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Investigating a middle‑step COVID‑19 unit in Greece

Galateia Verykokou1,2, Andriana I Papaioannou3, Vassiliki Apollonatou1,2

  • 1COVID-19 Unit, GNDA Agia Varvara Hospital, 123 51 Athens, Greece.

Experimental and Therapeutic Medicine
|November 20, 2024
PubMed

Insights

This study evaluated a novel middle-step unit for COVID-19 patients in Greece, finding it effectively managed hospital beds and patient flow. The model demonstrated potential for future pandemic preparedness and efficient healthcare resource allocation.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Healthcare Management

Background:

  • The COVID-19 pandemic created an unprecedented demand for hospital beds globally.
  • Effective hospital bed management and patient flow are critical during public health crises.
  • Novel healthcare models are needed to support central hospitals during pandemics.

Purpose of the Study:

  • To examine the characteristics and outcomes of patients managed in a novel middle-step unit in Greece.
  • To determine if this middle-step unit effectively supported central general hospitals.
  • To highlight the potential of such models for future pandemic response.

Main Methods:

  • A retrospective analysis of 631 patients admitted to a COVID-19 middle-step unit over nine months.
  • Evaluation of patient demographics, treatment pathways, and outcomes.
  • Development of a patient referral algorithm for middle-step units.

Main Results:

  • A total of 631 patients were admitted during the 9-month operational period.
  • High discharge rate: 539 patients (85.4%) were discharged.
  • Effective patient management: 57 patients (9%) were referred to other hospitals, and 35 (5.6%) patients died.

Conclusions:

  • The middle-step unit model successfully supported central hospitals during the COVID-19 pandemic.
  • This model demonstrates significant potential for efficient patient management and resource allocation in future pandemics.
  • An algorithm for patient referral to middle-step units was developed for future pandemic preparedness.

Keywords:
bed managementcoronavirus disease-19middle-step hospitalpandemic

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