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The Impact of the COVID-19 Outbreak on Intensive Care in Northern Saitama Japan

18 Pages Posted: 16 Jun 2021

See all articles by Ken Nakamura

Ken Nakamura

Saitama Prefecture Cardiovascular and Respiratory Center - Department of Cardiac Surgery

Kouan Orii

Saitama Prefecture Cardiovascular and Respiratory Center - Department of Cardiac Surgery

Taichi Kondo

Saitama Prefecture Cardiovascular and Respiratory Center - Department of Cardiac Surgery

Mitsutaka Nakao

Saitama Prefecture Cardiovascular and Respiratory Center - Department of Cardiac Surgery

Makoto Wakatabe

Saitama Prefecture Cardiovascular and Respiratory Center - Department of Cardiac Surgery

More...

Abstract

Background: We examined and compared the actual impact of COVID-19 on local medical care in northern Saitama Japan, especially in intensive care units (ICUs), before (2019) and during (2020) the pandemic.

Methods: The impact of COVID-19 on emergency care responses was compared with acceptances and refusals in 2019 and 2020. We also examined the number of surgeries performed by ICU surgical departments. The impact on intensive care was examined regarding the numbers of incident reports and the severity percentage calculated from the integrated team medical care and safety system. We also compared the overtime work of physicians working.

Findings: In 2019, there were 2,136 emergency patient requests, and 1,811 patients were received. In contrast, in 2020, there were 2,371 emergency patient requests, and 1,822 patients were accepted, representing a decrease of 76% (p= 0‧931). There were significantly more refusals in 2020, 303 (14‧1%) in 2019 and 506 (21‧3%) in 2020 (p=0‧0004). In 2020, the number of surgeries increased in neurosurgery, cardiac surgeries, and vascular surgeries and over time increased in all surgical units. There were 396 incidents reported in ICUs in 2019; this increased significantly to 510 in 2020 (p=0‧001).

Interpretation: Even though intensive care management was restricted, the number of patients and doctors’ overtime work increased compared to before the spread of COVID-19, and the surrounding environment led to an increase in the number of incidents. The environments in ICUs must be actively improved to prepare for an even more severe situation in the future.

Finding: None to declare.

Declaration of Interest: The authors have no conflicts of interest to declare.

Ethical Approval: This study conformed to the provisions of the Declaration of Helsinki and all its amendments. This study was approved by the Institutional Review Board of the Saitama Cardiovascular and Respiratory Center (No. 2021013).

Keywords: COVID-19; Intensive care; incident report; emergency patients; overtime work

Suggested Citation

Nakamura, Ken and Orii, Kouan and Kondo, Taichi and Nakao, Mitsutaka and Wakatabe, Makoto, The Impact of the COVID-19 Outbreak on Intensive Care in Northern Saitama Japan. Available at SSRN: https://ssrn.com/abstract=3868062 or http://dx.doi.org/10.2139/ssrn.3868062

Ken Nakamura (Contact Author)

Saitama Prefecture Cardiovascular and Respiratory Center - Department of Cardiac Surgery ( email )

1696, Itai, Kumagaya-shi
Saitama, 360-0197
Japan
+81-48-536-9900 (Phone)
+81-48-536-9920 (Fax)

Kouan Orii

Saitama Prefecture Cardiovascular and Respiratory Center - Department of Cardiac Surgery ( email )

1696, Itai, Kumagaya-shi
Saitama, 360-0197
Japan

Taichi Kondo

Saitama Prefecture Cardiovascular and Respiratory Center - Department of Cardiac Surgery ( email )

1696, Itai, Kumagaya-shi
Saitama, 360-0197
Japan

Mitsutaka Nakao

Saitama Prefecture Cardiovascular and Respiratory Center - Department of Cardiac Surgery ( email )

1696, Itai, Kumagaya-shi
Saitama, 360-0197
Japan

Makoto Wakatabe

Saitama Prefecture Cardiovascular and Respiratory Center - Department of Cardiac Surgery ( email )

1696, Itai, Kumagaya-shi
Saitama, 360-0197
Japan

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