Intensive care units during the Ukraine war: challenges and opportunities

Бєлка, К. Ю.; Kuchyn, Iurii; Horoshko, Vasyl

doi:10.1007/s00134-023-07117-5

Cited by 10 publications

(7 citation statements)

References 9 publications

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“…Aside from difficulties in caring for patients suffering from chronic illnesses comes the daily horror of those in need of acute trauma care due to intense combat activities, from severe open blast injuries 33-35 to burns to traumas related to gender-based violence. 36,37 Across Ukraine, its healthcare system trying to deliver care to those patients in need, despite daily air raids, occasional rocket attacks, and Russian troops marauding.…”

Section: Discussionmentioning

confidence: 99%

Leading patient-centric crisis preparedness in healthcare: Lessons from Ukraine

Landre

2023

Healthc Manage Forum

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Challenges in the delivery of high-quality patient centric care in Canada is plagued by staff and medical supplies shortages and spiking burnout rates leading to closures of more than a thousand emergency rooms in 2023. A literature review was conducted to examine the crisis preparedness and responsiveness of healthcare establishments in Ukraine in a warfare context, with the intent of exacting recommendations to respond to shortages in Canadian hospitals. Utilizing queries on distinct databases, more than 17,500 entries were found, narrowed, and selected for review. Managerial implications for Canadian establishments include: (1) adapting a change management approach, (2) capitalizing on existing assets, resources, and networks, (3) recognizing cyclical patterns to prevent negative outcomes, (4) planning for and attending to the vulnerabilities of specific sub-population groups, (5) utilizing geolocated analytics, and (6) exploiting external expertise and volunteer network through tailored working conditions.

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Section: Discussionmentioning

confidence: 99%

Leading patient-centric crisis preparedness in healthcare: Lessons from Ukraine

Landre

2023

Healthc Manage Forum

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“…War inevitably brings enormous damage and disruption to health care systems . Before the war, Ukraine had 3 tiers of hospital system: primary hospital units, which include health posts, health centers, and primary hospitals; secondary care provided by general hospitals; and tertiary care served by specialized referral hospitals.…”

Section: Introductionmentioning

confidence: 99%

“…War inevitably brings enormous damage and disruption to health care systems. 1 , 2 , 3 , 4 , 5 , 6 , 7 Before the war, Ukraine had 3 tiers of hospital system: primary hospital units, which include health posts, health centers, and primary hospitals; secondary care provided by general hospitals; and tertiary care served by specialized referral hospitals. Once part of the Soviet Union, Ukraine’s hospital system was deeply rooted in the Soviet regime when the country gained independence in 1991.…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Ukrainian Hospital Services and Functions Before and During the Russia-Ukraine War

Haque,

Bukhari,

Fiedler

et al. 2024

JAMA Health Forum

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ImportanceSince the full-scale Russian invasion, hospitals in Ukraine have been compelled to close or operate at reduced capacity due to inadequate supplies, damage, or destruction caused by war.ObjectiveTo analyze hospital services in Ukraine during the period before and after the Russian invasion.Design, Setting, and ParticipantsOf the 450 hospitals currently functioning in Ukraine, a cross-sectional survey was carried out with the participation of 74 hospitals from 12 oblasts. Hospital administrators responded to an online survey with questions on the use of hospital services. Data were abstracted from hospital databases for the prewar period (before February 23, 2022) and during the war (February 23, 2022, to May 30, 2023).Main Outcomes and MeasuresHospital services (including emergency services, preventive services, screenings, laboratory tests, obstetrics, telehealth, pharmacy, and rehabilitation services) were compared during the prewar and war periods.ResultsOf 450 Ukrainian hospitals in operation, 74 hospitals (16.0%) across 12 oblasts provided data for the current analyses. During the war, daily emergency admissions increased to 2830, compared with 2773 before the war. At the same time, hospitals reported reduced laboratory testing (72 [97%] vs 63 [85%]), tobacco education (52 [70%] vs 36 [49%]), cancer screening (49 [66%] vs 37 [50%]), gynecological services (43 [58%] vs 32 [43%]), rehabilitation services (37 [50%] vs 27 [36%]), pharmacy services (36 [49%] vs 27 [36%]), and telehealth programs (33 [45%] vs 21 [28%]). Hospitals reported additional difficulties during the war, including disruptions in the supply chain for essential equipment and pharmaceuticals, shortages of laboratory test kits, delays in the delivery of crucial medications, and problems around appropriate medication storage due to power outages.Conclusions and RelevanceThe ongoing war has inflicted profound devastation on Ukraine’s hospitals. The findings of this cross-sectional survey offer valuable insights into the formidable challenges that hospitals confront in war-affected regions and underscore the pressing necessity for bolstering support to sustain and enhance hospital services during wartime.

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“…The infection of damaged tissues has long been a challenge in the medical field ( Bielka et al, 2023 ). Infection with bacteria, viruses, or other pathogenic microorganisms hinders natural healing and prolongs recovery time ( Wang et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Photothermal hydrogels for infection control and tissue regeneration

Sun,

Jiang,

Dong

et al. 2024

Front. Bioeng. Biotechnol.

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In this review, we report investigating photothermal hydrogels, innovative biomedical materials designed for infection control and tissue regeneration. These hydrogels exhibit responsiveness to near-infrared (NIR) stimulation, altering their structure and properties, which is pivotal for medical applications. Photothermal hydrogels have emerged as a significant advancement in medical materials, harnessing photothermal agents (PTAs) to respond to NIR light. This responsiveness is crucial for controlling infections and promoting tissue healing. We discuss three construction methods for preparing photothermal hydrogels, emphasizing their design and synthesis, which incorporate PTAs to achieve the desired photothermal effects. The application of these hydrogels demonstrates enhanced infection control and tissue regeneration, supported by their unique photothermal properties. Although research progress in photothermal hydrogels is promising, challenges remain. We address these issues and explore future directions to enhance their therapeutic potential.

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Intensive care units during the Ukraine war: challenges and opportunities

Cited by 10 publications

References 9 publications

Leading patient-centric crisis preparedness in healthcare: Lessons from Ukraine

Leading patient-centric crisis preparedness in healthcare: Lessons from Ukraine

A Comparison of Ukrainian Hospital Services and Functions Before and During the Russia-Ukraine War

Photothermal hydrogels for infection control and tissue regeneration

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