Canadian Pediatric Intensive Care Adaptations for Critically Ill Adults During the COVID-19 Pandemic: Survey Study
BackgroundThe COVID-19 pandemic overwhelmed Canadian hospitals with adult admissions. A large number of adult patients required critical care therapies, placing significant strain on hospital resources. In order to decompress adult intensive care units, pediatric intensive ca...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2023-02-01
|
| Series: | JMIR Pediatrics and Parenting |
| Online Access: | https://pediatrics.jmir.org/2023/1/e43602 |
| _version_ | 1797734346118922240 |
|---|---|
| author | Evan Parchomchuk Tanya Holt Gregory Hansen |
| author_facet | Evan Parchomchuk Tanya Holt Gregory Hansen |
| author_sort | Evan Parchomchuk |
| collection | DOAJ |
| description |
BackgroundThe COVID-19 pandemic overwhelmed Canadian hospitals with adult admissions. A large number of adult patients required critical care therapies, placing significant strain on hospital resources. In order to decompress adult intensive care units, pediatric intensive care units (PICUs) introduced adapted models of traditional care to lessen these burdens.
ObjectiveWe aimed to evaluate how PICUs across Canada adapted care for the high volumes of critically ill adults.
MethodsA survey containing 40 questions was sent to the medical directors of 14 Canadian PICUs where English was the primary clinical language. The survey was designed to gain perspective on the various adaptations that PICUs instituted during the COVID-19 pandemic.
ResultsOf the 13 PICUs that returned survey responses (response rate: 13/14, 93%), 10 (77%) participated in at least one adaptation to support the influx of admitted adults with COVID-19. The key challenges included disorganization, loss of autonomy, and compromised patient care. The significant advantages of these adaptations included a sense of learning and comradery.
ConclusionsOur study highlighted an unpreparedness in critical care surge capacity. During the COVID-19 pandemic, adaptations rapidly emerged in Canada that involved PICUs with adult care. In the future, preplanned adaptations for optimizing robust critical care services should be developed based on what has been learned from the COVID-19 pandemic. |
| first_indexed | 2024-03-12T12:42:55Z |
| format | Article |
| id | doaj.art-fd09e7c74d974fe8b4791364cfd64833 |
| institution | Directory Open Access Journal |
| issn | 2561-6722 |
| language | English |
| last_indexed | 2024-03-12T12:42:55Z |
| publishDate | 2023-02-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Pediatrics and Parenting |
| spelling | doaj.art-fd09e7c74d974fe8b4791364cfd648332023-08-28T23:44:01ZengJMIR PublicationsJMIR Pediatrics and Parenting2561-67222023-02-016e4360210.2196/43602Canadian Pediatric Intensive Care Adaptations for Critically Ill Adults During the COVID-19 Pandemic: Survey StudyEvan Parchomchukhttps://orcid.org/0000-0002-6964-0490Tanya Holthttps://orcid.org/0000-0002-3895-0680Gregory Hansenhttps://orcid.org/0000-0002-5355-714X BackgroundThe COVID-19 pandemic overwhelmed Canadian hospitals with adult admissions. A large number of adult patients required critical care therapies, placing significant strain on hospital resources. In order to decompress adult intensive care units, pediatric intensive care units (PICUs) introduced adapted models of traditional care to lessen these burdens. ObjectiveWe aimed to evaluate how PICUs across Canada adapted care for the high volumes of critically ill adults. MethodsA survey containing 40 questions was sent to the medical directors of 14 Canadian PICUs where English was the primary clinical language. The survey was designed to gain perspective on the various adaptations that PICUs instituted during the COVID-19 pandemic. ResultsOf the 13 PICUs that returned survey responses (response rate: 13/14, 93%), 10 (77%) participated in at least one adaptation to support the influx of admitted adults with COVID-19. The key challenges included disorganization, loss of autonomy, and compromised patient care. The significant advantages of these adaptations included a sense of learning and comradery. ConclusionsOur study highlighted an unpreparedness in critical care surge capacity. During the COVID-19 pandemic, adaptations rapidly emerged in Canada that involved PICUs with adult care. In the future, preplanned adaptations for optimizing robust critical care services should be developed based on what has been learned from the COVID-19 pandemic.https://pediatrics.jmir.org/2023/1/e43602 |
| spellingShingle | Evan Parchomchuk Tanya Holt Gregory Hansen Canadian Pediatric Intensive Care Adaptations for Critically Ill Adults During the COVID-19 Pandemic: Survey Study JMIR Pediatrics and Parenting |
| title | Canadian Pediatric Intensive Care Adaptations for Critically Ill Adults During the COVID-19 Pandemic: Survey Study |
| title_full | Canadian Pediatric Intensive Care Adaptations for Critically Ill Adults During the COVID-19 Pandemic: Survey Study |
| title_fullStr | Canadian Pediatric Intensive Care Adaptations for Critically Ill Adults During the COVID-19 Pandemic: Survey Study |
| title_full_unstemmed | Canadian Pediatric Intensive Care Adaptations for Critically Ill Adults During the COVID-19 Pandemic: Survey Study |
| title_short | Canadian Pediatric Intensive Care Adaptations for Critically Ill Adults During the COVID-19 Pandemic: Survey Study |
| title_sort | canadian pediatric intensive care adaptations for critically ill adults during the covid 19 pandemic survey study |
| url | https://pediatrics.jmir.org/2023/1/e43602 |
| work_keys_str_mv | AT evanparchomchuk canadianpediatricintensivecareadaptationsforcriticallyilladultsduringthecovid19pandemicsurveystudy AT tanyaholt canadianpediatricintensivecareadaptationsforcriticallyilladultsduringthecovid19pandemicsurveystudy AT gregoryhansen canadianpediatricintensivecareadaptationsforcriticallyilladultsduringthecovid19pandemicsurveystudy |