Structuring and restructuring COVID-19 Intensive Care Units: a systematic review

Authors

  • Luis Fernando Reis Macedo Universidade Regional do Cariri
  • Kenya Waléria de Siqueira Coelho Lisboa Universidade Regional do Cariri
  • Thais Rodrigues de Albuquerque Universidade Regional do Cariri
  • Alexandre Pazetto Balsanelli
  • Sarah De Lima Pinto Universidade Regional do Cariri
  • Izabel Cristina Santiago Lemos de Beltrão Universidade Regional do Cariri
  • Gyllyandeson de Araujo Delmondes Universidade Federal do Vale do São Francisco – UNIVASF

DOI:

https://doi.org/10.17058/reci.v14i3.18778

Abstract

Background and Objectives: the COVID-19 pandemic imposed restructuring and reorganization in healthcare services, particularly in Intensive Care Units (ICUs), due to the increased demand for hospital care for the thousands of severe cases of the disease. Thus, understanding this ICU reorganization process is useful for healthcare system planning and, consequently, for preventing system collapse in the face of impending pandemics. The objective was to identify elements related to the restructuring and organization of human resources, materials, and organization/structure processes in ICUs during the COVID-19 pandemic. Methods: this is a qualitative systematic review. Searches were conducted in the MEDLINE, PubMed, Scopus, Web of Science, and Embase databases. The results were exported to the Rayyan software for subsequent screening and blind selection by two independent researchers as well as for assessing the risk of bias and individual methodological quality of selected studies. Results: a total of 171 articles were found across the five databases, with five articles selected to be included in this review. The identified elements concerning the restructuring and organization of ICUs were the use and availability of personal protective equipment, oxygen, and oxygen therapy equipment, medications, psychological support for healthcare professionals, patient safety measures, and space maintenance. Conclusion: this review allowed for the compilation and synthesis of necessary elements for the restructuring and organization of ICUs during the pandemic, considering the need for managers to respond swiftly to the high demand brought on by COVID-19.

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Author Biographies

Kenya Waléria de Siqueira Coelho Lisboa, Universidade Regional do Cariri

Doutora em Enfermagem, Professoda da Universidade Regional do Cariri URCA, Crato, Ceará, Brasil.

Thais Rodrigues de Albuquerque, Universidade Regional do Cariri

Mestra em Enfermagem, Residente em enfermagem obstétrica pela Universidade Regional do Cariri URCA, Crato, Ceará, Brasil.

Alexandre Pazetto Balsanelli

Doutor em Enfermagem, Professor da Universidade Federal de São Paulo – UNIFESP, São Paulo, Brasil.

Sarah De Lima Pinto, Universidade Regional do Cariri

Doutora em Enfermagem, professora da Universidade Regional do Cariri URCA, Crato, Ceará, Brasil.

Izabel Cristina Santiago Lemos de Beltrão, Universidade Regional do Cariri

Doutora em Etnobiologia e Conservação da Natureza, Professora da Universidade Regional do Cariri URCA, Crato, Ceará, Brasil.

Gyllyandeson de Araujo Delmondes, Universidade Federal do Vale do São Francisco – UNIVASF

Doutor em Bioprospecção Molecular, Professor da Universidade Federal do Vale do São Francisco – UNIVASF, Petrolina, Brasil.

References

Farias LABG, Pessoa Colares M, de Almeida Barreto FK, et al. O papel da atenção primária no combate ao Covid-19. Revista Brasileira de Medicina de Família e Comunidade 2020; 15: 2455. https://doi.org/10.5712/rbmfc15(42)2455

Abu N, Gamal AAM, Sakanko MA, et al. How have covid-19 confirmed cases and deaths affected stock markets? Evidence from Nigeria. Contemporary Economics 2021; 15: 76–99. Doi: 10.5709/ce.1897-9254.437

Coccia, M. High potential of technology to face new respiratory viruses: mechanical ventilation devices for effective healthcare to next pandemic emergencies. Technol. Soc. 73, 102233 (2023). https://doi.org/10.1016/j.techsoc.2023.102233

Borel M, Lhermite P, Fleury N, et al. Transformation of a hospital restaurant into an orientation intensive care unit. Annales Francaises de Medecine d’Urgence 2021; 11: 221–233. https://doi.org/10.3166/afmu-2021-0344

Coppola V. Management of human resources, materials, and organization processes in radioprotection. Radiol Med 1999; 97: 518–524. https://pubmed.ncbi.nlm.nih.gov/10478211/

Moher D, Liberati A, Tetzlaff J, et al. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med 2009; 6: e1000097. DOI: 10.1371/journal.pmed.1000097

IJB. JBI Manual for Evidence Synthesis. JBI, 2020. Epub ahead of print 2020. 10.46658/jbimes-20-01.

