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Pierre SD, Ramos MC, Shimizu HE. What Are the Best Practices for Nursing Care during an Earthquake? A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:535. [PMID: 38791751 PMCID: PMC11120831 DOI: 10.3390/ijerph21050535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Revised: 02/29/2024] [Accepted: 03/08/2024] [Indexed: 05/26/2024]
Abstract
Among natural disasters, earthquakes have a considerable impact and are among the ten deadliest, with an extreme impact on the healthcare sector. This study aimed to analyze the best practices in nursing care for earthquake victims. An in-depth analysis was carried out by using a scoping review, a method used in accordance with the PRISMA-ScR recommendations, to identify best nursing practice in these circumstances based on searches of eight databases: MEDLINE via PubMed; Cochrane Library; Embase; VHL; PDQ-Evidence; Scopus; ProQuest; and Google Scholar. Twenty-one studies were selected. The nursing practices identified were grouped into two distinct dimensions, each subdivided into four subcategories: (i) care practices: (a) immediate care, (b) intermediate care, (c) psychosocial care, and (d) ethical care; (ii) care management and coordination practices, which cover (a) care coordination, (b) victim care network organization, (c) teamwork, and (d) training. By analyzing these nursing practices during care and relief operations for earthquake victims, this study identified the various actions carried out, the nursing skills to be developed, and the reinforcement of these advanced practices through the systematization of nurses' skills, in order to promote victims' rehabilitation, minimize their suffering, and improve their quality of life during and after an earthquake.
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Affiliation(s)
- Sherley Dorothie Pierre
- Postgraduate Programme in Nursing, Faculty of Health Sciences, Darcy Ribeiro University Campus, University of Brasilia, Brasilia 70910-900, Brazil;
| | - Maíra Catharina Ramos
- Postgraduate Programme in Public Health, Faculty of Health Sciences, Darcy Ribeiro University Campus, University of Brasilia, Brasilia 70910-900, Brazil;
| | - Helena Eri Shimizu
- Faculty of Health Sciences, Darcy Ribeiro University Campus, University of Brasilia, Brasilia 70910-900, Brazil
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Kasaoka S, Naito H, Uchigashima Y. Poor Environmental Conditions Created the Acute Health Deteriorations in Evacuation Shelters after the 2016 Kumamoto Earthquake. TOHOKU J EXP MED 2023; 261:309-315. [PMID: 37880131 DOI: 10.1620/tjem.2023.j088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Abstract
When disasters occur, affected people in evacuation shelters may experience health problems, such as exacerbation of chronic diseases or development of new diseases. This study examined the factors contributing to sudden illness in evacuation shelters used for the 2016 Kumamoto Earthquake. The subjects were evacuees of the Kumamoto Earthquake who were transported to hospitals from evacuation shelters by ambulance. Data on patients transported from evacuation shelters were obtained from emergency transport records at the Kumamoto City Fire Department and from medical institutions. The assessment of the living conditions in the shelter was obtained from the Emergency Medical Information System. A total of 576 patients were transported by ambulance from evacuation shelters in Kumamoto City. Of these, 300 patients for whom detailed information was obtained from medical institutions were included in the analysis. The median age was 71 years, and 213 patients (71%) were over 60 years old. There were 235 patients (78%) with pre-existing medical conditions. The most common reasons for emergency transport were falls and dyspnea, followed by fever, disturbance of consciousness, and abdominal pain. The most common final diagnosis at the medical institutions was trauma due to falls, followed by cardiovascular disease, infectious disease, and cerebral neurological disease. A survey of living conditions in the shelters identified problems with scarcity of space and provision of medical care and food. In order to prevent adverse health outcomes in evacuation shelters, the provision of appropriate living conditions and medical care is important from the acute phase of a disaster.
