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10.2459/JCM.0000000000001055 http://scihub22266oqcxt.onion/10.2459/JCM.0000000000001055 32740498!ä!32740498 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\32740498.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       J+Cardiovasc+Med+(Hagerstown) 2020 ; 21 (9): 654-659 Nephropedia Template TP {{tp|p=32740498|t=2020. Lombardy regional urgent reorganization for congenital cardiac patients following the Covid-19 pandemic |pdf=|usr=}}{{32740498}} gab.com Text Lombardy regional urgent reorganization for congenital cardiac patients following the Covid-19 pandemic JO: J Cardiovasc Med (Hagerstown) http://www.kidney.de/pget.php?&tw=1&pmid=32740498 #FOAvip OBJECTIVE: By the end of February 2020, the COVID-19 pandemic infection had spread in Northern Italy, with thousands of patients infected. In Lombardy, the most affected area, the majority of public and private hospitals were dedicated to caring for COVID-19 patients and were organized following the 'Hub-and-Spoke' model for other medical specialties, like cardiac surgery and interventional procedures for congenital cardiac disease (CHD). Here, we report how the congenital cardiac care system was modified in Lombardy and the first results of this organization. METHODS: We describe a modified 'Hub-and-Spoke' model - that involves 59 birthplaces and three specialized Congenital Cardiac Centers -- and how the hub center organized his activity. We also reported the data of the consecutive cases hospitalized during this period. RESULTS: From 9 March to 15 April, we performed: a total of 21 cardiac surgeries, 4 diagnostic catheterizations, 3 CT scans, and 2 CMR. In three cases with prenatal diagnosis, the birth was scheduled. The spoke centers referred to our center six congenital cardiac cases. The postop ExtraCorporeal Membrane Oxygenation support was required in two cases; one case died. None of these patients nor their parents or accompanying person was found to be COVID-19-positive; 2 pediatric intensivists were found to be COVID-19-positive, and needed hospitalization without mechanical ventilation; 13 nurses had positive COVID swabs (4 with symptoms), and were managed and isolated at home. CONCLUSION: Our preliminary data suggest that the model adopted met the immediate needs with a good outcome without increased mortality, nor COVID-19 exposure for the patients who underwent procedures. Twit Text FOAVip Lombardy regional urgent reorganization for congenital cardiac patients following the Covid-19 pandemic ????J Cardiovasc Med (Hagerstown) http://www.kidney.de/pget.php?&tw=1&pmid=32740498 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32740498 #FOAvip English Wikipedia <ref>{{Cite pmid|32740498}}</ref> Lombardy regional urgent reorganization for congenital cardiac patients following the Covid-19 pandemic #MMPMID32740498 Chessa M; Varrica A; Andronache A; Carminati M; Colli AM; D'Aiello AF; Ferrero P; Mannarino S; Marcora S; Marianeschi SM; Micheletti A; Piazza L; Saracino A; Uricchio N; Vignati G; Giamberti A J Cardiovasc Med (Hagerstown) 2020[Sep]; 21 (9): 654-659 PMID32740498show ga OBJECTIVE: By the end of February 2020, the COVID-19 pandemic infection had spread in Northern Italy, with thousands of patients infected. In Lombardy, the most affected area, the majority of public and private hospitals were dedicated to caring for COVID-19 patients and were organized following the 'Hub-and-Spoke' model for other medical specialties, like cardiac surgery and interventional procedures for congenital cardiac disease (CHD). Here, we report how the congenital cardiac care system was modified in Lombardy and the first results of this organization. METHODS: We describe a modified 'Hub-and-Spoke' model - that involves 59 birthplaces and three specialized Congenital Cardiac Centers -- and how the hub center organized his activity. We also reported the data of the consecutive cases hospitalized during this period. RESULTS: From 9 March to 15 April, we performed: a total of 21 cardiac surgeries, 4 diagnostic catheterizations, 3 CT scans, and 2 CMR. In three cases with prenatal diagnosis, the birth was scheduled. The spoke centers referred to our center six congenital cardiac cases. The postop ExtraCorporeal Membrane Oxygenation support was required in two cases; one case died. None of these patients nor their parents or accompanying person was found to be COVID-19-positive; 2 pediatric intensivists were found to be COVID-19-positive, and needed hospitalization without mechanical ventilation; 13 nurses had positive COVID swabs (4 with symptoms), and were managed and isolated at home. CONCLUSION: Our preliminary data suggest that the model adopted met the immediate needs with a good outcome without increased mortality, nor COVID-19 exposure for the patients who underwent procedures. |*Cardiac Surgical Procedures/methods/statistics & numerical data[MESH] |*Cardiology Service, Hospital/organization & administration/trends[MESH] |*Coronavirus Infections/epidemiology/prevention & control[MESH] |*Heart Defects, Congenital/epidemiology/surgery[MESH] |*Infection Control/methods/organization & administration[MESH] |*Pandemics/prevention & control[MESH] |*Perinatal Care/methods/organization & administration[MESH] |*Pneumonia, Viral/epidemiology/prevention & control[MESH] |Betacoronavirus/isolation & purification[MESH] |COVID-19[MESH] |Female[MESH] |Humans[MESH] |Infant, Newborn[MESH] |Italy/epidemiology[MESH] |Male[MESH] |Models, Organizational[MESH] |Organizational Innovation[MESH] |Postoperative Care/methods[MESH] |Pregnancy[MESH]Lombardy regional urgent reorganization for congenital cardiac patient(epmc).pdf DeepDyve Pubget Overpricing