PDF(Pubmed)
Abstract：
UNASSIGNED: Response to the outbreak of poliomyelitis in mid-1950 led to recognition and consequent development of critical care. Seventy years later the humankind was struck by COVID-19, another major challenge for critical care medicine which was especially big in Low-Resources-Settings where more than two thirds of the world population live, including the population of the Republic of Srpska (RS).
UNASSIGNED: The main aim was to show an overview of all interventions in order to boost hospitals\' capacities to the level which is sufficient to manage high amount of critically ill COVID-19 patients in the RS. A before-after cohort study design was conducted to evaluate the effects of interventions for increase in preparedness and capacity of ICUs for admission and treatment of COVID-19 critically ill patients in nine hospitals in the RS. Results: Following interventions, the biggest and university affiliated hospital in the RS has increased ICU capacities: total number of ICU beds increased by 38% and number of ventilators by 114%. Availability of machines for veno-venous extracorporeal membrane oxygenation (vvECMO) increased by 100%. Number of doctors who were involved in treatment of critically ill patients increased by 47% and nurse/patient\'s ratio reached 1:2.5. Similarly, all other hospitals experienced boosting of ICU beds by 189% and ventilators by 373% while number of doctors increased by 108% and nurse/patient\'s ratio reached 1:4.
UNASSIGNED: All interventions implemented during COVID-19 pandemic outbreak in the RS resulted in increasing capacity for treatment of critically ill patients, but the education of health care professionals was identified as the most important conducted intervention.
UNASSIGNED: The main aim was to show an overview of all interventions in order to boost hospitals\' capacities to the level which is sufficient to manage high amount of critically ill COVID-19 patients in the RS. A before-after cohort study design was conducted to evaluate the effects of interventions for increase in preparedness and capacity of ICUs for admission and treatment of COVID-19 critically ill patients in nine hospitals in the RS. Results: Following interventions, the biggest and university affiliated hospital in the RS has increased ICU capacities: total number of ICU beds increased by 38% and number of ventilators by 114%. Availability of machines for veno-venous extracorporeal membrane oxygenation (vvECMO) increased by 100%. Number of doctors who were involved in treatment of critically ill patients increased by 47% and nurse/patient\'s ratio reached 1:2.5. Similarly, all other hospitals experienced boosting of ICU beds by 189% and ventilators by 373% while number of doctors increased by 108% and nurse/patient\'s ratio reached 1:4.
UNASSIGNED: All interventions implemented during COVID-19 pandemic outbreak in the RS resulted in increasing capacity for treatment of critically ill patients, but the education of health care professionals was identified as the most important conducted intervention.
摘要：
未经评估：对1950年中期脊髓灰质炎爆发的反应导致了重症监护的认可和发展。70年后，人类受到了新冠肺炎的打击，这是重症监护医学面临的另一个重大挑战，这在世界三分之二以上人口居住的低资源环境中尤其重要，包括斯普斯卡共和国（RS）的人口。
UNASSIGNED：主要目的是展示所有干预措施的概述，以将医院的能力提高到足以管理RS中大量危重COVID-19患者的水平。在RS的9家医院进行了一项前后队列研究设计，以评估干预措施对提高ICU对COVID-19危重患者的入院和治疗准备和能力的影响。结果：以下干预措施，RS最大的大学附属医院增加了ICU的容量：ICU病床总数增加了38％，呼吸机数量增加了114％。用于静脉-静脉体外膜氧合（vvECMO）的机器的可用性增加了100％。参与治疗危重病人的医生人数增加了47%，护士/病人的比例达到1:2.5。同样，所有其他医院的ICU床位增加了189%，呼吸机增加了373%，医生数量增加了108%，护士/病人的比例达到了1:4。
未经评估：在RSCOVID-19大流行爆发期间实施的所有干预措施都提高了危重病人的治疗能力，但卫生保健专业人员的教育被认为是最重要的干预措施。
UNASSIGNED：主要目的是展示所有干预措施的概述，以将医院的能力提高到足以管理RS中大量危重COVID-19患者的水平。在RS的9家医院进行了一项前后队列研究设计，以评估干预措施对提高ICU对COVID-19危重患者的入院和治疗准备和能力的影响。结果：以下干预措施，RS最大的大学附属医院增加了ICU的容量：ICU病床总数增加了38％，呼吸机数量增加了114％。用于静脉-静脉体外膜氧合（vvECMO）的机器的可用性增加了100％。参与治疗危重病人的医生人数增加了47%，护士/病人的比例达到1:2.5。同样，所有其他医院的ICU床位增加了189%，呼吸机增加了373%，医生数量增加了108%，护士/病人的比例达到了1:4。
未经评估：在RSCOVID-19大流行爆发期间实施的所有干预措施都提高了危重病人的治疗能力，但卫生保健专业人员的教育被认为是最重要的干预措施。