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Affiliation(s)
- Shunji Kasaoka
- Disaster Medical Education and Research Center, Kumamoto University Hospital
| | - Hisaki Naito
- Disaster Medical Education and Research Center, Kumamoto University Hospital
| | - Yuri Uchigashima
- Disaster Medical Education and Research Center, Kumamoto University Hospital
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Saadatmand V, Ahmadi Marzaleh M, Abbasi HR, Peyravi MR, Shokrpour N. Emergency medical services preparedness in mass casualty incidents: A qualitative study. Health Sci Rep 2023; 6:e1629. [PMID: 37867788 PMCID: PMC10587387 DOI: 10.1002/hsr2.1629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 09/12/2023] [Accepted: 10/05/2023] [Indexed: 10/24/2023] Open
Abstract
Background and Aims The effective response of emergency medical services in mass casualty incidents (MCIs) calls for sufficient preparation. The components of preparation must be determined first to achieve this goal. This study aimed to describe the elements of preparedness of emergency medical services for MCIs. Methods A qualitative study was carried out on emergency medical service systems in Iran (from April 2022 to mid-March 2023), using in-depth semistructured interviews with participants who were managers and members of the incident command team, experts, technicians, paramedics, and telecommunicators of emergency medical services. Interviews were carried out face-to-face and via telephone. The data were collected using voice recorder and transcript and analyzed by content analysis method. This study was conducted using the consolidated criteria for reporting qualitative research. Results Thirty-six participants were included in the study. A total of 834 codes were analyzed. Thirteen components were extracted from the study and classified as five categories including "Strengthening management and organization," "individual and group empowerment," "capacity expansion," "technology and infrastructure development," and "operational response measures." Conclusion Emergency medical service preparedness in response to MCIs is a critical issue. For improving preparedness, the main components must be identified. The study results described the elements of emergency medical service preparedness, which could be used as a framework for developing the national model of emergency medical service preparedness in MCIs.
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Affiliation(s)
- Vahid Saadatmand
- Department of Health in Disasters and Emergencies, School of Health Management and Medical Information SciencesShiraz University of Medical SciencesShirazIran
| | - Milad Ahmadi Marzaleh
- Department of Health in Disasters and Emergencies, School of Health Management and Medical Information SciencesFaculty of Shiraz University of Medical SciencesShirazIran
| | - Hamid Reza Abbasi
- Department of Surgery, School of MedicineFaculty of Shiraz University of Medical SciencesShirazIran
| | - Mahmoud Reza Peyravi
- Department of Health in Disasters and Emergencies, School of Health Management and Medical Information SciencesFaculty of Shiraz University of Medical SciencesShirazIran
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Yanagawa Y, Ishibashi M, Iida T, Horii K, Morohashi I, Kanda A, Wakai S, Shimoyama K. Use of a Helicopter Emergency Medical Service Hangar as a Staging Care Unit in a Disaster-Affected Area. Air Med J 2023; 42:213-217. [PMID: 37150577 DOI: 10.1016/j.amj.2023.01.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 12/07/2022] [Accepted: 01/13/2023] [Indexed: 05/09/2023]
Abstract
OBJECTIVE There are a few reports regarding the use of a hangar as a temporal medical facility (staging care unit [SCU]) during large-scale disasters. The aim of this study was to describe the activities performed by disaster medical assistance teams (DMATs) at the hangar of the eastern Shizuoka physician-staffed helicopter as an SCU in the 2022 Shizuoka Prefecture disaster drill. METHODS We selected the narrative method for this study. RESULTS Four DMATs helped manage the SCU at the hangar. During the training period, there were 3 instances of a mock doctor helicopter landing and takeoff and 1 actual eastern Shizuoka doctor helicopter landing and takeoff while transporting a mock burn patient. Four DMATs treated 3 mock patients in addition to receiving training regarding medical materials. Such an SCU was able to reduce the burden on the disaster base hospital because many severely ill or traumatized mock patients were transported to the hospital. However, an evaluation meeting held after the drill revealed problems with lifelines, safety management, stock, and quality management of materials in an actual disaster situation. CONCLUSION We reported our experience with a training exercise using a hangar of the eastern Shizuoka doctor helicopter as an SCU in the 2022 Shizuoka Prefecture disaster drill. There are advantages and disadvantages to using the hangar of a doctor helicopter in this way, so further investigation will be necessary.
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Affiliation(s)
- Youichi Yanagawa
- Shizuoka Hospital, Juntendo University, Izunokuni, Shizuoka, Japan.
