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5 results on '"Bertinato L"'

1. The management of the Sars-CoV-2 pandemic in Italy, lessons earnt and reflections for the future.

Author

Maffeo M, Azara A, Di Rosa E, Bertinato L, Garbelli C, and Castaldi S

Subjects
Humans, Italy epidemiology, SARS-CoV-2, State Medicine, COVID-19, Pandemics prevention & control
Abstract

Background: Italy and especially Lombardy region was the first European Country hit by the covid 19 pandemic, without a proper preparedness plan. Italy's health-care service is a regionally based National Health Service (NHS) that provides universal coverage, largely free of charge at the point of service. Aim of this paper is to analyse the national and especially the regional strategies put in place to face the pandemic, focusing on the impact of the overlap of the political and health competences among national and regional authority., Methods: Italian hygiene and preventive medicine society (SITI) realized a questionnaire submitted to National Institute for Health and regional stakeholder to investigate the response to the epidemic analysing the strategies and actions put in place both by the national and regional governments and the regional health authorities., Results: The national survey highlighted several critical points in the management of the covid 19 pandemic in the different regional contexts such as lack of personnel in preventive departments and preparadness., Conclusions: Lessons learnt during the pandemic should shape the future of the Italian health service. (www.actabiomedica.it).

Published
2021
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2. How can we manage the COVID-19 infodemics? A case study targeted to health workers in Italy.

Author

Bertinato L, Brambilla G, De Castro P, Rosi A, Nisini R, Barbaro A, Gentili D, Toni F, Mistretta A, Bucciardini R, Carusi D, Angelozzi A, Busani L, Costabile E, Mochi P, Caminada S, Magurano F, and Brusaferro S

Subjects
Civil Defense, Evidence-Based Medicine, Health Literacy, Humans, Italy, COVID-19, Health Personnel, Informatics, Pandemics
Abstract

Introduction: The Istituto Superiore di Sanità (ISS) has been asked for rapid technical and scientific advice to the State and Regions during Sars-CoV-2 pandemic preparedness., Methods: An ad hoc Working Group on Scientific Literature updates (WG SL) was set up at ISS (March-May 2020) to screen pre-prints and peer reviewed papers from arXiv, medRxiv, bioRxiv, and Pubmed to provide a real time knowledge and empirical evidence addressed to health-workers., Results: The WG SL screened a total of 4,568 pre-prints and 15,590 peer reviewed papers, delivered as daily summary report of pre-print selection for ISS President activity in the National Scientific Technical Committee framework and a weekly open access publication (COVID Contents) on peer-reviewed papers of interest for health professionals, monitored by a satisfaction questionnaire., Conclusions: Promoting heath literacy, with a cross-cutting approach is a powerful heritage of Public Health Institutes and a proven effective non pharmacological intervention.

Published
2021
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3. How can we manage the COVID-19 infodemics? A case study targeted to health workers in Italy

Author

Bertinato, L., Brambilla, G., de Castro, P., Rosi, A., Nisini, R., Barbaro, A., Gentili, D., Toni, F., Mistretta, A., Bucciardini, R., Carusi, D., Angelozzi, A., Busani, L., Costabile, E., Mochi, P., Caminada, S., Magurano, F., and Brusaferro, S.

Subjects
Evidence-Based Medicine, Informatics, Infodemics, Italy, Health Personnel, COVID-19, Health literacy, Civil Defense, Humans, Public Health, Health Literacy, Pandemics
Published
2021

4. COVID-19 mortality among migrants living in Italy

Author

Canevelli, M., Palmieri, L., Raparelli, V., Punzo, O., Donfrancesco, C., Noce, C. L., Vanacore, N., Brusaferro, S., Onder, G., Bertinato, L., Bram-billa, G., Calcagnini, G., Kneves, Q., Censi, F., Colaizzo, E., Facchiano, F. -S., Floridia, M., Giuliano, M., Grisetti, T. -Z., Kodra, Y., Langer, M., Lega, I., Lo Noce, C., Albedi, F. M., Manno, V., Mattei, E., Meli, P., Minelli, G., Nebuloni, M., Nistico, L., Nonis, M., Palmisano, L., Petrosillo, N., Pricci, F., Salerno, P., Tamburo De Bella, M., Taru-scio, D., Tiple, D., Unim, B., Vaianella, L., Vichi, M., Villani, E. R., and Zona, A.

