During the COVID-19 pandemic, maintenance of essential healthcare systems became very challenging. We describe the triage system of our institute, and assess the quality of care provided to critically ill non-COVID-19 patients requiring continuous renal replacement therapy (CRRT) during the pandemic. We introduced an emergency triage pathway early in the pandemic. We retrospectively reviewed the medical records of patients who received CRRT in our hospital from January 2016 to March 2021. We excluded end-stage kidney disease patients on maintenance dialysis. Patients were stratified as medical and surgical patients. The time from hospital arrival to intensive care unit (ICU) admission, the time from hospital arrival to intervention/operation, and the in-hospital mortality rate were compared before (January 2016 to December 2019) and during (January 2021 to March 2021) the pandemic. The mean number of critically ill patients who received CRRT annually in the surgical department significantly decreased during the pandemic in (2016–2019: 76.5 ± 3.1; 2020: 56; p < 0.010). Age, sex, and the severity of disease at admission did not change, whereas the proportions of medical patients with diabetes (before: 44.4%; after: 56.5; p < 0.005) and cancer (before: 19.4%; after: 32.3%; p < 0.001) increased during the pandemic. The time from hospital arrival to ICU admission and the time from hospital arrival to intervention/operation did not change. During the pandemic, 59.6% of surgical patients received interventions/operations within 6 hours of hospital arrival. In Cox’s proportional hazard modeling, the hazard ratio associated with the pandemic was 1.002 (0.778–1.292) for medical patients and 1.178 (0.783–1.772) for surgical patients. Our triage system maintained the care required by critically ill non-COVID-19 patients undergoing CRRT at our institution.

中文翻译：

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在需要持续肾脏替代治疗的非 COVID-19 患者大流行期间维持重症监护系统：单中心经验

在 COVID-19 大流行期间，基本医疗保健系统的维护变得非常具有挑战性。我们描述了我们研究所的分诊系统，并评估了在大流行期间为需要持续肾脏替代治疗 (CRRT) 的危重非 COVID-19 患者提供的护理质量。我们在大流行初期引入了紧急分流途径。我们回顾性回顾了2016年1月至2021年3月在我院接受CRRT的患者的病历。我们排除了维持性透析的终末期肾病患者。患者被分层为内科和外科患者。从到达医院到重症监护室 (ICU) 入院的时间，从到达医院到干预/手术的时间，比较了大流行之前（2016年1月至2019年12月）和期间（2021年1月至2021年3月）的住院死亡率。在大流行期间，每年在外科部门接受 CRRT 的重症患者平均人数显着下降（2016-2019：76.5 ± 3.1；2020：56；p < 0.010）。入院时的年龄、性别和疾病严重程度没有变化，而患有糖尿病（之前：44.4%；之后：56.5；p < 0.005）和癌症（之前：19.4%；之后：32.3%； p < 0.001) 在大流行期间增加。从到达医院到ICU入院的时间和从到达医院到介入/手术的时间没有变化。在大流行期间，59.6% 的外科患者在到达医院后 6 小时内接受了干预/手术。在 Cox 的比例风险模型中，内科患者与大流行相关的风险比为 1.002 (0.778–1.292)，外科患者为 1.178 (0.783–1.772)。我们的分诊系统维持了在我们机构接受 CRRT 的重症非 COVID-19 患者所需的护理。