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COVID–19の第1波への対応に係るJAAM全国調査(JAAM Nationwide Survey on the response to the first wave of COVID–19 in Japan) 关于COVID - 19是否支持第一波的JAAM全国调查(JAAM Nationwide Survey on the response to the first wave of COVID - 19 injapan)

Nihon Kyukyu Igakkai Zasshi Pub Date : 2021-05-01 DOI: 10.1002/jja2.12599

織田順 (Jun Oda), 田邉晴山 (Seizan Tanabe), 西村哲郎 (Tetsuro Nishimura), 六車崇 (Takashi Muguruma), 松山重成 (Shigenari Matsuyama), 菅原洋子 (Yoko Sugawara), 小. (Shinji Ogura)

{"title":"COVID–19の第1波への対応に係るJAAM全国調査(JAAM Nationwide Survey on the response to the first wave of COVID–19 in Japan)","authors":"織田順 (Jun Oda), 田邉晴山 (Seizan Tanabe), 西村哲郎 (Tetsuro Nishimura), 六車崇 (Takashi Muguruma), 松山重成 (Shigenari Matsuyama), 菅原洋子 (Yoko Sugawara), 小. (Shinji Ogura)","doi":"10.1002/jja2.12599","DOIUrl":"https://doi.org/10.1002/jja2.12599","url":null,"abstract":"ABSTRACT Aim: To clarify how the medical institutions overcame the first wave of coronavirus disease 2019 (COVID–19) in Japan and to discuss its impact on the medical labor force. Methods: We analyzed questionnaire data from the end of May 2020 from 180 hospitals (102,578 beds) certified by the Japanese Association for Acute Medicine. Results: Acute (emergency) medicine physicians treated severe COVID–19 patients in more than half of hospitals. Emergency medical teams consisted of acute medicine physicians and other specialists. Frontline acute care physicians were concerned about their risk of infection in 80% of hospitals, and experienced stress due to a lack of personal protective equipment. Twenty–six of the 143 hospitals that had a mental health check/consultation system in place indicated that there was a doctor who experienced mental health problems. Of the 37 hospitals without a system, only one hospital was aware of the presence of a doctor complaining of mental health problems. Conclusion: Acute care physicians and physicians in other departments experienced high levels of stress as they fought to arrange COVID–19 treatment teams and inpatient COVID–19 wards for infected patients. Medical materials and equipment may be sufficient for a second or third wave; however, active support is needed for the physical and mental care of medical staff. Mental health problems may be missed in facilities without mental check and consultation system.","PeriodicalId":200165,"journal":{"name":"Nihon Kyukyu Igakkai Zasshi","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132271580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COVID–19の第1波への対応についてのJAAM全国調査(JAAM nationwide survey on the response to the first wave of COVID–19 in Japan) JAAM全国调查(JAAM nationwide survey on the response to the first wave of COVID - 19in japan)

Nihon Kyukyu Igakkai Zasshi Pub Date : 2021-05-01 DOI: 10.1002/jja2.12603

織田順 (Jun Oda), 六車崇 (Takashi Muguruma), 松山重成 (Shigenari Matsuyama), 田邉晴山 (Seizan Tanabe), 西村哲郎 (Tetsuro Nishimura), 菅原洋子 (Yoko Sugawara), 小. (Shinji Ogura)

{"title":"COVID–19の第1波への対応についてのJAAM全国調査(JAAM nationwide survey on the response to the first wave of COVID–19 in Japan)","authors":"織田順 (Jun Oda), 六車崇 (Takashi Muguruma), 松山重成 (Shigenari Matsuyama), 田邉晴山 (Seizan Tanabe), 西村哲郎 (Tetsuro Nishimura), 菅原洋子 (Yoko Sugawara), 小. (Shinji Ogura)","doi":"10.1002/jja2.12603","DOIUrl":"https://doi.org/10.1002/jja2.12603","url":null,"abstract":"ABSTRACT Aim: To investigate and clarify the surge capacity of staff/equipment/space, and patient outcome in the first wave of coronavirus disease (COVID–19) in Japan. Methods: We analyzed questionnaire data from the end of May 2020 from 180 hospitals (total of 102,578 beds) with acute medical centers. Results: A total of 4,938 hospitalized patients with COVID–19 were confirmed. Of 1,100 severe COVID–19 inpatients, 112 remained hospitalized and 138 died. There were 4,852 patients presumed to be severe COVID–19 patients who were confirmed later to be not infected. Twenty–seven hospitals (15% of 180 hospitals) converted their intensive care unit (ICU) to a unit for COVID–19 patients only, and 107 (59%) had to manage both severe COVID–19 patients and others in the same ICU. Restriction of ICU admission occurred in one of the former 27 hospitals and 21 of the latter 107 hospitals. Shortage of N95 masks was the most serious concern regarding personal protective equipment. As for issues that raised ICU bed occupancy, difficulty undertaking or progressing rehabilitation for severe patients (42%), and the improved patients (28%), long–lasting severely ill patients (36%), and unclear isolation criteria (34%) were mentioned. Many acute medicine physicians assisted regional governmental agencies, functioning as advisors and volunteer coordinators. Conclusion: The mortality rate of COVID–19 in this study was 4.1% of all hospitalized patients and 12.5% (one in eight) severe patients. The hospitals with dedicated COVID–19 ICUs accepted more patients with severe COVID–19 and had lower ICU admission restrictions, which could be helpful as a strategy in the next pandemic.","PeriodicalId":200165,"journal":{"name":"Nihon Kyukyu Igakkai Zasshi","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128641202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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