COVID 19- Perspective of an Italian Center.
Identifieur interne : 002525 ( Main/Exploration ); précédent : 002524; suivant : 002526COVID 19- Perspective of an Italian Center.
Auteurs : Michele D. Pierri [Italie] ; Jacopo Alfonsi [Italie] ; Mariano Cefarelli [Italie] ; Paolo Berretta [Italie] ; Marco Di Eusanio [Italie]Source :
- Journal of cardiac surgery [ 1540-8191 ] ; 2020.
Abstract
Italy has been hard hit by severe acute respiratory syndrome coronavirus 2 infection with more than 240,000 cases and 35,000 deaths. During the acute phase of the pandemic, the Italian government decided on the lockdown which lasted about 2 months. During this period, all surgical activities were limited to nondeferable procedures only. The sudden closure posed problems with the management of the heart surgery waiting which at that time included 135 patients. Among these were selected cases with the worst clinical characteristics that were progressively operated on. Compared with a similar period in 2019, the cardiac surgery activity of the "Lancisi Cardiovascular Center" in Ancona has been reduced by 65%. With pandemic mitigation, heart surgery activity has gradually resumed but many open questions remain. Above all, there is the problem of living with a low but persistent level of presence of the virus with the need to organize the activity to ensure patients and staff safety and an optimal level of performance.
DOI: 10.1111/jocs.15099
PubMed: 33032377
PubMed Central: PMC7675508
Affiliations:
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Pierri</name><affiliation wicri:level="1"><nlm:affiliation>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona</wicri:regionArea><wicri:noRegion>Ancona</wicri:noRegion></affiliation></author><author><name sortKey="Alfonsi, Jacopo" sort="Alfonsi, Jacopo" uniqKey="Alfonsi J" first="Jacopo" last="Alfonsi">Jacopo Alfonsi</name><affiliation wicri:level="1"><nlm:affiliation>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona</wicri:regionArea><wicri:noRegion>Ancona</wicri:noRegion></affiliation></author><author><name sortKey="Cefarelli, Mariano" sort="Cefarelli, Mariano" uniqKey="Cefarelli M" first="Mariano" last="Cefarelli">Mariano Cefarelli</name><affiliation wicri:level="1"><nlm:affiliation>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona</wicri:regionArea><wicri:noRegion>Ancona</wicri:noRegion></affiliation></author><author><name sortKey="Berretta, Paolo" sort="Berretta, Paolo" uniqKey="Berretta P" first="Paolo" last="Berretta">Paolo Berretta</name><affiliation wicri:level="1"><nlm:affiliation>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona</wicri:regionArea><wicri:noRegion>Ancona</wicri:noRegion></affiliation></author><author><name sortKey="Di Eusanio, Marco" sort="Di Eusanio, Marco" uniqKey="Di Eusanio M" first="Marco" last="Di Eusanio">Marco Di Eusanio</name><affiliation wicri:level="1"><nlm:affiliation>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona</wicri:regionArea><wicri:noRegion>Ancona</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of cardiac surgery</title><idno type="eISSN">1540-8191</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Italy has been hard hit by severe acute respiratory syndrome coronavirus 2 infection with more than 240,000 cases and 35,000 deaths. During the acute phase of the pandemic, the Italian government decided on the lockdown which lasted about 2 months. During this period, all surgical activities were limited to nondeferable procedures only. The sudden closure posed problems with the management of the heart surgery waiting which at that time included 135 patients. Among these were selected cases with the worst clinical characteristics that were progressively operated on. Compared with a similar period in 2019, the cardiac surgery activity of the "Lancisi Cardiovascular Center" in Ancona has been reduced by 65%. With pandemic mitigation, heart surgery activity has gradually resumed but many open questions remain. Above all, there is the problem of living with a low but persistent level of presence of the virus with the need to organize the activity to ensure patients and staff safety and an optimal level of performance.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33032377</PMID><DateRevised><Year>2020</Year><Month>11</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1540-8191</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Oct</Month><Day>08</Day></PubDate></JournalIssue><Title>Journal of cardiac surgery</Title><ISOAbbreviation>J Card Surg</ISOAbbreviation></Journal><ArticleTitle>COVID 19- Perspective of an Italian Center.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1111/jocs.15099</ELocationID><Abstract><AbstractText>Italy has been hard hit by severe acute respiratory syndrome coronavirus 2 infection with more than 240,000 cases and 35,000 deaths. During the acute phase of the pandemic, the Italian government decided on the lockdown which lasted about 2 months. During this period, all surgical activities were limited to nondeferable procedures only. The sudden closure posed problems with the management of the heart surgery waiting which at that time included 135 patients. Among these were selected cases with the worst clinical characteristics that were progressively operated on. Compared with a similar period in 2019, the cardiac surgery activity of the "Lancisi Cardiovascular Center" in Ancona has been reduced by 65%. With pandemic mitigation, heart surgery activity has gradually resumed but many open questions remain. Above all, there is the problem of living with a low but persistent level of presence of the virus with the need to organize the activity to ensure patients and staff safety and an optimal level of performance.</AbstractText><CopyrightInformation>© 2020 Wiley Periodicals LLC.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pierri</LastName><ForeName>Michele D</ForeName><Initials>MD</Initials><AffiliationInfo><Affiliation>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alfonsi</LastName><ForeName>Jacopo</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cefarelli</LastName><ForeName>Mariano</ForeName><Initials>M</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-4796-2931</Identifier><AffiliationInfo><Affiliation>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Berretta</LastName><ForeName>Paolo</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Di Eusanio</LastName><ForeName>Marco</ForeName><Initials>M</Initials><Identifier Source="ORCID">http://orcid.org/0000-0001-6679-3574</Identifier><AffiliationInfo><Affiliation>Cardiac Surgery Department, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, 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Pierri</name></noRegion><name sortKey="Alfonsi, Jacopo" sort="Alfonsi, Jacopo" uniqKey="Alfonsi J" first="Jacopo" last="Alfonsi">Jacopo Alfonsi</name><name sortKey="Berretta, Paolo" sort="Berretta, Paolo" uniqKey="Berretta P" first="Paolo" last="Berretta">Paolo Berretta</name><name sortKey="Cefarelli, Mariano" sort="Cefarelli, Mariano" uniqKey="Cefarelli M" first="Mariano" last="Cefarelli">Mariano Cefarelli</name><name sortKey="Di Eusanio, Marco" sort="Di Eusanio, Marco" uniqKey="Di Eusanio M" first="Marco" last="Di Eusanio">Marco Di Eusanio</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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