Table 2.
Contingency plans, guidelines, and capacity.
| Survey Question | Response Options | Centers (n=102) | % | 95% CI |
|---|---|---|---|---|
| As of March 20, does your hospital have a written and documented contingency plan in the event of a prolonged mass incident event as observed in pandemic infections? | Yes No Do not know |
73 23 6 |
71 23 6 |
62–79 15–32 3–13 |
| As of March 20, does your ED/PED have a written and documented contingency plan in the event of a prolonged mass incident event as observed in pandemic infections? | Yes No Do not know |
64 35 3 |
63 34 3 |
53–71 26–44 1–8 |
| When was the last time you conducted a simulation in your ED/PED on how to manage a mass casualty/epidemic? | Less than a week ago Between a week and a month ago More than a month ago, but less than a year ago More than a year ago Never done |
8 4 34 19 37 |
8 4 33 19 36 |
4–15 1–9 25–43 12–27 28–46 |
| Has your ED/PED managed a mass casualty or epidemic in the last 5 years? | Yes No Do not know |
23 78 1 |
23 76 1 |
15–31 67–83 0.1–5 |
| When did your institution distribute a formal management plan for suspected/confirmed pediatric COVID-19 for your ED? | Between Jan 15 and 31 Between Feb 1 and 15 Between Feb 15 and 29 Between Mar 1 and 15 No formal plan yet I do not remember |
7 15 37 39 2 2 |
7 15 36 38 2 2 |
3–13 9–23 28–64 29–48 0.5–7 0.5–7 |
| Was the management plan above updated regularly? | No formal plan yet No, only 1 plan distributed so far Yes, daily Yes, weekly Yes every 2 wk Yes, but at a different pace from above Do not know |
3 1 70 20 1 5 2 |
3 1 69 19 1 5 2 |
1–8 0.1–5 59–77 13–28 0.1–5 2–11 0.5–7 |
| What is the surge capacity of your ED/PED to assess suspected/confirmed pediatric COVID-19 cases simultaneously? | 1 room 2 rooms 3–5 rooms >5 rooms |
7 19 36 40 |
7 19 35 39 |
3–13 12–27 27–45 30–49 |
| What is the surge capacity at your institution to admit pediatric patients with suspected/confirmed COVID-19 who need admission to the hospital but not intensive care? | I cannot admit these patients in my institution; they are transferred to another hospital <5 beds 5–10 beds >10 beds Do not know |
5 11 28 57 1 |
5 11 27 56 1 |
2–11 6–18 20–37 46–65 0.1–5 |
| What is the surge capacity at your institution to admit pediatric patients with suspected/confirmed COVID-19 cases in (pediatric) intensive care? | No PICU/ICU availability for COVID-19 at my institution <5 beds 5–10 beds >10 beds Do not know |
26 33 20 20 3 |
26 32 20 20 3 |
18–35 24–42 13–28 13–28 1–8 |
| Does your hospital have a formal plan to increase capacity (bed availability) for pediatric patients with suspected/confirmed COVID-19? | Yes No Do not know |
78 22 2 |
77 21 2 |
67–83 15–30 0.5–7 |
| Which of the following adjustments/measures has your hospital taken to be able to best manage pediatric COVID-patients in terms of staff resources/bed availability? [>1 answer possible] | Cancellation of planned outpatient visits Cancellation of planned surgery Cancellation of planned hospital admissions Modification of current accommodation (ie, reorganization of beds in other pediatric wards) Telemetry, remote outpatient clinics, or both by phone/teleconferencing Do not know Other |
94 97 93 76 69 1 8 |
92 95 90 75 68 1 8 |
85–96 89–98 84–95 65–82 58–76 0.1–5 4–15 |
| As part of the hospitalwide contingency COVID-19 plan, is there the possibility that COVID-19 adult patients will be admitted to pediatric beds? | No, we are a stand-alone children’s hospital No, this is not part of the current plan Yes, this is part of the plan if in need to increase capacity for adult COVID-19 patients Do not know Other |
7 46 43 4 2 |
7 45 42 4 2 |
3–13 36–55 33–52 1–9 0.5–7 |
CI, Confidence interval; PICU, pediatric ICU.