Department of Physiotherapy and Pneumology, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium.
Intensive Care Unit, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium.
Int J Environ Res Public Health. 2022 Jun 15;19(12):7349. doi: 10.3390/ijerph19127349.
The different waves of the COVID-19 pandemic caused dramatic issues regarding the organization of care. In this context innovative solutions have to be developed in a timely manner to adapt to the organization of the care. The establishment of middle care (MC) units is a bright example of such an adaptation. A multidisciplinary MC team, including expert and non-expert respiratory health care personnel, was developed and trained to work in a COVID-19 MC unit. Important educational resources were set up to ensure rapid and effective training of the MC team, limiting the admission or delaying transfers to ICU and ensuring optimal management of palliative care. We conducted a retrospective analysis of patient data in the MC unit during the second COVID-19 wave in Belgium. The aim of this study was to demonstrate the feasibility of quickly developing an effective respiratory MC unit mixing respiratory expert and non-expert members from outside ICUs. The establishment of an MC unit during a pandemic is feasible and needed. MC units possibly relieve the pressure exerted on ICUs. A highly trained multidisciplinary team is key to ensuring the success of an MC unit during such kind of a pandemic.
新冠疫情的不同波次给医疗照护的组织带来了巨大挑战。在这种情况下，必须及时开发创新解决方案，以适应医疗照护的组织方式。设立中级医疗（MC）病房就是这种适应的一个很好的例子。建立了一个多学科的 MC 团队，包括专家和非专家的呼吸医疗保健人员，他们接受培训以在 COVID-19 MC 病房工作。建立了重要的教育资源，以确保 MC 团队的快速和有效培训，限制 ICU 的收治或延迟转院，并确保姑息治疗的最佳管理。我们对比利时第二次 COVID-19 浪潮期间 MC 病房的患者数据进行了回顾性分析。本研究的目的是证明从 ICU 以外的部门快速组建一个由呼吸专家和非专家混合组成的有效呼吸 MC 病房是可行的。在大流行期间设立 MC 病房是可行且必要的。MC 病房可能会减轻 ICU 所承受的压力。一个训练有素的多学科团队是确保 MC 病房在这种大流行期间取得成功的关键。
