Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/53449
Title: The resilient intensive care unit
Authors: Salluh, Jorge I. F.
Kurtz, Pedro
Bastos, Leonardo S. L.
Quintairos, Amanda
Zampieri, Fernando G.
Bozza, Fernando A.
Affilliation: D'Or Institute for Research and Education. Rio de Janeiro, RJ, Brazil / Federal University of Rio de Janeiro. Postgraduate Program of Internal Medicine. Rio de Janeiro, RJ, Brazil.
D'Or Institute for Research and Education. Rio de Janeiro, RJ, Brazil / Hospital Copa Star. Rio de Janeiro, RJ, Brazil / Paulo Niemeyer State Brain Institute. Rio de Janeiro, RJ, Brazil.
Pontifical Catholic University of Rio de Janeiro. Department of Industrial Engineering. Rio de Janeiro, RJ, Brazil.
D'Or Institute for Research and Education. Rio de Janeiro, RJ, Brazil / Academic Hospital Fundación Santa Fe de Bogota. Department of Critical and Intensive Care Medicine. Bogota, Colombia.
D'Or Institute for Research and Education. Rio de Janeiro, RJ, Brazil / HCor Research Institute. Sao Paulo, SP, Brazil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / D'Or Institute for Research and Education. Rio de Janeiro, RJ, Brazil.
Abstract: Background: The COVID-19 pandemic tested the capacity of intensive care units (ICU) to respond to a crisis and demonstrated their fragility. Unsurprisingly, higher than usual mortality rates, lengths of stay (LOS), and ICU-acquired complications occurred during the pandemic. However, worse outcomes were not universal nor constant across ICUs and significant variation in outcomes was reported, demonstrating that some ICUs could adequately manage the surge of COVID-19. Methods: In the present editorial, we discuss the concept of a resilient Intensive Care Unit, including which metrics can be used to address the capacity to respond, sustain results and incorporate new practices that lead to improvement. Results: We believe that a resiliency analysis adds a component of preparedness to the usual ICU performance evaluation and outcomes metrics to be used during the crisis and in regular times. Conclusions: The COVID-19 pandemic demonstrated the need for a resilient health system. Although this concept has been discussed for health systems, it was not tested in intensive care. Future studies should evaluate this concept to improve ICU organization for standard and pandemic times.
Keywords: Intensive care units
COVID-19 pandemic
Issue Date: 2022
Publisher: Springer
Citation: SALLUH, Jorge I. F. et al. The resilient intensive care unit. Annals of intensive care, v. 12, n. 1, p. 1-4, 2022
DOI: 10.1186/s13613-022-01011-x
ISSN: 2110-5820
Copyright: open access
Appears in Collections:INI - Artigos de Periódicos
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