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Reshaping of Italian Echocardiographic Laboratories Activities during the Second Wave of COVID-19 Pandemic and Expectations for the Post-Pandemic Era
Background: Cardiology divisions reshaped their activities during the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to analyze the organization of echocardiographic laboratories and echocardiography practice during the second wave of the COVID-19 pandemic in Italy, and the expectati...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8397129/ https://www.ncbi.nlm.nih.gov/pubmed/34441762 http://dx.doi.org/10.3390/jcm10163466 |
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author | Ciampi, Quirino Antonini-Canterin, Francesco Barbieri, Andrea Barchitta, Agata Benedetto, Frank Cresti, Alberto Miceli, Sofia Monte, Ines Petrella, Licia Trocino, Giuseppe Aquila, Iolanda Barbati, Giovanni Barletta, Valentina Barone, Daniele Beraldi, Monica Bergandi, Gianluigi Bilardo, Giuseppe Boriani, Giuseppe Bossone, Eduardo Bongarzoni, Amedeo Bovolato, Francesca Elisa Bursi, Francesca Cammalleri, Valeria Carbonella, Marco Casavecchia, Grazia Cicco, Sebastiano Cioffi, Giovanni Cocchia, Rosangela Colonna, Paolo Cortigiani, Lauro Cucchini, Umberto D’Alfonso, Maria Grazia D’Andrea, Antonello Dell’Angela, Luca Dentamaro, Ilaria De Paolis, Marcella De Stefanis, Paola Deste, Wanda Di Fulvio, Maria Di Giannuario, Giovanna Di Lisi, Daniela Di Nora, Concetta Fabiani, Iacopo Esposito, Roberta Fazzari, Fabio Ferrara, Luigi Filice, Gemma Forno, Davide Giorgi, Mauro Giustiniano, Enrico Greco, Cosimo Angelo Iannuzzi, Gian Luca Izzo, Annibale Lanzone, Alberto Maria Malagoli, Alessandro Mantovani, Francesca Manuppelli, Vincenzo Mega, Simona Merli, Elisa Ministeri, Margherita Morrone, Doralisa Napoletano, Cosimo Nunziata, Luigi Pastorini, Guido Pedone, Chiara Petruccelli, Enrica Polito, Maria Vincenza Polizzi, Vincenzo Prota, Costantina Rigo, Fausto Rivaben, Dante Eduardo Saponara, Silvio Sciacqua, Angela Sartori, Chiara Scarabeo, Virginia Serra, Walter Severino, Sergio Spinelli, Luciano Tamborini, Gloria Tota, Antonio Villari, Bruno Carerj, Scipione Picano, Eugenio Pepi, Mauro |
author_facet | Ciampi, Quirino Antonini-Canterin, Francesco Barbieri, Andrea Barchitta, Agata Benedetto, Frank Cresti, Alberto Miceli, Sofia Monte, Ines Petrella, Licia Trocino, Giuseppe Aquila, Iolanda Barbati, Giovanni Barletta, Valentina Barone, Daniele Beraldi, Monica Bergandi, Gianluigi Bilardo, Giuseppe Boriani, Giuseppe Bossone, Eduardo Bongarzoni, Amedeo Bovolato, Francesca Elisa Bursi, Francesca Cammalleri, Valeria Carbonella, Marco Casavecchia, Grazia Cicco, Sebastiano Cioffi, Giovanni Cocchia, Rosangela Colonna, Paolo Cortigiani, Lauro Cucchini, Umberto D’Alfonso, Maria Grazia D’Andrea, Antonello Dell’Angela, Luca Dentamaro, Ilaria De Paolis, Marcella De Stefanis, Paola Deste, Wanda Di Fulvio, Maria Di Giannuario, Giovanna Di Lisi, Daniela Di Nora, Concetta Fabiani, Iacopo Esposito, Roberta Fazzari, Fabio Ferrara, Luigi Filice, Gemma Forno, Davide Giorgi, Mauro Giustiniano, Enrico Greco, Cosimo Angelo Iannuzzi, Gian Luca Izzo, Annibale Lanzone, Alberto Maria Malagoli, Alessandro Mantovani, Francesca Manuppelli, Vincenzo Mega, Simona Merli, Elisa Ministeri, Margherita Morrone, Doralisa Napoletano, Cosimo Nunziata, Luigi Pastorini, Guido Pedone, Chiara Petruccelli, Enrica Polito, Maria Vincenza Polizzi, Vincenzo Prota, Costantina Rigo, Fausto Rivaben, Dante Eduardo Saponara, Silvio Sciacqua, Angela Sartori, Chiara Scarabeo, Virginia Serra, Walter Severino, Sergio Spinelli, Luciano Tamborini, Gloria Tota, Antonio Villari, Bruno Carerj, Scipione Picano, Eugenio Pepi, Mauro |
author_sort | Ciampi, Quirino |
collection | PubMed |
description | Background: Cardiology divisions reshaped their activities during the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to analyze the organization of echocardiographic laboratories and echocardiography practice during the second wave of the COVID-19 pandemic in Italy, and the expectations for the post-COVID era. Methods: We analyzed two different time periods: the month of November during the second wave of the COVID-19 pandemic (2020) and the identical month during 2019 (November 2019). Results: During the second wave of the COVID-19 pandemic, the hospital activity was partially reduced in 42 (60%) and wholly interrupted in 3 (4%) echocardiographic laboratories, whereas outpatient echocardiographic activity was partially