An Investigation on the Role of Emergency Departments in Combatting Against COVID-19 in Zhejiang Province

Completed

• Conditions: COVID-19 Pneumonia

• Registration Number: NCT04915001
• Lead Sponsor: Second Affiliated Hospital, School of Medicine, Zhejiang University

Brief Summary

The epidemic caused by the new coronavirus appeared in December 2019 and spread rapidly, and it has had a serious impact on the social development and people's lives in the world. On February 11, 2020, the World Health Organization (WHO) named the infectious disease caused by the virus COVID-19. my country classifies it as a Class B infectious disease, and controls it as a Class A infectious disease. In order to effectively respond to the epidemic, on January 23, 2020, Zhejiang Province first launched a first-level response to major public health emergencies across the country. Some patients with new coronary pneumonia, especially critically ill patients, may go to the emergency department first. Emergency medical staff must identify and isolate patients with new coronary pneumonia in a timely manner while ensuring the treatment of critically ill patients. People face greater unknowns and challenges in the anti-epidemic work. this research Participating in the prevention and control of the new crown pneumonia epidemic through investigations in the emergency department of Zhejiang Province Related conditions, to further improve the hospital's emergency medical service capabilities for reference.

Detailed Description

References：

1. Huang CL, Wang YM, Li XW, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China\[J\]. Lancet, 2020, 395(10223): 497-506. DOI:10.1016/s0140-6736(20)30183-5.

2. Zhu N, Zhang DY, Wang WL, et al. A novel coronavirus from patients with pneumonia in China, 2019\[J\]. N Engl J Med, 2020, 382(8): 727- 733. DOI:10.1056/nejmoa2001017.

3. Gupta M, Abdelmaksoud A, Jafferany M, et al. COVID-19 and economy\[J\]. Dermatol Ther, 2020: e13329. DOI:10.1111/dth.13329.

4. Coronaviridae Study Group of the International Committee on Taxonomy of Viruses. The species severe acute respiratory syndrome- related coronavirus: classifying 2019-nCoV and naming it SARS- CoV-2 \[J\]. Nat Microbiol, 2020, 5(4):536-544. DOI:10.1038/s41564- 020-0695-z.

5. Lai CC, Shih TP, Ko WC, et al. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges\[J\]. Int J Antimicrob Agents, 2020, 55(3): 105924. DOI:10.1016/j.ijantimicag.2020.105924.

Study Timeline

• Status Verified: 2020-03
• Study Start: 2020-03-09
• Primary Completion: 2020-03-15
• Study Completion: 2020-03-30
• Study First Submitted: 2021-05-29
• Study First Submitted QC: 2021-06-04
• Study First Posted: 2021-06-07
• Last Update Submitted: 2021-07-15
• Last Update Posted: 2021-07-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 181

Inclusion Criteria

• County-level people's hospitals, TCM hospitals and above comprehensive public hospitals in Zhejiang Province;
• Voluntary participation in this study.

Exclusion Criteria

• Incomplete data

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Basic information of the hospital	7 day	Hospital level, whether it is a designated hospital for COVID-19, whether it is capable of detecting nucleic acid for the new coronavirus, whether it has a fever clinic
The frontline situation of emergency medical care support in the fight against the epidemic	7 day	Support the fever clinic of this hospital, isolation observation ward/confirmed ward, participate in the prehospital/inter-hospital transfer of new crown cases, participate in the hospital/regional prevention and management expert group, support the ward/ICU of designated hospitals in the province, support the ward of Hubei Province /ICU/ Fangcang shelter hospital
Epidemic prevention facilities in the emergency department	7 day	Number of spare separate consultation rooms, ordinary rescue rooms, and negative pressure rescue rooms, the supply of early anti-epidemic protective equipment
Participation of the emergency department in fever clinics	7 day	The department/department responsible for the management of the fever clinic, whether the medical staff of the fever clinic has a fixed establishment, and the medical staff that temporarily supports the fever clinic source department
Patients with COVID-19 admitted to the emergency department	7 day	Number and distribution of patients

Trial Locations

Locations (1)

Second Affiliated Hospital, Zhejiang University School of Medicine & Institute of Emergency Medicine, Zhejiang University; 🇨🇳 Hangzhou, Zhejiang, China