Interhospital Transfer of Critically Ill Patients Because of Coronavirus Disease 19–Related Respiratory Failure

Allen, Rebecca; Wanersdorfer, Karen; Zebley, James A; Shapiro, Geoff; Coullahan, Tiffany; Sarani, Babak

doi:10.1016/j.amj.2020.07.007

Cited by 30 publications

(52 citation statements)

References 9 publications

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“…Transport teams were all composed of at least one EP and one emergency nurse for each patient, and another physician was present as a team leader to coordinate the transport, but also as a referent in case of adverse event or need. However, a previous study showed that short air transport (25 min) for COVID-19 patients can be safe and feasible [22,23].…”

Section: The Necessity To Help Overcrowded Areasmentioning

confidence: 98%

Impact of Air Transport on SpO2/FiO2 among Critical COVID-19 Patients during the First Pandemic Wave in France

Bouillon‐Minois

Roux

Jabaudon

et al. 2021

JCM

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During the first wave of the COVID-19 pandemic, some French regions were more affected than others. To relieve those areas most affected, the French government organized transfers of critical patients, notably by plane or helicopter. Our objective was to investigate the impact of such transfers on the pulse oximetric saturation (SpO2)-to-inspired fraction of oxygen (FiO2) ratio among transferred critical patients with COVID-19. We conducted a retrospective study on medical and paramedical records. The primary endpoint was the change in SpO2/FiO2 during transfers. Thirty-eight patients were transferred between 28 March and 5 April 2020, with a mean age of 62.4 years and a mean body mass index of 29.8 kg/m2. The population was 69.7% male, and the leading medical history was hypertension (42.1%), diabetes (34.2%), and dyslipidemia (18.4%). Of 28 patients with full data, we found a decrease of 28.9 points in SpO2/FiO2 (95% confidence interval, 5.8 to 52.1, p = 0.01) between the starting and the arrival intensive care units (SpO2/FiO2, 187.3 ± 61.3 and 158.4 ± 62.8 mmHg, respectively). Air medical transfers organized to relieve intensive care unit teams under surging conditions during the first COVID wave were associated with significant decreases in arterial oxygenation.

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Section: The Necessity To Help Overcrowded Areasmentioning

confidence: 98%

Impact of Air Transport on SpO2/FiO2 among Critical COVID-19 Patients during the First Pandemic Wave in France

Bouillon‐Minois

Roux

Jabaudon

et al. 2021

JCM

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“…It is common for the patients to experience adverse events during transport, even the shortest transport may cause life-threatening conditions [ 7 , 9 – 11 ]. Patient transport can lead to various adverse events such as severe hypotension, decreasing level of consciousness, oxygen desaturation, accidental extubation, poorly or incorrectly placed endotracheal tube, procedural errors, neurological deterioration, medication errors, accidental physical injuries, longer hospital, and intensive care unit (ICU) stay, and death [ 7 , 10 , 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

The status of prehospital care delivery for COVID-19 patients in Addis Ababa, Ethiopia: The study emphasizing adverse events occurring in prehospital transport and associated factors

2022

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Background COVID-19 patients may require emergency medical services for emergent treatment and/or transport to a hospital for further treatment. However, it is common for the patients to experience adverse events during transport, even the shortest transport may cause life-threatening conditions. Most of the studies that have been done on prehospital care of COVID-19 patients were conducted in developed countries. Differences in population demographics and economy may limit the generalizability of available studies. So, this study was aimed at investigating the status of prehospital care delivery for COVID-19 patients in Addis Ababa focusing on adverse events that occurred during transport and associated factors. Methods A total of 233 patients consecutively transported to Saint Paul’s Hospital Millennium Medical College from November 6 to December 31, 2020, were included in the study. A team of physicians and nurses collected the data using a structured questionnaire. Descriptive statistics were used to summarize data, and ordinal logistic regression was carried out to assess the association between explanatory variables and the outcome variable. Results are presented using frequency, percentage, chi-square, crude and adjusted odds ratios (OR) with 95% confidence intervals. Results The overall level of adverse events in prehospital setting was 44.2%. Having history of at least one chronic medical illness, [AOR3.2 (95%; CI; 1.11–9.53)]; distance traveled to reach destination facility, [AOR 0.11(95%; CI; 0.02–0.54)]; failure to recognize and administer oxygen to the patient in need of oxygen, [AOR 15.0(95%; CI; 4.0–55.7)]; absent or malfunctioned suctioning device, [AOR 4.0(95%; CI; 1.2–13.0)]; patients handling mishaps, [AOR 12.7(95%; CI; 2.9–56.8)] were the factors associated with adverse events in prehospital transport of COVID-19 patients. Conclusions There were a significant proportion of adverse events in prehospital care among COVID-19 patients. Most of the adverse events were preventable. There is an urgent need to strengthen prehospital emergency care in Ethiopia by equipping the ambulances with essential and properly functioning equipment and trained manpower. Awareness creation and training of transport staff in identifying potential hazards, at-risk patients, adequate documentation, and patient handling during transport could help to prevent or minimize adverse events in prehospital care.

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“…Civilian transport services made similar efforts to augment critical care and infection isolation capabilities for interfacility transports of critically ill patients with COVID-19. 7,8 The aim of this study was to describe characteristics and in-flight interventions for patients with COVID-19 requiring aeromedical evacuation by CCATT. Describing critically ill patients with COVID-19 and resources utilized for aeromedical evacuation will help inform planning and delivery of future en route care for COVID-19 and other highly contagious diseases.…”

Section: Introductionmentioning

confidence: 99%

Descriptive Analysis of Coronavirus Disease 2019 Air Medical Evacuations by Critical Care Air Transport Teams

Davis

Cutright

et al. 2022

Air Medical Journal

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Interhospital Transfer of Critically Ill Patients Because of Coronavirus Disease 19–Related Respiratory Failure

Cited by 30 publications

References 9 publications

Impact of Air Transport on SpO2/FiO2 among Critical COVID-19 Patients during the First Pandemic Wave in France

Impact of Air Transport on SpO2/FiO2 among Critical COVID-19 Patients during the First Pandemic Wave in France

The status of prehospital care delivery for COVID-19 patients in Addis Ababa, Ethiopia: The study emphasizing adverse events occurring in prehospital transport and associated factors

Descriptive Analysis of Coronavirus Disease 2019 Air Medical Evacuations by Critical Care Air Transport Teams

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