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Hospital reengineering against COVID-19 outbreak: 1-month experience of an Italian tertiary care center.
Eur Rev Med Pharmacol Sci. 2020 08; 24(15):8202-8209.ER

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.

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.

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).

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.

Authors+Show Affiliations

Department of Internal Medicine and Gastroenterology, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy. alberto.tosoni@policlinicogemelli.it.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32767350

Citation

Tosoni, A, et al. "Hospital Reengineering Against COVID-19 Outbreak: 1-month Experience of an Italian Tertiary Care Center." European Review for Medical and Pharmacological Sciences, vol. 24, no. 15, 2020, pp. 8202-8209.
Tosoni A, Rizzatti G, Nicolotti N, et al. Hospital reengineering against COVID-19 outbreak: 1-month experience of an Italian tertiary care center. Eur Rev Med Pharmacol Sci. 2020;24(15):8202-8209.
Tosoni, A., Rizzatti, G., Nicolotti, N., Di Giambenedetto, S., Addolorato, G., Franceschi, F., & Zileri Dal Verme, L. (2020). Hospital reengineering against COVID-19 outbreak: 1-month experience of an Italian tertiary care center. European Review for Medical and Pharmacological Sciences, 24(15), 8202-8209. https://doi.org/10.26355/eurrev_202008_22509
Tosoni A, et al. Hospital Reengineering Against COVID-19 Outbreak: 1-month Experience of an Italian Tertiary Care Center. Eur Rev Med Pharmacol Sci. 2020;24(15):8202-8209. PubMed PMID: 32767350.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hospital reengineering against COVID-19 outbreak: 1-month experience of an Italian tertiary care center. AU - Tosoni,A, AU - Rizzatti,G, AU - Nicolotti,N, AU - Di Giambenedetto,S, AU - Addolorato,G, AU - Franceschi,F, AU - Zileri Dal Verme,L, AU - ,, PY - 2020/8/9/entrez PY - 2020/8/9/pubmed PY - 2020/8/22/medline SP - 8202 EP - 8209 JF - European review for medical and pharmacological sciences JO - Eur Rev Med Pharmacol Sci VL - 24 IS - 15 N2 - 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. 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. 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). 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. SN - 2284-0729 UR - https://www.unboundmedicine.com/medline/citation/32767350/Hospital_reengineering_against_COVID_19_outbreak:_1_month_experience_of_an_Italian_tertiary_care_center_ DB - PRIME DP - Unbound Medicine ER -