Subjects
Adult, Male, Chronic Obstructive, Global health, Comorbidity, Pulmonary Disease, Betacoronavirus, Age Distribution, Cause of Death, Neoplasms, 80 and over, Diabetes Mellitus, Humans, Obesity, Viral, Renal Insufficiency, Mortality, Chronic, COVID-19, Migration, SARS-CoV-2, Aged, Aged, 80 and over, Albania, Cardiovascular Diseases, Coronavirus Infections, Diabetes Mellitus, Type 2, Female, France, Healthy Worker Effect, Hospital Records, Italy, Middle Aged, Pneumonia, Viral, Pulmonary Disease, Chronic Obstructive, Renal Insufficiency, Chronic, Transients and Migrants, Pandemics, Pneumonia, Type 2
Published
2020

5. Sex differences in clinical phenotype and transitions of care among individuals dying of COVID-19 in Italy

Author

Raparelli, V., Palmieri, L., Canevelli, M., Pricci, F., Unim, B., Lo Noce, C., Villani, E. R., Rochon, P. A., Pilote, L., Vanacore, N., Onder, G., Agazio, E., Andrianou, X., Barbariol, P., Bella, A., Bellino, S., Benelli, E., Bertinato, L., Boros, S., Brambilla, G., Calcagnini, G., Daqar, Q. Z., Castrucci, M. R., Censi, F., Ciervo, A., Colaizzo, E., D'Ancona, F., Delmanso, M., Donfrancesco, C., Fabiani, M., Facchiano, F., Filia, A., Floridia, M., Galati, F., Giuliano, M., Grisetti, T., Kodra, Y., Langer, M., Lega, I., Lonoce, C., Maiozzi, P., Malchiodialbedi, F., Manno, V., Martini, M., Urdiales, A. M., Mattei, E., Meduri, C., Meli, P., Minelli, G., Nebuloni, M., Nistico, L., Nonis, M., Palmisano, L., Petrosillo, N., Pezzotti, P., Punzo, O., Puro, V., Rezza, G., Riccardo, F., Rota, M. C., Salerno, P., Serra, D., Siddu, A., Stefanelli, P., Tamburo DeBella, M., Tiple, D., Vaianella, L., Vichi, M., Zona, A., and Brusaferro, S.

Subjects
Male, Multivariate analysis, covid-19, comorbidities, in-hospital complications, sex, transition of care, lcsh:Medicine, Disease, Comorbidity, 030204 cardiovascular system & hematology, Comorbidities, COVID-19, In-hospital complications, Sex, Transition of care, lcsh:Physiology, Aged, Aged, 80 and over, Betacoronavirus, Coronavirus Infections, Female, Hospitalization, Humans, Italy, Middle Aged, Multimorbidity, Multivariate Analysis, Pandemics, Patient Transfer, Pneumonia, Viral, Prevalence, Retrospective Studies, Risk Factors, SARS-CoV-2, Sex Factors, 0302 clinical medicine, Endocrinology, 80 and over, 030212 general & internal medicine, Viral, lcsh:QP1-981, Acute kidney injury, medicine.medical_specialty, NO, Gender Studies, 03 medical and health sciences, Internal medicine, medicine, Dementia, business.industry, Research, lcsh:R, Outbreak, Retrospective cohort study, Pneumonia, medicine.disease, business, Kidney disease
Abstract

Background Among the unknowns posed by the coronavirus disease 2019 (COVID-19) outbreak, the role of biological sex to explain disease susceptibility and progression is still a matter of debate, with limited sex-disaggregated data available. Methods A retrospective analysis was performed to assess if sex differences exist in the clinical manifestations and transitions of care among hospitalized individuals dying with laboratory-confirmed SARS-CoV-2 infection in Italy (February 27–June 11, 2020). Clinical characteristics and the times from symptoms’ onset to admission, nasopharyngeal swab, and death were compared between sexes. Adjusted multivariate analysis was performed to identify the clinical features associated with male sex. Results Of the 32,938 COVID-19-related deaths that occurred in Italy, 3517 hospitalized and deceased individuals with COVID-19 (mean 78 ± 12 years, 33% women) were analyzed. At admission, men had a higher prevalence of ischemic heart disease (adj-OR = 1.76, 95% CI 1.39–2.23), chronic obstructive pulmonary disease (adj-OR = 1.7, 95% CI 1.29–2.27), and chronic kidney disease (adj-OR = 1.48, 95% CI 1.13–1.96), while women were older and more likely to have dementia (adj-OR = 0.73, 95% CI 0.55–0.95) and autoimmune diseases (adj-OR = 0.40, 95% CI 0.25–0.63), yet both sexes had a high level of multimorbidity. The times from symptoms’ onset to admission and nasopharyngeal swab were slightly longer in men despite a typical acute respiratory illness with more frequent fever at the onset. Men received more often experimental therapy (adj-OR = 2.89, 95% CI 1.45–5.74) and experienced more likely acute kidney injury (adj-OR = 1.47, 95% CI 1.13–1.90). Conclusions Men and women dying with COVID-19 had different clinical manifestations and transitions of care. Identifying sex-specific features in individuals with COVID-19 and fatal outcome might inform preventive strategies.

Published
2020

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