| | | | - Toshihide Iida
- Shizuoka Hospital, Juntendo University, Izunokuni, Shizuoka, Japan
| | - Kazuki Horii
- Shizuoka Hospital, Juntendo University, Izunokuni, Shizuoka, Japan
| | - Itaru Morohashi
- Shizuoka Hospital, Juntendo University, Izunokuni, Shizuoka, Japan
| | - Akio Kanda
- Shizuoka Hospital, Juntendo University, Izunokuni, Shizuoka, Japan
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Tachikawa H, Kubo T, Gomei S, Takahashi S, Kawashima Y, Manaka K, Mori A, Kondo H, Koido Y, Ishikawa H, Otsuru T, Nogi W. Mental health needs associated with COVID-19 on the diamond princess cruise ship: A case series recorded by the disaster psychiatric assistance team. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2022; 81:103250. [PMID: 36032696 PMCID: PMC9391089 DOI: 10.1016/j.ijdrr.2022.103250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 07/12/2022] [Accepted: 08/11/2022] [Indexed: 06/15/2023]
Abstract
Coronavirus disease 2019 (COVID-19) infection prevention measures have led to a variety of mental health issues. Although several self-care methods have been recommended for those quarantined, evidence regarding how best to support quarantined people experiencing a mental health crisis is limited. In February 2020, the Diamond Princess cruise ship was quarantined in Yokohama port, Japan following a passenger testing positive for COVID-19. We were sent to address the mental health issues as the Disaster Psychiatric Assistance Team (DPAT). In the present study, we examined the acute mental health needs of the passengers and crew collected by the DPAT using the standard Emergency Medical Team daily reporting system. We assessed 206 cases (99 men and 107 women) with generic health issues and 127 cases (39 men and 88 women) with mental health issues. Mental health issues including disaster stress-related symptoms were as frequent as physical health events associated with COVID-19. The most significant mental health issue was anxiety, as an acute psychological reaction to the quarantine situation. Women and crews most frequently needed mental health support. Mental health improved in most clients after brief counseling. Although several passengers experienced suicidal ideation, there were no cases of actual suicide attempts during the quarantine period. This case has been regarded as a well-known public health event at the beginning of the COVID-19 era. In addition to physical health support, disaster mental health support was essential to save lives. Our findings may facilitate responses to future quarantines, accidents, and mental health crises.
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Affiliation(s)
- Hirokazu Tachikawa
- Department of Disaster and Community Psychiatry, University of Tsukuba, Japan
| | - Tatsuhiko Kubo
- Department of Public Health and Health Policy, Hiroshima University, Hiroshima, Japan
| | - Sayaka Gomei
- Department of Emergency and Critical Care Medicine, Dokkyo Medical University Saitama Medical Center, Japan
- DPAT Secretariat, Tokyo, Japan
| | - Sho Takahashi
- Department of Disaster and Community Psychiatry, University of Tsukuba, Japan
| | - Yuzuru Kawashima
- DPAT Secretariat, Tokyo, Japan
- National Hospital Organization Headquarter DMAT Secretariat, Tokyo, Japan
| | - Kazunori Manaka
- Ibaraki Prefectural Medical Center of Psychiatry, Ibaraki, Japan
| | | | - Hisayoshi Kondo
- National Hospital Organization Headquarter DMAT Secretariat, Tokyo, Japan
| | - Yuichi Koido
- National Hospital Organization Headquarter DMAT Secretariat, Tokyo, Japan
| | | | - Taku Otsuru
- National Hospital Organization, Ryukyu Hospital, Japan
| | - Wataru Nogi
- DPAT Secretariat, Tokyo, Japan
- Bifukai Hamadera Hospital, Osaka, Japan
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Roles of Dental Care in Disaster Medicine in Japan. CURRENT ORAL HEALTH REPORTS 2022; 9:111-118. [PMID: 35789816 PMCID: PMC9244076 DOI: 10.1007/s40496-022-00314-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 05/26/2022] [Indexed: 10/30/2022]
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Kaneda Y, Ozaki A, Wada M, Kurokawa T, Sawano T, Tsubokura M, Tanimoto T, Kanemoto Y, Ejiri T, Kanzaki N. Possible association of Typhoon Hagibis and the COVID-19 pandemic on patient delay in breast cancer patients: A case report. Clin Case Rep 2022; 10:e05621. [PMID: 35356170 PMCID: PMC8939041 DOI: 10.1002/ccr3.5621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 02/19/2022] [Accepted: 03/07/2022] [Indexed: 11/25/2022] Open
Abstract
Little is known on how different types of disasters interact in their impacts on patient care. We experienced a breast cancer patient whose initial presentation was delayed for 2 years due to the COVID-19 pandemic and Typhoon Hagibis. Increasing awareness is needed on the combined impacts of disasters on breast cancer management.
