COVID-19 preparedness among Emergency Departments: a cross-sectional study in France.

OBJECTIVE: to evaluate hospital and Emergency Department (ED) preparedness in France facing the Coronavirus disease 2019 (Covid-19) rapid growth epidemic-phase, and to determine the link between preparedness and responsiveness. METHODS: In this cross sectional study, from March 7 to March 11, 2020, all ED head of department of France were contacted to answer an electronic survey including 23 questions. Quality, Organization, Training, Resources, Management, Interoperability and Responsiveness were evaluated by calculating scores (10 points). MANOVA was used to compare scores. Spearman's correlation coefficient and multifaceted regression analysis were performed between Responsiveness and dimensions scores. RESULTS: 287 of 636 French EDs were included (45.1%). Calculated scores showed (median): Quality 5.38; Organization 6.4; Training 4.6; Resources 4.13; Management 2.38; Interoperability 4.0; Responsiveness 6.25; seasonal influenza score was 5. Significant differences between scores as a function of hospital and ED main characteristics were found. Furthermore, we found significant correlations (p<0.01) between Responsiveness and all preparedness dimensions. Organization (adjusted-R2 0.2897), Management (aR2 0.321) and Interoperability (aR2 0.422) were significantly associated with Responsiveness. CONCLUSION: preparedness in all its dimensions is low, indicating vulnerability. Preparedness and responsiveness face a certain and ongoing risk are close linked, and that Organizational, Management and Interoperability dimensions are main determinants.