Mobile Cabin Hospital compulsory quarantine for mild patients was an alternative method to combat COVID-19: the Chinese experience

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Abstract

Background

Since the end of 2019 to the present day, the outbreak of the coronavirus disease 2019 (COVID-19) has had an immense impact on China and on other countries worldwide. This outbreak represents a serious threat to the lives and health of people all around the world. The epidemic first broke out in Wuhan, where the Chinese government was unable to prevent the spread of the disease by implementing home quarantine measures. Mobile cabin hospitals were used to relieve pressure on hospitals due to the need for beds while also isolating the sources of the infection through a centralized quarantine and treatment of mild cases.

Method

This paper reviewed and summarized the treatment of patients with mild illness and symptoms during the period from the construction to the closing of the Hanyang Mobile Cabin Hospital in Wuhan, China, and presented the operational elements and possible improvements of running this hospital.

Results

Mobile cabin hospitals helped China to curb the epidemic in only 2 incubation periods in 28 days.The basic conditions required for a normal operation of mobile cabin hospitals included the selection of the environment, medical staff to patient ratio, organizational structure, management model, admission criteria, treatment approaches, discharge process, livelihood guarantee, security, and other safeguarding measures. All of these components were performed carefully in Wuhan Hanyang Mobile Cabin Hospital, without medical staff being infected.

Conclusion

The mobile cabin hospital compulsory quarantine for mild patients was an alternative method to combat COVID-19. It is hoped that the presented work in this manuscript can serve as a reference for the emergency prevention and control measures for global epidemic outbreaks.

Article activity feed

  1. SciScore for 10.1101/2020.07.26.20162206: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board Statementnot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.

    Table 2: Resources

    No key resources detected.


    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    However, Mobile cabin hospitals also have several notable limitations. For example, they had modest facilities, poor conditions for medical treatment, and a low level of nosocomial infection protection. Therefore, they were not capable of handling severe cases, and it was recommended that only mild cases who meet the admission criteria were accepted. Patients with worsening conditions or underlying diseases that were more challenging to treat should be transferred to designated hospitals for treatment. therefore, once the epidemic had eased, mobile cabin hospitals should be closed as soon as possible, and the main strategy should be switched to admitting and treating patients in designated hospitals [32]. Currently, the COVID-19 epidemic has spread throughout the world. On March 11, the World Health Organization Director-General Tedros announced that it constituted a global pandemic. At this time, China had controlled the most of the native epidemic for a longer period of time but it also encountered mostly imported case for quite long periods. Therefore, many medical staff members have been working in the front line to prevent the second outbreak of COVID until June 26. As of June 26, a total of 9638755 cases were confirmed worldwide outside of China, with more than 190371 newly diagnosed cases and 5000 new deaths in a single day, as well as a total of more than 487426 deaths [32-34]. We are now living in a time when Covid-19 and other infectious diseases are raging througho...

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a protocol registration statement.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.

  2. SciScore for 10.1101/2020.07.26.20162206: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board Statementnot detected.Randomizationnot detected.Blindingnot detected.Power Analysisnot detected.Sex as a biological variablenot detected.

    Table 2: Resources

    No key resources detected.


    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:

    However, Mobile cabin hospitals also have several notable limitations. For example, they had modest facilities, poor conditions for medical treatment, and a low level of nosocomial infection protection. Therefore, they were not capable of handling severe cases, and it was recommended that only mild cases who meet the admission criteria were accepted. Patients with worsening conditions or underlying diseases that were more challenging to treat should be transferred to designated hospitals for treatment. therefore, once the epidemic had eased, mobile cabin hospitals should be closed as soon as possible, and the main strategy should be switched to admitting and treating patients in designated hospitals [32]. Currently, the COVID-19 epidemic has spread throughout the world. On March 11, the World Health Organization Director-General Tedros announced that it constituted a global pandemic. At this time, China had controlled the most of the native epidemic for a longer period of time but it also encountered mostly imported case for quite long periods. Therefore, many medical staff members have been working in the front line to prevent the second outbreak of COVID until June 26. As of June 26, a total of 9638755 cases were confirmed worldwide outside of China, with more than 190371 newly diagnosed cases and 5000 new deaths in a single day, as well as a total of more than 487426 deaths [32-34] . We are now living in a time when Covid-19 and other infectious diseases are raging throughout the world. As a community joined by human destiny, the whole world must face this together and jointly launch emergency response strategies. It is our hope that China’s experiences in operating mobile cabin hospitals will help the global response to COVID-19 and other infectious diseases in the future, thus ensuring that the epidemic will come under control as soon as possible. Authors Contributors Conceptualization: Xin Qian, Xinghai Yang. Data curation: Hongru Li Formal analysis: Hongru Li Investigation: Hongru Li, Jiaping Lin, Li Zheng, Xueying Yu, Han Zi, Zhisheng Lin Methodology: Hongru Li, Li Zheng, Xueying Yu, Han Zi, Zhisheng Lin Lili Ren Project administration: Hongru Li, Xin Qian, Hongmei Lian, Chenkang, Lvyongtao Writing–original draft: Hongru Li Writing-review and editing: Hongru Li, Xin Qian, Y Xinghai Yang, Jiaping Lin, Yusheng Chen, Christopher Rensing, Hend A. Wathnani Conflict of interest statement The authors declare that they have no conflict of interest.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore is not a substitute for expert review. SciScore checks for the presence and correctness of RRIDs (research resource identifiers) in the manuscript, and detects sentences that appear to be missing RRIDs. SciScore also checks to make sure that rigor criteria are addressed by authors. It does this by detecting sentences that discuss criteria such as blinding or power analysis. SciScore does not guarantee that the rigor criteria that it detects are appropriate for the particular study. Instead it assists authors, editors, and reviewers by drawing attention to sections of the manuscript that contain or should contain various rigor criteria and key resources. For details on the results shown here, including references cited, please follow this link.

  3. SciScore for 10.1101/2020.07.26.20162206: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board Statementnot detected.Randomizationnot detected.Blindingnot detected.Power Analysisnot detected.Sex as a biological variablenot detected.

    Table 2: Resources

    No key resources detected.


    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:

    However, Mobile cabin hospitals also have several notable limitations. For example, they had modest facilities, poor conditions for medical treatment, and a low level of nosocomial infection protection. Therefore, they were not capable of handling severe cases, and it was recommended that only mild cases who meet the admission criteria were accepted. Patients with worsening conditions or underlying diseases that were more challenging to treat should be transferred to designated hospitals for treatment. therefore, once the epidemic had eased, mobile cabin hospitals should be closed as soon as possible, and the main strategy should be switched to admitting and treating patients in designated hospitals [32]. Currently, the COVID-19 epidemic has spread throughout the world. On March 11, the World Health Organization Director-General Tedros announced that it constituted a global pandemic. At this time, China had controlled the most of the native epidemic for a longer period of time but it also encountered mostly imported case for quite long periods. Therefore, many medical staff members have been working in the front line to prevent the second outbreak of COVID until June 26. As of June 26, a total of 9638755 cases were confirmed worldwide outside of China, with more than 190371 newly diagnosed cases and 5000 new deaths in a single day, as well as a total of more than 487426 deaths [32-34] . We are now living in a time when Covid-19 and other infectious diseases are raging throughout the world. As a community joined by human destiny, the whole world must face this together and jointly launch emergency response strategies. It is our hope that China’s experiences in operating mobile cabin hospitals will help the global response to COVID-19 and other infectious diseases in the future, thus ensuring that the epidemic will come under control as soon as possible. Authors Contributors Conceptualization: Xin Qian, Xinghai Yang. Data curation: Hongru Li Formal analysis: Hongru Li Investigation: Hongru Li, Jiaping Lin, Li Zheng, Xueying Yu, Han Zi, Zhisheng Lin Methodology: Hongru Li, Li Zheng, Xueying Yu, Han Zi, Zhisheng Lin Lili Ren Project administration: Hongru Li, Xin Qian, Hongmei Lian, Chenkang, Lvyongtao Writing–original draft: Hongru Li Writing-review and editing: Hongru Li, Xin Qian, Y Xinghai Yang, Jiaping Lin, Yusheng Chen, Christopher Rensing, Hend A. Wathnani Conflict of interest statement The authors declare that they have no conflict of interest.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore is not a substitute for expert review. SciScore checks for the presence and correctness of RRIDs (research resource identifiers) in the manuscript, and detects sentences that appear to be missing RRIDs. SciScore also checks to make sure that rigor criteria are addressed by authors. It does this by detecting sentences that discuss criteria such as blinding or power analysis. SciScore does not guarantee that the rigor criteria that it detects are appropriate for the particular study. Instead it assists authors, editors, and reviewers by drawing attention to sections of the manuscript that contain or should contain various rigor criteria and key resources. For details on the results shown here, including references cited, please follow this link.