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Affiliation(s)
- Yudai Kaneda
- School of MedicineHokkaido UniversitySapporoHokkaidoJapan
| | - Akihiko Ozaki
- Department of Breast SurgeryJyoban Hospital of Tokiwa FoundationIwakiFukushimaJapan
| | - Masahiro Wada
- Department of Breast SurgeryJyoban Hospital of Tokiwa FoundationIwakiFukushimaJapan
- Department of Breast SurgerySano Kosei General HospitalSanoTochigiJapan
| | - Tomohiro Kurokawa
- Department of SurgeryJyoban Hospital of Tokiwa FoundationIwakiFukushimaJapan
| | - Toyoaki Sawano
- Department of SurgeryJyoban Hospital of Tokiwa FoundationIwakiFukushimaJapan
- Department of Radiation Health ManagementFukushima Medical University School of MedicineIwakiFukushimaJapan
| | - Masaharu Tsubokura
- Department of Radiation Health ManagementFukushima Medical University School of MedicineIwakiFukushimaJapan
| | - Tetsuya Tanimoto
- Department of Internal MedicineJyoban Hospital of Tokiwa FoundationIwakiFukushimaJapan
| | - Yoshiaki Kanemoto
- Department of SurgeryJyoban Hospital of Tokiwa FoundationIwakiFukushimaJapan
| | - Tomozo Ejiri
- Department of SurgeryJyoban Hospital of Tokiwa FoundationIwakiFukushimaJapan
| | - Norio Kanzaki
- Department of SurgeryJyoban Hospital of Tokiwa FoundationIwakiFukushimaJapan
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Coates A, Fuad AO, Hodgson A, Bourgeault IL. Health workforce strategies in response to major health events: a rapid scoping review with lessons learned for the response to the COVID-19 pandemic. HUMAN RESOURCES FOR HEALTH 2021; 19:154. [PMID: 34930337 PMCID: PMC8685817 DOI: 10.1186/s12960-021-00698-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 12/07/2021] [Indexed: 05/22/2023]
Abstract
BACKGROUND The early weeks of the COVID-19 pandemic brought multiple concurrent threats-high patient volume and acuity and, simultaneously, increased risk to health workers. Healthcare managers and decision-makers needed to identify strategies to mitigate these adverse conditions. This paper reports on the health workforce strategies implemented in relation to past large-scale emergencies (including natural disasters, extreme weather events, and infectious disease outbreaks). METHODS We conducted a rapid scoping review of health workforce responses to natural disasters, extreme weather events, and infectious disease outbreaks reported in the literature between January 2000 and April 2020. The 3582 individual results were screened to include articles which described surge responses to past emergencies for which an evaluative component was included in the report. A total of 37 articles were included in our analysis. RESULTS The reviewed literature describes challenges related to increased demand for health services and a simultaneous decrease in the availability of the workforce. Many articles also described impacts on infrastructure that hindered emergency response. These challenges aligned well with those faced during the early days of the COVID-19 pandemic. In the published literature, the workforce strategies that were described aimed either to increase the numbers of health workers in a given area, to increase the flexibility of the health workforce to meet needs in new ways, or to support and sustain health workers in practice. Workforce responses addressed all types and cadres of health workers and were executed in a wide range of settings. We additionally report on the barriers and facilitators of workforce strategies reported in the literature reviewed. The strategies that were reported in the literature aligned closely with our COVID-specific conceptual framework of workforce capacity levers, suggesting that our framework may have heuristic value across many types of health disasters. CONCLUSIONS This research highlights a key deficiency with the existing literature on workforce responses to emergencies: most papers lack substantive evaluation of the strategies implemented. Future research on health workforce capacity interventions should include robust evaluation of impact and effectiveness.
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Affiliation(s)
- Alison Coates
- Telfer School of Management, University of Ottawa, Ottawa, Canada
| | | | - Amanda Hodgson
- University of Ottawa Library, Ottawa, Canada
- Present Address: Canadian Agency for Drugs and Technologies in Health (CADTH), Ottawa, Canada
| | - Ivy Lynn Bourgeault
- School of Sociological and Anthropological Studies, University of Ottawa & Lead, Canadian Health Workforce Network, Ottawa, Canada
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Fujii S, Nonaka S, Nakayama M. Use of Medical Information and Digital Services for Self-Empowerment before, during, and after a Major Disaster. TOHOKU J EXP MED 2021; 255:183-194. [PMID: 34853210 DOI: 10.1620/tjem.255.183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Disaster response procedures have been developed and improved following the Great East Japan Earthquake. Innovative services have also been created through digital transformation, including an acceleration and deepening of artificial intelligence technology. Things that were once technically impossible are now possible. These innovative technologies will spread across various fields, and disaster response will not be an exception. The Ministry of Health, Labour and Welfare is promoting the use of personal health records in a way that effectively supports the management of treatments by using data from wearable devices and specific applications. During the COVID-19 pandemic, the trade-off between protecting personal information and enabling social benefits, such as in the use of digital tracking, and infodemics, including misinformation, have become new social challenges. Reviewing past disaster preparedness and the services and value provided by digital transformation indicates what new disaster preparedness should be. Digital transformation does not require literacy (ability to collect, analyze, and use information) but competence (beneficial behavioral traits derived from experience). Understanding behavior through data and enabling rational behavior are crucial. By increasing human productivity, we can save time and improve self- and mutual-help in times of disaster. Medical information and digital services must be properly used in normal times. A society that uses such services will be more disaster resilient.
