Covid-19 Pandemic Preparedness in Egypt's Teaching Hospitals

A Needs Assessment Study

Bibliographic Data

ID22074775
AuthorsMuhammad Mostafa Abd El Ghaffar (Research Institute of Ophthalmology), Marwa Rashad Salem (0000-0002-5474-3147, Cairo University, corresponding author), Mohamed Fawzy Al Soda (General Organization For Teaching Hospitals and Institutes), Madiha Said Abd El Razik (Cairo University), MarwAli Hassab Tahoon (Shebin Teaching Hospital), Mohamed Fathy Tahoon (Shebin Teaching Hospital), Basem Eysa (0000-0003-4806-0443, National Water Research Center), Abd Elfattah Elsayed Hegazy (Research Institute of Ophthalmology), Abdelkarem Emam Eleraky, Ayman A Eltayar (Damanhour University), Wael Mahmoud Hossam El Din Eldarandly, Dalia Omran (0000-0002-5513-6955, Cairo University)
Year2022
Volume9
Pages748666-748666
Publication date2022-01-17
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2021.748666
PMID35111710
OpenAlexW4206354796
LanguageEN
References cited14

INTRODUCTION: Regular collection and monitoring of data describing the dynamics of the utilization of healthcare services, especially in teaching hospitals (TH), which provide model quality medical services, are critical for COVID-19 pandemic preparedness. METHODS: The researchers analyzed data and information derived from service statistics reports from June 1st to July 15th, 2020 in terms of hospital resources, as well as utilization patterns of beds, ICU, and ventilators, for 11 screening hospitals affiliated with the General Organization of Teaching Hospitals and institutes in Egypt assigned by the Ministry of Health and Population to provide medical care for COVID-19 patients. Hospital indicators in terms of COVID-19 screening services, as well as utilization patterns of inpatient beds, ICU beds, and ventilators were computed. RESULTS: A total of 78,869 non-medical personnel and 2,176 medical personnel were presented with COVID-19 triage symptoms. Investigations conducted in the targeted 11 hospitals delineated that 22.2% of non-medical personnel and 27.9% of medical personnel were COVID-19 PCR-confirmed cases. The inpatient bed occupancy rate was 70% for non-medical patients and 67% for medical staff patients. For ICU, the bed occupancy rate was 92 % for non-medical patients and 88% for medical patients. Among the confirmed cases, 38% of medical patients utilized a ventilator vs. 36% of medical personnel cases. Hospital ranking according to utilization pattern among non-medical personnel, Hospital H ranked first in terms of the high load of screening services. Hospital C ranked first regarding the number of confirmed cases, whereas Hospital D ranked first for high ICU utilization among all teaching hospital ICU cases. With respect to medical personnel, Hospital G ranked first for the high load of screening services for the total studied cases. Hospital G ranked first for the number of confirmed cases. Hospital B ranked first regarding high ICU utilization among all teaching hospital ICU cases. CONCLUSION: Teaching hospitals have demonstrated preparedness for the COVID-19 pandemic by maintaining an inpatient bed occupancy rate of 70% or less and ventilator utilization at <40% of confirmed cases. However, the ICU bed occupancy rate was more than 90% indicating a shortage of resources. In addition, there is variance across hospitals regarding caseload for resource reallocation decisions

Christian ministry · Disease · Environmental health · Family medicine · Health care · Medical emergency · Pandemic · Population · Preparedness · Triage · COVID-19 and healthcare impacts · COVID-19 epidemiological studies · Disaster Response and Management · Medicine · Emergency Medicine · Internal Medicine

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