and (2) the moderate to severe group, including moderate, severe and critical types.…”

COVID-19 pandemic: CT chest in COVID-19 infection and prediction of patient’s ICU needs

“…Data collection about the clinical decision taken at the time of presentation either home isolation, hospitalization, or the need for ICU admission which was taken by the triage team following the hospital guidelines for COVID-19 management depending on symptoms, laboratory findings, oxygen saturation, and presence of risk factors for disease progression [15].…”