About: A call to action becomes practice: cardiac and vascular surgery during the COVID-19 pandemic based on the Lombardy emergency guidelines

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About: A call to action becomes practice: cardiac and vascular surgery during the COVID-19 pandemic based on the Lombardy emergency guidelines Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	A call to action becomes practice: cardiac and vascular surgery during the COVID-19 pandemic based on the Lombardy emergency guidelines
Creator	Alamanni, Francesco Barbone, Alessandro Bellosta, Raffaello Bonalumi, Giorgia Cavallotti, Laura Civilini, Efrem Giambuzzi, Ilaria Guerra, Francisco Losa, Sergio Naliato, Moreno Pelenghi, Stefano Polvani, Gianluca Ragni, Franco Ranieri, Camilla Roberto, Maurizio Romani, Federico Russo, Claudio The Author, V Torracca, Lucia Trabattoni, Piero Trimarchi, Santi
Source	Medline; PMC
abstract	OBJECTIVES: During the Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) pandemic, Northern Italy had to completely reorganize its hospital activity. In Lombardy, the hub-and-spoke system was introduced to guarantee emergency and urgent cardiovascular surgery, whereas most hospitals were dedicated to patients with coronavirus disease 2019 (COVID-19). The aim of this study was to analyse the results of the hub-and-spoke organization system. METHODS: Centro Cardiologico Monzino (Monzino) became one of the four hubs for cardiovascular surgery, with a total of eight spokes. SARS-CoV-2 screening became mandatory for all patients. New flow charts were designed to allow separated pathways based on infection status. A reorganization of spaces guaranteed COVID-19-free and COVID-19-dedicated areas. Patients were also classified into groups according to their pathological and clinical status: emergency, urgent and non-deferrable (ND). RESULTS: A total of 70 patients were referred to the Monzino hub-and-spoke network. We performed 41 operations, 28 (68.3%) of which were emergency/urgent and 13 of which were ND. The screening allowed the identification of COVID-19 (three patients, 7.3%) and non-COVID-19 patients (38 patients, 92.7%). The newly designed and shared protocols guaranteed that the cardiac patients would be divided into emergency, urgent and ND groups. The involvement of the telematic management heart team allowed constant updates and clinical discussions. CONCLUSIONS: The hub-and-spoke organization system efficiently safeguards access to heart and vascular surgical services for patients who require ND, urgent and emergency treatment. Further reorganization will be needed at the end of this pandemic when elective cases will again be scheduled, with a daily increase in the number of operations.
has issue date	2020-06-25(xsd:dateTime)
bibo:doi	10.1093/ejcts/ezaa204
bibo:pmid	32584978
has license	no-cc
sha1sum (hex)	c9b8cbe71d6615a9a7cc970276a53e44b0235800
schema:url	https://doi.org/10.1093/ejcts/ezaa204
resource representing a document's title	A call to action becomes practice: cardiac and vascular surgery during the COVID-19 pandemic based on the Lombardy emergency guidelines
has PubMed Central identifier	PMC7337742
has PubMed identifier	32584978
schema:publication	Eur J Cardiothorac Surg
resource representing a document's body	covid:c9b8cbe71d6615a9a7cc970276a53e44b0235800#body_text
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