LitCovid-sentences  

PubMed:32907650 JSONTXT 19 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T1 0-80 Sentence denotes Crisis Standards of Care Implementation at the State Level in the United States.
T2 81-94 Sentence denotes INTRODUCTION:
T3 95-249 Sentence denotes In 2009, the Institute of Medicine published guidelines for implementation of Crisis Standards of Care (CSC) at the state level in the United States (US).
T4 250-484 Sentence denotes Based in part on the then concern for H1N1 pandemic, there was a recognized need for additional planning at the state level to maintain health system preparedness and conventional care standards when available resources become scarce.
T5 485-627 Sentence denotes Despite the availability of this framework, in the years since and despite repeated large-scale domestic events, implementation remains mixed.
T6 628-636 Sentence denotes PROBLEM:
T7 637-777 Sentence denotes Coronavirus disease 2019 (COVID-19) rejuvenates concern for how health systems can maintain quality care when faced with unrelenting burden.
T8 778-901 Sentence denotes This study seeks to outline which states in the US have developed CSC and which areas of care have thus far been addressed.
T9 902-910 Sentence denotes METHODS:
T10 911-986 Sentence denotes An online search was conducted for all 50 states in 2015 and again in 2020.
T11 987-1074 Sentence denotes For states without CSC plans online, state officials were contacted by email and phone.
T12 1075-1338 Sentence denotes Public protocols were reviewed to assess for operational implementation capabilities, specifically highlighting guidance on ventilator use, burn management, sequential organ failure assessment (SOFA) score, pediatric standards, and reliance on influenza planning.
T13 1339-1347 Sentence denotes RESULTS:
T14 1348-1458 Sentence denotes Thirty-six states in the US were actively developing (17) or had already developed (19) official CSC guidance.
T15 1459-1511 Sentence denotes Fourteen states had no publicly acknowledged effort.
T16 1512-1747 Sentence denotes Eleven of the 17 public plans had updated within five years, with a majority addressing ventilator usage (16/17), influenza planning (14/17), and pediatric care (15/17), but substantially fewer addressing care for burn patients (9/17).
T17 1748-1759 Sentence denotes CONCLUSION:
T18 1760-2016 Sentence denotes Many states lacked publicly available guidance on maintaining standards of care during disasters, and many states with specific care guidelines had not sufficiently addressed the full spectrum of hazard to which their health care systems remain vulnerable.