ICU organization and disparities in clinical trajectories and outcomes during the pandemic

Pitrowsky, Melissa Tassano; Quintairos, Amanda; Salluh, Jorge I.

doi:10.1007/s00134-022-06728-8

Cited by 4 publications

(1 citation statement)

References 5 publications

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“…However, it should be acknowledged that these good practices have not always been followed with disparities between centers and countries. It has been suggested that the high between-center heterogeneity of patient trajectories and outcomes may be at least partially due to a wide disparity in triage criteria [ 100 ], including age [ 96 , 101 ]. It should be pointed out that the personalized benefit/risk balance of triage decisions in an unprecedented situation with a lack of evidence regarding disease progression, prognostic factors, and potential sequelae is a difficult matter, and that simple severity scores developed outside COVID have been shown to be inaccurate [ 102 ].…”

Section: Main Textmentioning

confidence: 99%

The positive impact of COVID-19 on critical care: from unprecedented challenges to transformative changes, from the perspective of young intensivists

Hermann

Benghanem

Jouan

et al. 2023

Ann. Intensive Care

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Over the past 2 years, SARS-CoV-2 infection has resulted in numerous hospitalizations and deaths worldwide. As young intensivists, we have been at the forefront of the fight against the COVID-19 pandemic and it has been an intense learning experience affecting all aspects of our specialty. Critical care was put forward as a priority and managed to adapt to the influx of patients and the growing demand for beds, financial and material resources, thereby highlighting its flexibility and central role in the healthcare system. Intensivists assumed an essential and unprecedented role in public life, which was important when claiming for indispensable material and human investments. Physicians and researchers around the world worked hand-in-hand to advance research and better manage this disease by integrating a rapidly growing body of evidence into guidelines. Our daily ethical practices and communication with families were challenged by the massive influx of patients and restricted visitation policies, forcing us to improve our collaboration with other specialties and innovate with new communication channels. However, the picture was not all bright, and some of these achievements are already fading over time despite the ongoing pandemic and hospital crisis. In addition, the pandemic has demonstrated the need to improve the working conditions and well-being of critical care workers to cope with the current shortage of human resources. Despite the gloomy atmosphere, we remain optimistic. In this ten-key points review, we outline our vision on how to capitalize on the lasting impact of the pandemic to face future challenges and foster transformative changes of critical care for the better.

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