Establishing a 130-Bed Field Intensive Care Unit to Prepare for COVID-19 in 7 Days in Bahrain Military Hospital

Louri, Nayef A; Alkhan, J.; Isa, H. H. Swami; Asad, Yaser; Alsharooqi, Abdulla; Alomari, Khalifa Ahmed; Hasan, Nahed K.; Khalifa, Fahad Bin Khalifa Al; Ahmed, Ghaida Fareed; Alasmi, Muna Yaqoob; Al-Khalifa, Dana Khalifa; Khalifa, Khalid Bin Ali Al

doi:10.1017/dmp.2020.297

Cited by 7 publications

(9 citation statements)

References 6 publications

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“…The BDF-FICU is a field hospital, transformed from a multistorey parking lot into a fully equipped hospital with an ICU setting. Only male patients with severe COVID 19 disease were admitted to the BDF-FICU [ 8 ].…”

Section: Methodsmentioning

confidence: 99%

Is atrial fibrillation a risk factor for worse outcomes in severe COVID-19 patients: a single center retrospective cohort

Abdulrahman¹,

Hussain²,

Nawaz³

et al. 2021

Journal of the Saudi Heart Association

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Introduction New onset atrial fibrillation leads to worse outcomes in patients with sepsis. The association between new onset atrial fibrillation (AF) in COVID19 patients with COVID19 outcomes are lacking. This study aims to determine whether new onset atrial fibrillation in COVID19 patients admitted in the ICU is a risk factor for death or requirement of mechanical ventilation (MV). Methods This is a retrospective study conducted in a cohort of COVID-19 patients admitted to Bahrain Defence Force COVID19 Field ICU between April 2020 to November 2020. Data were extracted from the electronic medical records. The patients who developed new onset AF during admission were compared to patients who remained in sinus rhythm. Multivariate logistic regression models were used to control for confounders and estimate the effect of AF on the outcomes of these patients. Results Our study included a total of 492 patients out of which 30 were diagnosed with new onset AF. In the AF group, the primary outcome occurred in 66.7% of patients (n = 20). In the control group, 17.1% (n = 79) developed the primary outcome. Upon adjusting for the confounders in the multivariate regression model, AF had an odds ratio of 3.96 (95% CI: 1.05–14.98; p = 0.042) for the primary outcome. Conclusion Our results indicate that new onset AF is a risk factor for worse outcomes in patients admitted with COVID19 in the ICU.

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Section: Methodsmentioning

confidence: 99%

Is atrial fibrillation a risk factor for worse outcomes in severe COVID-19 patients: a single center retrospective cohort

Abdulrahman¹,

Hussain²,

Nawaz³

et al. 2021

Journal of the Saudi Heart Association

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“…These facilities are reliant on preexisting technological infrastructure, that is, site utilities, access to transport routes to maintain supply chain continuity, telecommunications support, and availability of installation sites ranging from community centers to sports stadiums and to open fields (Fang et al, 2020). Field hospital installations must be quickly Health Environments Research & Design Journal XX(X) constructible, cost-effective, and reduce capacity pressures on nearby conventional medical facilities (Keenan, 2020;Louri et al, 2020;Pucher et al, 2014;Zhou et al, 2020). The Fangcang shelter hospitals had the advantage of constructability on immediately available land parcels.…”

Section: Rapid Responsivenessmentioning

confidence: 99%

Intensive Care Unit Built Environments: A Comprehensive Literature Review (2005–2020)

