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Hospital reengineering against COVID-19 outbreak: 1-month experience of an Italian tertiary care center.
- Source :
-
European review for medical and pharmacological sciences [Eur Rev Med Pharmacol Sci] 2020 Aug; Vol. 24 (15), pp. 8202-8209. - Publication Year :
- 2020
-
Abstract
- Objective: The recent outbreak of SARS-CoV-2 infection in Italy has resulted in a sudden and massive flow of patients into emergency rooms, and a high number of hospitalizations with the need for respiratory isolation. Massive admission of patients to the Policlinico "Agostino Gemelli" Foundation of Rome, Italy, determined the need for reengineering the entire hospital.<br />Materials and Methods: In this article, we consider some of the structural and organizational changes that have been necessary to deal with the emergency, with particular reference to non-intensive medicine wards, and the preventive measures aimed at limiting the spread of SARS-CoV-2 infection among hospital staff and patients themselves.<br />Results: 577 staff members were subjected to molecular tests in 1-month period and 3.8% of the total were positive. 636 patients admitted to the COVID-19 pathway were included and analyzed: 45.4% were identified as SARS-CoV-2 positive. More SARS-CoV-2 negative patients were discharged in comparison to SARS-CoV-2 positive patients (59% vs. 41%, respectively). On the other hand, more SARS-CoV-2 positive patients were transferred to ICUs in comparison to SARS-CoV-2 negative patients (16% vs. 1%, respectively). Occurrence of death was similar between the two groups, 11% vs. 7%, for SARS-CoV-2 negative and positive patients, respectively. 25% of ≥80 years old SARS-CoV-2 positive patients died during the hospitalization, while death rate was lower in other age groups (5% in 70-79 years old patients and 0% in remaining age groups).<br />Conclusions: Rapid hospital reengineering has probably had an impact on the management of patients with and without SARS-CoV-2 infection, and on in-hospital mortality rates over the reporting period.
- Subjects :
- Aged
Aged, 80 and over
Betacoronavirus
COVID-19
Coronavirus Infections therapy
Coronavirus Infections transmission
Female
Health Personnel education
Hospital Bed Capacity
Hospitals, Special
Humans
Infection Control methods
Infectious Disease Transmission, Patient-to-Professional prevention & control
Intensive Care Units
Italy epidemiology
Male
Middle Aged
Pandemics
Patient Isolation
Personal Protective Equipment
Pneumonia, Viral therapy
Pneumonia, Viral transmission
SARS-CoV-2
Coronavirus Infections epidemiology
Hospital Units organization & administration
Infection Control organization & administration
Personnel Staffing and Scheduling organization & administration
Pneumonia, Viral epidemiology
Tertiary Care Centers organization & administration
Subjects
Details
- Language :
- English
- ISSN :
- 2284-0729
- Volume :
- 24
- Issue :
- 15
- Database :
- MEDLINE
- Journal :
- European review for medical and pharmacological sciences
- Publication Type :
- Academic Journal
- Accession number :
- 32767350
- Full Text :
- https://doi.org/10.26355/eurrev_202008_22509