Management of COVID-19 patients in Fangcang shelter hospital: clinical practice and effectiveness analysis

Liu，Pei1; Zhang，Hongmei2; Long，Xiang3; Wang，Wei4; Zhan，Danting1; Meng，Xinke5; Li，Duoyun6; Wang，Lingwei1; Chen，Rongchang1

2020

10.1111/crj.13293

Clinical Respiratory Journal   影响因子和分区

1752-6981

1752-699X

Fangcang shelter (Cabin) hospitals were set up in order to cope with the rapid growth of confirmed cases of coronavirus disease 2019 (COVID-19) in Wuhan, China at a time when there were insufficient beds in designated hospitals. This paper describes the layout and functioning of a typical Fangcang shelter hospital, Wuhan Dongxihu Fangcang shelter Hospital, where the author has worked, the working mechanism, experience and effectiveness. A set of patient management protocols was employed for daily practice, which included preset criteria and procedure for admission, examination, medication treatment, referral and discharge. WeChat platform with different groups was used for communication, ward round, test appointments and patient data communication. All these procedures and mechanisms of working enabled the effective management of a larger number of patients with relatively few doctors. As a result, 442 mild or moderate COVID-19 patients in Hall C were successfully managed by a team of 40 doctors, with 246 (56%) patients were cured and discharged from the Fangcang shelter hospital while the remaining 196 (44%) patients were referred on to designated hospitals for further treatment. The reasons for referral included poor resolution in computerized tomography (CT) scan (59%), persistently positive severe acute respiratory syndrome coronavirus 2 by PCR after 9 days of admission (16%), deterioration in CT image (4%), development of dyspnoea (1%) and other (4%) or unclear reasons (16%) due to no record of reasons for referral on the document. There were no deaths and no complaints from the patients in Hall C. In summary, the Fangcang shelter hospital could be run successfully with a set of patient management protocols under conditions of limited facilities and medical staff. It was effective and safe in isolating patients, providing basic medical care and early identification of potential severe cases. This experience may provide a successful example of a working mechanism for the prevention and control of the COVID-19 pandemic worldwide.

COVID-19 Fangcang shelter hospital management protocol package

SCI

英语

第一 ; 通讯

Zhejiang University special scientific research fund for COVID-19 prevention and control[2020XGZX024]

Respiratory System

Respiratory System

WOS:000584641100001

WILEY

2-s2.0-85094160697

Scopus

1.Department of Respiratory and Critical Care Medicine,Shenzhen Key Laboratory of Respiratory Diseases,Shenzhen Institute of Respiratory Diseases,Shenzhen People’s Hospital (The Second Clinical Medical College,Jinan University; The First Affiliated Hospital,South University of Science and Technology),Shenzhen,China
2.Emergence Department,Shenzhen People’s Hospital (The Second Clinical Medical College,Jinan University; The First Affiliated Hospital,South University of Science and Technology),Shenzhen,China
3.Department of Respiratory and Critical Care Medicine,Peking University Shenzhen Hospital,Shenzhen,China
4.Department of Respiratory and Critical Care Medicine,Zhongnan Hospital of Wuhan University,Wuhan,China
5.Intensive Care Unit,Shenzhen Second People’s Hospital,Shenzhen,China
6.Department of Infectious Diseases,Huazhong University of Science and Technology Shenzhen Union Hospital (Nanshan Hospital),Shenzhen,China

Liu，Pei,Zhang，Hongmei,Long，Xiang,et al. Management of COVID-19 patients in Fangcang shelter hospital: clinical practice and effectiveness analysis[J]. Clinical Respiratory Journal,2020,15(3).

Liu，Pei.,Zhang，Hongmei.,Long，Xiang.,Wang，Wei.,Zhan，Danting.,...&Chen，Rongchang.(2020).Management of COVID-19 patients in Fangcang shelter hospital: clinical practice and effectiveness analysis.Clinical Respiratory Journal,15(3).

Liu，Pei,et al."Management of COVID-19 patients in Fangcang shelter hospital: clinical practice and effectiveness analysis".Clinical Respiratory Journal 15.3(2020).