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10.1016/j.urology.2020.05.011

http://scihub22266oqcxt.onion/10.1016/j.urology.2020.05.011
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32425267!7233200!32425267
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suck abstract from ncbi


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pmid32425267      Urology 2020 ; 142 (ä): 22-25
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  • Guess Who s Coming to Dinner: COVID-19 in a COVID-free Unit #MMPMID32425267
  • Luciani LG; Mattevi D; Giusti G; Proietti S; Gallo F; Schenone M; Malossini G
  • Urology 2020[Aug]; 142 (ä): 22-25 PMID32425267show ga
  • OBJECTIVE: To assess the impact of the pandemic on surgical activity and the occurrence and features of Covid-19 in a Covid-free urologic unit in a regional hospital in Northern Italy. MATERIALS AND METHODS: Our Department is the only urologic service in the Trento Province, near Lombardy, the epicenter of Covid-19 in our Country. We reviewed the surgical and ward activities during the 4 weeks following the national lockdown (March 9 to April 5, 2020). The following outcomes were investigated: surgical load, rate of admissions and bed occupation, and the rate and characteristics of unrecognized Covid-positive patients. Data were compared with that of the same period of 2019 (March 11 to April 7). RESULTS AND CONCLUSION: About 63%, 70%, 64%, and 71%, decline in surgery, endoscopy, bed occupation, and admission, respectively, occurred during the 4 weeks after the lockdown, as compared to 2019. Urgent procedures also declined by 32%. Three (8%) of 39 admissions regarded unrecognized Covid-19 overlapping or misinterpreted with urgent urologic conditions such as fever-associated urinary stones or hematuria. In spite of a significant reduction of activity, a non-negligible portion of admissions to our Covid-free unit regarded unrecognized Covid-19. In order to preserve its integrity, we propose an enhanced triage prior to the admission to a Covid-free unit including not only routine questions on fever and respiratory symptoms but also nonrespiratory symptoms, history of exposure, and a survey about the social and geographic origin of the patient.
  • |*Betacoronavirus[MESH]
  • |*Urology Department, Hospital[MESH]
  • |Aged[MESH]
  • |Bed Occupancy/statistics & numerical data[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*epidemiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Italy/epidemiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Patient Admission/statistics & numerical data[MESH]
  • |Pneumonia, Viral/*epidemiology[MESH]
  • |SARS-CoV-2[MESH]
  • |Triage[MESH]


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