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Clinical Activities, Contaminations of Surgeons and Cooperation with Health Authorities in 14 Orthopedic Departments in North Italy during the Most Acute Phase of Covid-19 Pandemic

Background: From 10 March up until 3 May 2020 in Northern Italy, the SARS-CoV-2 spread was not contained; disaster triage was adopted. The aim of the present study is to assess the impact of the COVID-19-pandemic on the Orthopedic and Trauma departments, focusing on: hospital reorganization (flexibi...

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Autores principales: Aprato, Alessandro, Guindani, Nicola, Massè, Alessandro, Castelli, Claudio C., Cipolla, Alessandra, Antognazza, Delia, Benazzo, Francesco, Bove, Federico, Casiraghi, Alessandro, Catani, Fabio, Dallari, Dante, D’Apolito, Rocco, Franceschini, Massimo, Momoli, Alberto, Ravasi, Flavio, Rivera, Fabrizio, Zagra, Luigi, Zatti, Giovanni, D’Angelo, Fabio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8156362/
https://www.ncbi.nlm.nih.gov/pubmed/34067826
http://dx.doi.org/10.3390/ijerph18105340
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author Aprato, Alessandro
Guindani, Nicola
Massè, Alessandro
Castelli, Claudio C.
Cipolla, Alessandra
Antognazza, Delia
Benazzo, Francesco
Bove, Federico
Casiraghi, Alessandro
Catani, Fabio
Dallari, Dante
D’Apolito, Rocco
Franceschini, Massimo
Momoli, Alberto
Ravasi, Flavio
Rivera, Fabrizio
Zagra, Luigi
Zatti, Giovanni
D’Angelo, Fabio
author_facet Aprato, Alessandro
Guindani, Nicola
Massè, Alessandro
Castelli, Claudio C.
Cipolla, Alessandra
Antognazza, Delia
Benazzo, Francesco
Bove, Federico
Casiraghi, Alessandro
Catani, Fabio
Dallari, Dante
D’Apolito, Rocco
Franceschini, Massimo
Momoli, Alberto
Ravasi, Flavio
Rivera, Fabrizio
Zagra, Luigi
Zatti, Giovanni
D’Angelo, Fabio
author_sort Aprato, Alessandro
collection PubMed
description Background: From 10 March up until 3 May 2020 in Northern Italy, the SARS-CoV-2 spread was not contained; disaster triage was adopted. The aim of the present study is to assess the impact of the COVID-19-pandemic on the Orthopedic and Trauma departments, focusing on: hospital reorganization (flexibility, workload, prevalence of COVID-19/SARS-CoV-2, standards of care); effects on staff; subjective orthopedic perception of the pandemic. Material and Methods: Data regarding 1390 patients and 323 surgeons were retrieved from a retrospective multicentric database, involving 14 major hospitals. The subjective directors’ viewpoints regarding the economic consequences, communication with the government, hospital administration and other departments were collected. Results: Surgical procedures dropped by 73%, compared to 2019, elective surgery was interrupted. Forty percent of patients were screened for SARS-CoV-2: 7% with positive results. Seven percent of the patients received medical therapy for COVID-19, and only 48% of these treated patients had positive swab tests. Eleven percent of surgeons developed COVID-19 and 6% were contaminated. Fourteen percent of the staff were redirected daily to COVID units. Communication with the Government was perceived as adequate, whilst communication with medical Authorities was considered barely sufficient. Conclusions: Activity reduction was mandatory; the screening of carriers did not seem to be reliable and urgent activities were performed with a shortage of workers and a slower workflow. A trauma network and dedicated in-hospital paths for COVID-19-patients were created. This experience provided evidence for coordinated responses in order to avoid the propagation of errors.