Noronha KVM de S, Guedes GR, Turra CM, et al. Pandemia por COVID-19 no Brasil: análise da demanda e da oferta de leitos hospitalares e equipamentos de ventilação assistida segundo diferentes cenários. Cad Saude Publica 2020; 36: e00115320. https://doi.org/10.1590/0102-311X00115320

Ouzzani M, Hammady H, Fedorowicz Z, et al. Rayyan-a web and mobile app for systematic reviews. Syst Rev 2016; 5: 210. https://doi.org/10.1186/s13643-016-0384-4

PRISMA. Preferred Reporting Items for Systematic reviews e Meta-Analyses (PRISMA 2020 Checklist). PRISMA, http://www.prisma-statement.org/Translations/Translations.aspx (2020, accessed 24 May 2022).

Camargo BV, Justo AM. Tutorial para uso do software (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires). Laboratório de Psicologia Social da Comunicação e Cognição - UFSC, http://iramuteq.org/documentation/fichiers/tutoriel-portugais-22-11-2018 (2018, accessed 8 February 2023).

Shaparin N, Mann GE, Streiff A, et al. Adaptation and restructuring of an academic anesthesiology department during the COVID-19 pandemic in New York City: Challenges and lessons learned. Best Pract Res Clin Anaesthesiol 2021; 35: 425–435. DOI: 10.1016/j.bpa.2020.12.010

Singh S, Ambooken GC, Setlur R, et al. Challenges faced in establishing a dedicated 250 bed COVID-19 intensive care unit in a temporary structure. Trends in Anaesthesia and Critical Care 2021; 36: 9–16. https://doi.org/10.1016/j.tacc.2020.10.006

Vilallonga R, Garcia Ruiz de Gordejuela A, Cossio-Gil Y, et al. Transforming a surgical department during the outbreak of new coronavirus pandemic. Clinical implications. Langenbecks Arch Surg 2020; 405: 867–875. 10.1007/s00423-020-01931-x

Nunez-Villaveiran T, González-Castro A, Nevado-Losada E, et al. All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain. Disaster Med Public Health Prep. Epub ahead of print 2020. 10.1017/DMP.2020.375.

Ayton D, Soh S-E, Berkovic D, et al. Experiences of personal protective equipment by Australian healthcare workers during the COVID-19 pandemic, 2020: A cross-sectional study. PLoS One 2022; 17: e0269484. https://doi.org/10.1371/journal.pone.0269484

Inácio e Silva F, Rodrigues PCF, Teixeira RAG, et al. Análise do gerenciamento de tecnologias em equipamentos médico-assistenciais em unidades de terapia intensiva: desafios para o enfrentamento da COVID-19. Vigil. sanit. debate, 2022, pp. 13–22. https://doi.org/10.22239/2317-269x.01960

Prado PR, Ventura CAA, Rigotti AR, et al. Vinculando a segurança do profissional à segurança do paciente: recomendações e questões bioéticas para o cuidado de pacientes na pandemia da covid-19. Texto & Contexto - Enfermagem; 30. Epub ahead of print 26 July 2021. DOI: 10.1590/1980-265X-TCE-2020-0535. https://doi.org/10.1590/1980-265X-TCE-2020-0535

Oliveira NC, Chaves LDP. Gerenciamento de recursos materiais: o papel da enfermeira de unidade de terapia intensiva. Revista da Rede de Enfermagem do Nordeste 2009; 10: 19–27. DOI:https://doi.org/10.15253/2175-6783.2009000400002

Wolker SL, Costa TP, Peterlini OLG. Revisão integrativa sobre o processo de compra e distribuição de materiais médicos e hospitalares. R Saúde Públ 2019; 103–112. https://doi.org/10.32811/25954482-2019v2supl1p103

Fanti G, Spinazzè A, Borghi F, et al. Evolution and Applications of Recent Sensing Technology for Occupational Risk Assessment: A Rapid Review of the Literature. Sensors (Basel) 2022; 22: 4841. https://doi.org/10.3390/s22134841

Albuquerque TR, Macedo LFR, Galvà E, et al. Vaccination for COVID-19 in children: Denialism or misinformation? Journal of Pediatric Nursing: Nursing Care of Children and Families 2022; 64: 141–142. 10.1016/j.pedn.2022.01.015

Yi Y, Kui H, Rujun H, et al. Harm and management measures of hyperoxemia to intensive care patients. 中华危重病急救医学 2022; 34: 333–336. 10.3760/cma.j.cn121430-20211113-01708

Han X, Wu W, Zhao H, et al. Developing and validating a prediction model for in-hospital mortality in patients with ventilator-associated pneumonia in the ICU. Ann Palliat Med 2022; 11: 1799810–1791810. 10.21037/apm-22-502

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Published

2024-10-14

How to Cite

Macedo, L. F. R., Lisboa, K. W. de S. C., de Albuquerque, T. R., Balsanelli, A. P., Pinto, S. D. L., de Beltrão, I. C. S. L., & Delmondes, G. de A. (2024). Structuring and restructuring COVID-19 Intensive Care Units: a systematic review . Revista De Epidemiologia E Controle De Infecção, 14(3). https://doi.org/10.17058/reci.v14i3.18778

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REVIEW ARTICLE