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10.1302/0301-620X.102B6.BJJ-2020-0537 http://scihub22266oqcxt.onion/10.1302/0301-620X.102B6.BJJ-2020-0537 32323563!7241059!32323563     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Bone+Joint+J 2020 ; 102-B (6): 671-676 Nephropedia Template TP {{tp|p=32323563|t=2020. The management of emergency spinal surgery during the COVID-19 pandemic in Italy |pdf=|usr=}}{{32323563}} gab.com Text The management of emergency spinal surgery during the COVID-19 pandemic in Italy JO: Bone Joint J http://www.kidney.de/pget.php?&tw=1&pmid=32323563 #FOAvip AIMS: The current pandemic caused by COVID-19 is the biggest challenge for national health systems for a century. While most medical resources are allocated to treat COVID-19 patients, several non-COVID-19 medical emergencies still need to be treated, including vertebral fractures and spinal cord compression. The aim of this paper is to report the early experience and an organizational protocol for emergency spinal surgery currently being used in a large metropolitan area by an integrated team of orthopaedic surgeons and neurosurgeons. METHODS: An organizational model is presented based on case centralization in hub hospitals and early management of surgical cases to reduce hospital stay. Data from all the patients admitted for emergency spinal surgery from the beginning of the outbreak were prospectively collected and compared to data from patients admitted for the same reason in the same time span in the previous year, and treated by the same integrated team. RESULTS: A total of 19 patients (11 males and eight females, with a mean age of 49.9 years (14 to 83)) were admitted either for vertebral fracture or spinal cord compression in a 19-day period, compared to the ten admitted in the previous year. No COVID-19 patients were treated. The mean time between admission and surgery was 1.7 days, significantly lower than 6.8 days the previous year (p < 0.001). CONCLUSION: The structural organization and the management protocol we describe allowed us to reduce the time to surgery and ultimately hospital stay, thereby maximizing the already stretched medical resources available. We hope that our early experience can be of value to the medical communities that will soon be in the same emergency situation. Cite this article: Bone Joint J 2020;102-B(6):671-676. Twit Text FOAVip The management of emergency spinal surgery during the COVID-19 pandemic in Italy ????Bone Joint J http://www.kidney.de/pget.php?&tw=1&pmid=32323563 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32323563 #FOAvip English Wikipedia <ref>{{Cite pmid|32323563}}</ref> The management of emergency spinal surgery during the COVID-19 pandemic in Italy #MMPMID32323563 Giorgi PD; Villa F; Gallazzi E; Debernardi A; Schiro GR; Crisa FM; Talamonti G; D'Aliberti G Bone Joint J 2020[Jun]; 102-B (6): 671-676 PMID32323563show ga AIMS: The current pandemic caused by COVID-19 is the biggest challenge for national health systems for a century. While most medical resources are allocated to treat COVID-19 patients, several non-COVID-19 medical emergencies still need to be treated, including vertebral fractures and spinal cord compression. The aim of this paper is to report the early experience and an organizational protocol for emergency spinal surgery currently being used in a large metropolitan area by an integrated team of orthopaedic surgeons and neurosurgeons. METHODS: An organizational model is presented based on case centralization in hub hospitals and early management of surgical cases to reduce hospital stay. Data from all the patients admitted for emergency spinal surgery from the beginning of the outbreak were prospectively collected and compared to data from patients admitted for the same reason in the same time span in the previous year, and treated by the same integrated team. RESULTS: A total of 19 patients (11 males and eight females, with a mean age of 49.9 years (14 to 83)) were admitted either for vertebral fracture or spinal cord compression in a 19-day period, compared to the ten admitted in the previous year. No COVID-19 patients were treated. The mean time between admission and surgery was 1.7 days, significantly lower than 6.8 days the previous year (p < 0.001). CONCLUSION: The structural organization and the management protocol we describe allowed us to reduce the time to surgery and ultimately hospital stay, thereby maximizing the already stretched medical resources available. We hope that our early experience can be of value to the medical communities that will soon be in the same emergency situation. Cite this article: Bone Joint J 2020;102-B(6):671-676. |*Coronavirus Infections[MESH] |*Models, Organizational[MESH] |*Neurosurgical Procedures[MESH] |*Orthopedic Procedures[MESH] |*Pandemics[MESH] |*Pneumonia, Viral[MESH] |Adolescent[MESH] |Adult[MESH] |Aged[MESH] |Aged, 80 and over[MESH] |COVID-19[MESH] |Critical Pathways/organization & administration[MESH] |Efficiency, Organizational[MESH] |Emergencies[MESH] |Female[MESH] |Health Care Rationing/organization & administration[MESH] |Hospitals, Urban[MESH] |Humans[MESH] |Italy[MESH] |Length of Stay/statistics & numerical data[MESH] |Male[MESH] |Middle Aged[MESH] |Outcome and Process Assessment, Health Care[MESH] |Patient Care Team/*organization & administration[MESH] |Prospective Studies[MESH] |Spinal Cord Compression/*surgery[MESH] |Spinal Fractures/*surgery[MESH] |Time-to-Treatment/statistics & numerical data[MESH]The management of emergency spinal surgery during the COVID-19 pandemi(epmc).pdf DeepDyve Pubget Overpricing