Boosting ICU capacity during the COVID-19 pandemic in the western Balkan region, The Republic of Srpska experience

dc.citation.epage9
dc.citation.spage1
dc.citation.volume12
dc.contributor.authorKovacevic, Pedja
dc.contributor.authorDjajic, Vlado
dc.contributor.authorMomcicevic, Danica
dc.contributor.authorZlojutro, Biljana
dc.contributor.authorJandric, Milka
dc.contributor.authorKovacevic, Tijana
dc.contributor.authorLatinovic, Milan
dc.contributor.authorSeranic, Alen
dc.contributor.authorBokonjic, Dejan
dc.contributor.authorSkrbic, Ranko
dc.contributor.authorDragic, Sasa
dc.date.accessioned2024-12-11T11:09:25Z
dc.date.available2024-12-11T11:09:25Z
dc.date.issued2023
dc.description.abstractBackground: Response to the outbreak of poliomyelitis in mid-1950 led to recognition and consequent development of critical care. Seventy years later the humankind was struck by COVID-19, another major challenge for critical care medicine which was especially big in Low-Resources-Settings where more than two thirds of the world population live, including the population of the Republic of Srpska (RS). Design and methods: The main aim was to show an overview of all interventions in order to boost hospitals’ capacities to the level which is sufficient to manage high amount of critically ill COVID-19 patients in the RS. A before-after cohort study design was conducted to evaluate the effects of interventions for increase in preparedness and capacity of ICUs for admission and treatment of COVID-19 critically ill patients in nine hospitals in the RS. Results: Following interventions, the biggest and university affiliated hospital in the RS has increased ICU capacities: total number of ICU beds increased by 38% and number of ventilators by 114%. Availability of machines for veno-venous extracorporeal membrane oxygenation (vvECMO) increased by 100%. Number of doctors who were involved in treatment of critically ill patients increased by 47% and nurse/patient’s ratio reached 1:2.5. Similarly, all other hospitals experienced boosting of ICU beds by 189% and ventilators by 373% while number of doctors increased by 108% and nurse/patient’s ratio reached 1:4. Conclusion: All interventions implemented during COVID-19 pandemic outbreak in the RS resulted in increasing capacity for treatment of critically ill patients, but the education of health care professionals was identified as the most important conducted intervention.
dc.identifier.doi10.1177/22799036231151762
dc.identifier.urihttps://vaseljena.ues.rs.ba/handle/123456789/1390
dc.language.isoen
dc.sourceJournal of Public Health Research
dc.subjectCritical care medicine, capacity boosting, low resources settings
dc.titleBoosting ICU capacity during the COVID-19 pandemic in the western Balkan region, The Republic of Srpska experience
dc.typeArticle
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