Syed Imran, Khan Sami, Khan Tahir, Syed Sabeeh, Khan Taha, Ali Azhar, Harries Katherine, Capuano Ermanno, Farrugia Alexia, Pittman Marcus, Simon Godwin, Haider Tayyab, Ali Fawad, Gupta Indrajit, Malik Qaiser
Department of Radiology, Basildon and Thurrock University Hospital NHS Foundation Trust, Basildon Hospital, Basildon, UK.
School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Br J Radiol. 2020 Dec 1;93(1116):20200522. doi: 10.1259/bjr.20200522. Epub 2020 Oct 29.
As the COVID-19 pandemic has spread across the globe, questions have arisen about the approach healthcare systems should adopt in order to optimally manage patient influx. With a focus on the impact of COVID-19 on the NHS, we describe the frontline experience of a severely affected hospital in close proximity to London. We highlight a protocol-driven approach, incorporating the use of CT in the rapid triage, assessment and cohorting of patients, in an environment where there was a lack of readily available, onsite RT-PCR testing facilities. Furthermore, the effects of the protocol on the effective streamlining of patient flow within the hospital are discussed, as are the resultant improvements in clinical management decisions within the acute care service. This model may help other healthcare systems in managing this pandemic whilst assessing their own needs and resources.
随着新冠疫情在全球蔓延，关于医疗系统应采取何种方法来最佳管理患者涌入量的问题也随之出现。我们聚焦于新冠疫情对英国国家医疗服务体系（NHS）的影响，描述了一家紧邻伦敦且受疫情严重影响的医院的一线经验。我们强调了一种基于协议的方法，即在缺乏现成的现场逆转录聚合酶链反应（RT-PCR）检测设施的环境中，将CT用于患者的快速分诊、评估和分组。此外，还讨论了该协议对医院内患者流程有效优化的影响，以及在急性护理服务中临床管理决策所带来的相应改善。这种模式可能有助于其他医疗系统在评估自身需求和资源的同时应对此次疫情。