reduced in 41 (59%) and completely interrupted in 7 (10%) laboratories. We observed an important change in the organization of activities in the echocardiography laboratory which reduced the operator-risk and improved self-protection of operators by using appropriate personal protection equipment. Operators wore FFP2 in 58 centers (83%) during trans-thoracic echocardiography (TTE), in 65 centers (93%) during transesophageal echocardiography (TEE) and 63 centers (90%) during stress echocardiography. The second wave caused a significant reduction in number of echocardiographic exams, compared to November 2019 (from 513 ± 539 to 341 ± 299 exams per center, −34%, p < 0.001). On average, there was a significant increase in the outpatient waiting list for elective echocardiographic exams (from 32.0 ± 28.1 to 45.5 ± 44.9 days, +41%, p < 0.001), with a reduction of in-hospital waiting list (2.9 ± 2.4 to 2.4 ± 2.0 days, −17%, p < 0.001). We observed a large diffusion of point-of-care cardiac ultrasound (88%), with a significant increase of lung ultrasound usage in 30 centers (43%) during 2019, extended to all centers in 2020. Carbon dioxide production by examination is an indicator of the environmental impact of technology (100-fold less with echocardiography compared to other cardiac imaging techniques). It was ignored in 2019 by 100% of centers, and currently it is considered potentially crucial for decision-making in cardiac imaging by 65 centers (93%). Conclusions: In one year, major changes occurred in echocardiography practice and culture. The examination structure changed with extensive usage of point-of-care cardiac ultrasound and with lung ultrasound embedded by default in the TTE examination, as well as the COVID-19 testing. |
format | Online Article Text |
id | pubmed-8397129 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83971292021-08-28 Reshaping of Italian Echocardiographic Laboratories Activities during the Second Wave of COVID-19 Pandemic and Expectations for the Post-Pandemic Era Ciampi, Quirino Antonini-Canterin, Francesco Barbieri, Andrea Barchitta, Agata Benedetto, Frank Cresti, Alberto Miceli, Sofia Monte, Ines Petrella, Licia Trocino, Giuseppe Aquila, Iolanda Barbati, Giovanni Barletta, Valentina Barone, Daniele Beraldi, Monica Bergandi, Gianluigi Bilardo, Giuseppe Boriani, Giuseppe Bossone, Eduardo Bongarzoni, Amedeo Bovolato, Francesca Elisa Bursi, Francesca Cammalleri, Valeria Carbonella, Marco Casavecchia, Grazia Cicco, Sebastiano Cioffi, Giovanni Cocchia, Rosangela Colonna, Paolo Cortigiani, Lauro Cucchini, Umberto D’Alfonso, Maria Grazia D’Andrea, Antonello Dell’Angela, Luca Dentamaro, Ilaria De Paolis, Marcella De Stefanis, Paola Deste, Wanda Di Fulvio, Maria Di Giannuario, Giovanna Di Lisi, Daniela Di Nora, Concetta Fabiani, Iacopo Esposito, Roberta Fazzari, Fabio Ferrara, Luigi Filice, Gemma Forno, Davide Giorgi, Mauro Giustiniano, Enrico Greco, Cosimo Angelo Iannuzzi, Gian Luca Izzo, Annibale Lanzone, Alberto Maria Malagoli, Alessandro Mantovani, Francesca Manuppelli, Vincenzo Mega, Simona Merli, Elisa Ministeri, Margherita Morrone, Doralisa Napoletano, Cosimo Nunziata, Luigi Pastorini, Guido Pedone, Chiara Petruccelli, Enrica Polito, Maria Vincenza Polizzi, Vincenzo Prota, Costantina Rigo, Fausto Rivaben, Dante Eduardo Saponara, Silvio Sciacqua, Angela Sartori, Chiara Scarabeo, Virginia Serra, Walter Severino, Sergio Spinelli, Luciano Tamborini, Gloria Tota, Antonio Villari, Bruno Carerj, Scipione Picano, Eugenio Pepi, Mauro J Clin Med Article Background: Cardiology divisions reshaped their activities during the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to analyze the organization of echocardiographic laboratories and echocardiography practice during the second wave of the COVID-19 pandemic in Italy, and the expectations for the post-COVID era. Methods: We analyzed two different time periods: the month of November during the second wave of the COVID-19 pandemic (2020) and the identical month during 2019 (November 2019). Results: During the second wave of the COVID-19 pandemic, the hospital activity was partially reduced in 42 (60%) and wholly interrupted in 3 (4%) echocardiographic laboratories, whereas outpatient echocardiographic activity was partially reduced in 41 (59%) and completely interrupted in 7 (10%) laboratories. We observed an important change in the organization of activities in the echocardiography laboratory which reduced the operator-risk and improved self-protection of