Verderber

Gray

Suresh-Kumar

et al. 2021

HERD

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Background: The intensive care environment in hospitals has been the subject of significant empirical and qualitative research in the 2005–2020 period. Particular attention has been devoted to the role of infection control, family engagement, staff performance, and the built environment ramifications of the recent COVID-19 global pandemic. A comprehensive review of this literature is reported summarizing recent advancements in this rapidly expanding body of knowledge. Purpose and Aim: This comprehensive review conceptually structures the recent medical intensive care literature to provide conceptual clarity and identify current priorities and future evidence-based research and design priorities. Method and Result: Each source reviewed was classified as one of the five types—opinion pieces/essays, cross-sectional empirical investigations, nonrandomized comparative investigations, randomized studies, and policy review essays—and into nine content categories: nature engagement and outdoor views; family accommodations; intensive care unit (ICU), neonatal ICU, and pediatric ICU spatial configuration and amenity; noise considerations; artificial and natural lighting; patient safety and infection control; portable critical care field hospitals and disaster mitigation facilities including COVID-19; ecological sustainability; and recent planning and design trends and prognostications. Conclusions: Among the findings embodied in the 135 literature sources reviewed, single-bed ICU rooms have increasingly become the norm; family engagement in the ICU experience has increased; acknowledgment of the therapeutic role of staff amenities; exposure to nature, view, and natural daylight has increased; the importance of ecological sustainability; and pandemic concerns have increased significantly in the wake of the coronavirus pandemic. Discussion of the results of this comprehensive review includes topics noticeably overlooked or underinvestigated in the 2005–2020 period and priorities for future research.

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“…These structures played at least one of the functions listed in Table 3. • Sheltering [6,32,43,[49][50][51] • Isolation [6,36,54] • Triage [6,54] • Basic care to non-ill patients [6,30,54] • Frequent surveillance/ monitoring [6,47,54,56] • Rapid transfer [6,54] • Social interaction and necessary living [6,54,127] • Food Finally, 18% (7/40) of the studies reported remotely based strategies, such as through websites, call centers, and other forms of tele-technologies. Most of the research indicated that using digital health to adapt to the demand for health care in hospitals was the best way to go.…”

Section: Empirical Studies On Hospital Infrastructure Adaptationmentioning

confidence: 99%

“…The next step would be to set up temporary facilities, such as tents, on the hospital grounds and to identify any vacant hospital spaces. Some hospitals used parking spaces for the latter [47]. The last step would be creating new hospital areas, for example, by using hotels, convention centers, and municipal parks or by using transportable and makeshift facilities.…”

Section: Hospital Infrastructure Adaptation Mechanismsmentioning

confidence: 99%

Associations between the COVID-19 Pandemic and Hospital Infrastructure Adaptation and Planning—A Scoping Review

Ndayishimiye

Sowada

Dyjach

et al. 2022

IJERPH

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The SARS-CoV-2 pandemic has put unprecedented pressure on the hospital sector around the world. It has shown the importance of preparing and planning in the future for an outbreak that overwhelms every aspect of a hospital on a rapidly expanding scale. We conducted a scoping review to identify, map, and systemize existing knowledge about the relationships between COVID-19 and hospital infrastructure adaptation and capacity planning worldwide. We searched the Web of Science, Scopus, and PubMed and hand-searched gray papers published in English between December 2019 and December 2021. A total of 106 papers were included: 102 empirical studies and four technical reports. Empirical studies entailed five reviews, 40 studies focusing on hospital infrastructure adaptation and planning during the pandemics, and 57 studies on modeling the hospital capacity needed, measured mostly by the number of beds. The majority of studies were conducted in high-income countries and published within the first year of the pandemic. The strategies adopted by hospitals can be classified into short-term (repurposing medical and non-medical buildings, remote adjustments, and establishment of de novo structures) and long-term (architectural and engineering modifications, hospital networks, and digital approaches). More research is needed, focusing on specific strategies and the quality assessment of the evidence.

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Establishing a 130-Bed Field Intensive Care Unit to Prepare for COVID-19 in 7 Days in Bahrain Military Hospital

Cited by 7 publications

References 6 publications

Is atrial fibrillation a risk factor for worse outcomes in severe COVID-19 patients: a single center retrospective cohort

Is atrial fibrillation a risk factor for worse outcomes in severe COVID-19 patients: a single center retrospective cohort

Intensive Care Unit Built Environments: A Comprehensive Literature Review (2005–2020)

Associations between the COVID-19 Pandemic and Hospital Infrastructure Adaptation and Planning—A Scoping Review

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