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spelling pubmed-81563622021-05-28 Clinical Activities, Contaminations of Surgeons and Cooperation with Health Authorities in 14 Orthopedic Departments in North Italy during the Most Acute Phase of Covid-19 Pandemic Aprato, Alessandro Guindani, Nicola Massè, Alessandro Castelli, Claudio C. Cipolla, Alessandra Antognazza, Delia Benazzo, Francesco Bove, Federico Casiraghi, Alessandro Catani, Fabio Dallari, Dante D’Apolito, Rocco Franceschini, Massimo Momoli, Alberto Ravasi, Flavio Rivera, Fabrizio Zagra, Luigi Zatti, Giovanni D’Angelo, Fabio Int J Environ Res Public Health Article Background: From 10 March up until 3 May 2020 in Northern Italy, the SARS-CoV-2 spread was not contained; disaster triage was adopted. The aim of the present study is to assess the impact of the COVID-19-pandemic on the Orthopedic and Trauma departments, focusing on: hospital reorganization (flexibility, workload, prevalence of COVID-19/SARS-CoV-2, standards of care); effects on staff; subjective orthopedic perception of the pandemic. Material and Methods: Data regarding 1390 patients and 323 surgeons were retrieved from a retrospective multicentric database, involving 14 major hospitals. The subjective directors’ viewpoints regarding the economic consequences, communication with the government, hospital administration and other departments were collected. Results: Surgical procedures dropped by 73%, compared to 2019, elective surgery was interrupted. Forty percent of patients were screened for SARS-CoV-2: 7% with positive results. Seven percent of the patients received medical therapy for COVID-19, and only 48% of these treated patients had positive swab tests. Eleven percent of surgeons developed COVID-19 and 6% were contaminated. Fourteen percent of the staff were redirected daily to COVID units. Communication with the Government was perceived as adequate, whilst communication with medical Authorities was considered barely sufficient. Conclusions: Activity reduction was mandatory; the screening of carriers did not seem to be reliable and urgent activities were performed with a shortage of workers and a slower workflow. A trauma network and dedicated in-hospital paths for COVID-19-patients were created. This experience provided evidence for coordinated responses in order to avoid the propagation of errors. MDPI 2021-05-17 /pmc/articles/PMC8156362/ /pubmed/34067826 http://dx.doi.org/10.3390/ijerph18105340 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Aprato, Alessandro
Guindani, Nicola
Massè, Alessandro
Castelli, Claudio C.
Cipolla, Alessandra
Antognazza, Delia
Benazzo, Francesco
Bove, Federico
Casiraghi, Alessandro
Catani, Fabio
Dallari, Dante
D’Apolito, Rocco
Franceschini, Massimo
Momoli, Alberto
Ravasi, Flavio
Rivera, Fabrizio
Zagra, Luigi
Zatti, Giovanni
D’Angelo, Fabio
Clinical Activities, Contaminations of Surgeons and Cooperation with Health Authorities in 14 Orthopedic Departments in North Italy during the Most Acute Phase of Covid-19 Pandemic
title Clinical Activities, Contaminations of Surgeons and Cooperation with Health Authorities in 14 Orthopedic Departments in North Italy during the Most Acute Phase of Covid-19 Pandemic
title_full Clinical Activities, Contaminations of Surgeons and Cooperation with Health Authorities in 14 Orthopedic Departments in North Italy during the Most Acute Phase of Covid-19 Pandemic
title_fullStr Clinical Activities, Contaminations of Surgeons and Cooperation with Health Authorities in 14 Orthopedic Departments in North Italy during the Most Acute Phase of Covid-19 Pandemic
title_full_unstemmed Clinical Activities, Contaminations of Surgeons and Cooperation with Health Authorities in 14 Orthopedic Departments in North Italy during the Most Acute Phase of Covid-19 Pandemic
title_short Clinical Activities, Contaminations of Surgeons and Cooperation with Health Authorities in 14 Orthopedic Departments in North Italy during the Most Acute Phase of Covid-19 Pandemic
title_sort clinical activities, contaminations of surgeons and cooperation with health authorities in 14 orthopedic departments in north italy during the most acute phase of covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8156362/
https://www.ncbi.nlm.nih.gov/pubmed/34067826
http://dx.doi.org/10.3390/ijerph18105340
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