Urgent need for individual mobile phone and institutional reporting of at home, hospitalized, and intensive care unit cases of SARS-CoV-2 (COVID-19) infection
Urgent need for individual mobile phone and institutional reporting of at home, hospitalized, and intensive care unit cases of SARS-CoV-2 (COVID-19) infection
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DOI：
10.31083/j.rcm.2020.01.42
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发表时间：
2020-03-30
影响因子：
2.7
通讯作者：
Ronco, Claudio
中科院分区：
文献类型：
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作者：
McCullough, Peter A.;Eidt, John;Ronco, Claudio
SARS-CoV-2 (COVID-19) 从中国武汉传播到全球约 90 天，导致了一系列广泛的事件，对社区健康和经济健康之间的脆弱关系构成迫在眉睫的威胁。尽管几乎每小时都有关于这场危机的报告，但尚未定期、更新或准确地报告 COVID-19 住院情况。众所周知，许多检测呈阳性的人可能不会出现症状，或患有轻度自限性病毒综合症，包括发烧、不适、干咳和全身症状。然而，有些人会出现更严重的综合征，包括病毒性肺炎、需要吸氧的呼吸衰竭、需要机械通气的急性呼吸窘迫综合征，以及因 COVID-19 导致死亡的大量病例。这种流行病正在以聚集性、不知情的方式演变，导致许多医院做好了准备，但病例很少或根本没有，而另一些医院则完全不堪重负。因此，当个人防护设备耗尽时，传播的相当大的风险以及未提供机械通气的人的很大一部分死亡都可归因于资源分配不当造成的危机。这种流行病可以通过手机应用程序进行自我报告，该应用程序可以获得疑似病例的关键信息，并报告自我检测的结果和所采取的行动。了解聚类情况和当前医院资源需求的唯一方法是对医院病房和重症监护病房收治的 COVID-19 病例进行强制性、统一的每日医院普查报告。目前的住院治疗报告存在延迟、不确定且完全不充分。本文敦促所有相关利益攸关方将自我报告和报告 COVID-19 住院情况作为抗击这一毁灭性大流行病的紧迫任务。
Approximately 90 days of the SARS-CoV-2 (COVID-19) spreading originally from Wuhan, China, and across the globe has led to a widespread chain of events with imminent threats to the fragile relationship between community health and economic health. Despite near hourly reporting on this crisis, there has been no regular, updated, or accurate reporting of hospitalizations for COVID-19. It is known that many test-positive individuals may not develop symptoms or have a mild self-limited viral syndrome consisting of fever, malaise, dry cough, and constitutional symptoms. However some individuals develop a more fulminant syndrome including viral pneumonia, respiratory failure requiring oxygen, acute respiratory distress syndrome requiring mechanical ventilation, and in substantial ractions leading to death attributable to COVID-19. The pandemic is evolving in a clustered, non-inform fashion resulting in many hospitals with preparedness but few or no cases, and others that are completely overwhelmed. Thus, a considerable risk of spread when personal protection equipment becomes exhausted and a large fraction of mortality in those not offered mechanical ventilation are both attributable to a crisis due to maldistribution of resources. The pandemic is amenable to self-reporting through a mobile phone application that could obtain critical information on suspected cases and report on the results of self testing and actions taken. The only method to understand the clustering and the immediate hospital resource needs is mandatory, uniform, daily reporting of hospital censuses of COVID-19 cases admitted to hospital wards and intensive care units. Current reports of hospitalizations are delayed, uncertain, and wholly inadequate. Th is paper urges all the relevant stakeholders to take up self-reporting and reporting of hospitalizations of COVID-19 as an urgent task in combating this devastating pandemic.