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Affiliation(s)
- Susumu Fujii
- Disaster Medical Informatics Lab, International Research Institute of Disaster Science (IRIDeS), Tohoku University
| | - Sayuri Nonaka
- Disaster Medical Informatics Lab, International Research Institute of Disaster Science (IRIDeS), Tohoku University
| | - Masaharu Nakayama
- Disaster Medical Informatics Lab, International Research Institute of Disaster Science (IRIDeS), Tohoku University.,Department of Medical Informatics, Tohoku University School of Medicine
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Schopow N, Osterhoff G, von Dercks N, Girrbach F, Josten C, Stehr S, Hepp P. Central COVID-19 Coordination Centers in Germany: Description, Economic Evaluation, and Systematic Review. JMIR Public Health Surveill 2021; 7:e33509. [PMID: 34623955 PMCID: PMC8604254 DOI: 10.2196/33509] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Revised: 09/27/2021] [Accepted: 10/05/2021] [Indexed: 12/26/2022] Open
Abstract
Background During the COVID-19 pandemic, Central COVID-19 Coordination Centers (CCCCs) have been established at several hospitals across Germany with the intention to assist local health care professionals in efficiently referring patients with suspected or confirmed SARS-CoV-2 infection to regional hospitals and therefore to prevent the collapse of local health system structures. In addition, these centers coordinate interhospital transfers of patients with COVID-19 and provide or arrange specialized telemedical consultations. Objective This study describes the establishment and management of a CCCC at a German university hospital. Methods We performed economic analyses (cost, cost-effectiveness, use, and utility) according to the CHEERS (Consolidated Health Economic Evaluation Reporting Standards) criteria. Additionally, we conducted a systematic review to identify publications on similar institutions worldwide. The 2 months with the highest local incidence of COVID-19 cases (December 2020 and January 2021) were considered. Results During this time, 17.3 requests per day were made to the CCCC regarding admission or transfer of patients with COVID-19. The majority of requests were made by emergency medical services (601/1068, 56.3%), patients with an average age of 71.8 (SD 17.2) years were involved, and for 737 of 1068 cases (69%), SARS-CoV-2 had already been detected by a positive polymerase chain reaction test. In 59.8% (639/1068) of the concerned patients, further treatment by a general practitioner or outpatient presentation in a hospital could be initiated after appropriate advice, 27.2% (291/1068) of patients were admitted to normal wards, and 12.9% (138/1068) were directly transmitted to an intensive care unit. The operating costs of the CCCC amounted to more than €52,000 (US $60,031) per month. Of the 334 patients with detected SARS-CoV-2 who were referred via EMS or outpatient physicians, 302 (90.4%) were triaged and announced in advance by the CCCC. No other published economic analysis of COVID-19 coordination or management institutions at hospitals could be found. Conclusions Despite the high cost of the CCCC, we were able to show that it is a beneficial concept to both the providing hospital and the public health system. However, the most important benefits of the CCCC are that it prevents hospitals from being overrun by patients and that it avoids situations in which physicians must weigh one patient’s life against another’s.
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Affiliation(s)
- Nikolas Schopow
- Department for Orthopedics, Trauma Surgery and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany
| | - Georg Osterhoff
- Department for Orthopedics, Trauma Surgery and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany
| | | | - Felix Girrbach
- Department of Anesthesiology and Intensive Care Medicine, University Hospital Leipzig, Leipzig, Germany
| | - Christoph Josten
- Department for Orthopedics, Trauma Surgery and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany
| | - Sebastian Stehr
- Department of Anesthesiology and Intensive Care Medicine, University Hospital Leipzig, Leipzig, Germany
| | - Pierre Hepp
- Department for Orthopedics, Trauma Surgery and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany
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