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10.1016/j.jpeds.2020.04.060

http://scihub22266oqcxt.onion/10.1016/j.jpeds.2020.04.060
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32380026!7196893!32380026
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suck abstract from ncbi


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pmid32380026      J+Pediatr 2020 ; 222 (ä): 22-27
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  • Rapid Implementation of an Adult Coronavirus Disease 2019 Unit in a Children s Hospital #MMPMID32380026
  • Philips K; Uong A; Buckenmyer T; Cabana MD; Hsu D; Katyal C; O'Connor K; Shiminski-Maher T; Hametz P
  • J Pediatr 2020[Jul]; 222 (ä): 22-27 PMID32380026show ga
  • OBJECTIVE: To describe the rapid implementation of an adult coronavirus disease 2019 (COVID-19) unit using pediatric physician and nurse providers in a children's hospital and to examine the characteristics and outcomes of the first 100 adult patients admitted. STUDY DESIGN: We describe our approach to surge-in-place at a children's hospital to meet the local demands of the COVID-19 pandemic. Instead of redeploying pediatric providers to work with internist-led teams throughout a medical center, pediatric physicians and nurses organized and staffed a 40-bed adult COVID-19 treatment unit within a children's hospital. We adapted internal medicine protocols, developed screening criteria to select appropriate patients for admission, and reorganized staffing and equipment to accommodate adult patients with COVID-19. We used patient counts and descriptive statistics to report sociodemographic, system, and clinical outcomes. RESULTS: The median patient age was 46 years; 69% were male. On admission, 78 (78%) required oxygen supplementation. During hospitalization, 13 (13%) eventually were intubated. Of the first 100 patients, 14 are still admitted to a medical unit, 6 are in the intensive care unit, 74 have been discharged, 4 died after transfer to the intensive care unit, and 2 died on the unit. The median length of stay for discharged or deceased patients was 4 days (IQR 2, 7). CONCLUSIONS: Our pediatric team screened, admitted, and cared for hospitalized adults by leveraging the familiarity of our system, adaptability of our staff, and high-quality infrastructure. This experience may be informative for other healthcare systems that will be redeploying pediatric providers and nurses to address a regional COVID-19 surge elsewhere.
  • |Adult[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*therapy[MESH]
  • |Critical Care/*organization & administration/standards[MESH]
  • |Female[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Hospitals, Pediatric/*organization & administration[MESH]
  • |Humans[MESH]
  • |Intensive Care Units/*organization & administration[MESH]
  • |Internal Medicine/standards[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |New York City[MESH]
  • |Outcome Assessment, Health Care[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*therapy[MESH]
  • |Respiration, Artificial[MESH]
  • |SARS-CoV-2[MESH]


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