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本文引用的文献

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Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe.估算非药物干预措施对欧洲 COVID-19 疫情的影响。
Nature. 2020 Aug;584(7820):257-261. doi: 10.1038/s41586-020-2405-7. Epub 2020 Jun 8.
2
Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area.在纽约市地区,5700 名因 COVID-19 住院的患者的特征、合并症和结局。
JAMA. 2020 May 26;323(20):2052-2059. doi: 10.1001/jama.2020.6775.
3
Hospitalization and Critical Care of 109 Decedents with COVID-19 Pneumonia in Wuhan, China.中国武汉 109 例 COVID-19 肺炎逝者的住院和重症监护情况
Ann Am Thorac Soc. 2020 Jul;17(7):839-846. doi: 10.1513/AnnalsATS.202003-225OC.
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Eur Respir Rev. 2020 Apr 3;29(155). doi: 10.1183/16000617.0068-2020. Print 2020 Mar 31.
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“曲线变平”对 COVID-19 重症监护服务的提供有影响吗?全球卫生视角。

Does "Flattening the Curve" Affect Critical Care Services Delivery for COVID-19? A Global Health Perspective.

机构信息

HE-Xperts Consulting LLC, Miami, FL, USA.

出版信息

Int J Health Policy Manag. 2020 Dec 1;9(12):503-507. doi: 10.34172/ijhpm.2020.117.

DOI:10.34172/ijhpm.2020.117
PMID:32654434
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7947655/
Abstract

During this coronavirus disease 2019 (COVID-19) global pandemic, nations are taking bold measures to mitigate the spread of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections in order to avoid the overwhelming its critical care facilities. While these "flattening the curve" initiatives are showing signs of impeding the potential surge in COVID-19 cases, it is not known whether these measures alleviate the burden placed on intensive care units. Much has been made of the desperate need for critical care beds and medical supplies, especially personal protective equipment (PPE). But while these initiatives may provide health systems time to bolster their critical care infrastructure, they do little to protect the most essential element - the critical care providers. This article examines bolder initiatives that may be needed to both protect crucial health systems and the essential yet vulnerable providers during this global pandemic.

摘要

在 2019 年冠状病毒病(COVID-19)全球大流行期间,各国正在采取大胆措施,减缓严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)感染的传播,以避免其重症监护设施不堪重负。虽然这些“拉平曲线”的措施显示出了抑制 COVID-19 病例潜在激增的迹象,但尚不清楚这些措施是否减轻了重症监护病房的负担。人们非常关注重症监护病床和医疗用品(尤其是个人防护设备(PPE))的迫切需求。但是,尽管这些措施可能为卫生系统提供了加强重症监护基础设施的时间,但对于保护最关键的要素——重症监护提供者几乎没有帮助。本文探讨了在这场全球大流行期间,为了保护至关重要的卫生系统和重要但脆弱的提供者,可能需要采取更大胆的措施。