435: From Conception to 1000 Patients: Operationalizing a Field Hospital in 2 Weeks: Javits, NY, NY

INTRODUCTION: The surge of SARS-CoV-2 patients presenting to New York City (NYC) hospitals quickly overwhelmed and outnumbered the available acute care and intensive care resources in NYC Upon arrival of military medical assets to the Javits Convention Center in New York City, more than 100,000 local residents had already been infected and 5,000 residents had died METHODS: The JNYMS (Javits New York Medical Station) constructed by the Army Corps of Engineers with a capacity to house more than 4,000 patients Healthcare professionals from every branch of the uniformed services, augmented by state and local resources, staffed the JNYMS for April, 2020 All patient demographic data was collected on a computerized registry (maintained by the NY Department of Health) and clinical documentation was done using paper charts RESULTS: During the 28 days of patient intake at the JNYMS, 1,095 SARS-CoV-2 patients were transferred from NYC hospitals At its peak, the JNYMS accepted 119 patients in a single day (Figure 1), had a maximum census of 453, and had a peak ICU census of 35 The median length of stay was 4 6 days [IQR: 3 1-6 9 days] 103 patients [9 4%, 95% CI 7 7-11 3] were transferred back to local hospitals (87) or the USNS Comfort (16) There were 6 deaths, for an overall mortality rate of 0 6% [95% CI 0 3-1 2] however 27 ICU patients were transferred back to NYC hospitals, half were on ventilators and the majority were critically ill CONCLUSIONS: This is the first report of the care provided at the JNYMS Within 2 weeks, this multi-agency effort was able to mobilize to care for over 1000 SARS-CoV-2 patients with varying degrees of illness in a one-month period This large-scale mobilization at the height of the epidemic in NYC saved many more lives, as high-level medical care was afforded patients that would have over-loaded New York hospitals It allowed them to decompress while offering much needed healthcare provider relief In addition to the volume of patients cared for over this short period of time, this circumstance is unique in that this field hospital provided ICU level of care Notably, the JNYMS was able to discharge SARS-CoV-2 patients home in under 5 days, with a full supply of their required medications, thus freeing up NY City case management resources for other patients