operators by using appropriate personal protection equipment. Operators wore FFP2 in 58 centers (83%) during trans-thoracic echocardiography (TTE), in 65 centers (93%) during transesophageal echocardiography (TEE) and 63 centers (90%) during stress echocardiography. The second wave caused a significant reduction in number of echocardiographic exams, compared to November 2019 (from 513 ± 539 to 341 ± 299 exams per center, −34%, p < 0.001). On average, there was a significant increase in the outpatient waiting list for elective echocardiographic exams (from 32.0 ± 28.1 to 45.5 ± 44.9 days, +41%, p < 0.001), with a reduction of in-hospital waiting list (2.9 ± 2.4 to 2.4 ± 2.0 days, −17%, p < 0.001). We observed a large diffusion of point-of-care cardiac ultrasound (88%), with a significant increase of lung ultrasound usage in 30 centers (43%) during 2019, extended to all centers in 2020. Carbon dioxide production by examination is an indicator of the environmental impact of technology (100-fold less with echocardiography compared to other cardiac imaging techniques). It was ignored in 2019 by 100% of centers, and currently it is considered potentially crucial for decision-making in cardiac imaging by 65 centers (93%). Conclusions: In one year, major changes occurred in echocardiography practice and culture. The examination structure changed with extensive usage of point-of-care cardiac ultrasound and with lung ultrasound embedded by default in the TTE examination, as well as the COVID-19 testing. MDPI 2021-08-05 /pmc/articles/PMC8397129/ /pubmed/34441762 http://dx.doi.org/10.3390/jcm10163466 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 Ciampi, Quirino Antonini-Canterin, Francesco Barbieri, Andrea Barchitta, Agata Benedetto, Frank Cresti, Alberto Miceli, Sofia Monte, Ines Petrella, Licia Trocino, Giuseppe Aquila, Iolanda Barbati, Giovanni Barletta, Valentina Barone, Daniele Beraldi, Monica Bergandi, Gianluigi Bilardo, Giuseppe Boriani, Giuseppe Bossone, Eduardo Bongarzoni, Amedeo Bovolato, Francesca Elisa Bursi, Francesca Cammalleri, Valeria Carbonella, Marco Casavecchia, Grazia Cicco, Sebastiano Cioffi, Giovanni Cocchia, Rosangela Colonna, Paolo Cortigiani, Lauro Cucchini, Umberto D’Alfonso, Maria Grazia D’Andrea, Antonello Dell’Angela, Luca Dentamaro, Ilaria De Paolis, Marcella De Stefanis, Paola Deste, Wanda Di Fulvio, Maria Di Giannuario, Giovanna Di Lisi, Daniela Di Nora, Concetta Fabiani, Iacopo Esposito, Roberta Fazzari, Fabio Ferrara, Luigi Filice, Gemma Forno, Davide Giorgi, Mauro Giustiniano, Enrico Greco, Cosimo Angelo Iannuzzi, Gian Luca Izzo, Annibale Lanzone, Alberto Maria Malagoli, Alessandro Mantovani, Francesca Manuppelli, Vincenzo Mega, Simona Merli, Elisa Ministeri, Margherita Morrone, Doralisa Napoletano, Cosimo Nunziata, Luigi Pastorini, Guido Pedone, Chiara Petruccelli, Enrica Polito, Maria Vincenza Polizzi, Vincenzo Prota, Costantina Rigo, Fausto Rivaben, Dante Eduardo Saponara, Silvio Sciacqua, Angela Sartori, Chiara Scarabeo, Virginia Serra, Walter Severino, Sergio Spinelli, Luciano Tamborini, Gloria Tota, Antonio Villari, Bruno Carerj, Scipione Picano, Eugenio Pepi, Mauro Reshaping of Italian Echocardiographic Laboratories Activities during the Second Wave of COVID-19 Pandemic and Expectations for the Post-Pandemic Era |
title | Reshaping of Italian Echocardiographic Laboratories Activities during the Second Wave of COVID-19 Pandemic and Expectations for the Post-Pandemic Era |
title_full | Reshaping of Italian Echocardiographic Laboratories Activities during the Second Wave of COVID-19 Pandemic and Expectations for the Post-Pandemic Era |
title_fullStr | Reshaping of Italian Echocardiographic Laboratories Activities during the Second Wave of COVID-19 Pandemic and Expectations for the Post-Pandemic Era |
title_full_unstemmed | Reshaping of Italian Echocardiographic Laboratories Activities during the Second Wave of COVID-19 Pandemic and Expectations for the Post-Pandemic Era |
title_short | Reshaping of Italian Echocardiographic Laboratories Activities during the Second Wave of COVID-19 Pandemic and Expectations for the Post-Pandemic Era |
title_sort | reshaping of italian echocardiographic laboratories activities during the second wave of covid-19 pandemic and expectations for the post-pandemic era |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8397129/ https://www.ncbi.nlm.nih.gov/pubmed/34441762 http://dx.doi.org/10.3390/jcm10163466 |
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