scholarly journals Impact of COVID-19 pandemic and lockdown on emergency room access in Northern and Central Italy

2021 ◽  
Vol 17 (2) ◽  
Author(s):  
Fabrizio Giostra ◽  
Maria Grazia Mirarchi ◽  
Gabriele Farina ◽  
Ciro Paolillo ◽  
Catello Sepe ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Retrospective Study ◽  
Emergency Room ◽  
Respiratory Insufficiency ◽  
Central Italy ◽  
Northern Italy ◽  
Drastic Reduction ◽  
Drastic Decrease ◽  
Coronavirus Infection

In Northern Italy the coronavirus infection has spread since February 2020: the increase in admissions of COVID-19 patients corresponded to a drastic decrease in admissions of regular patients to the Emergency Room (ER). This retrospective study was conducted by Academy of Emergency Medicine and Care (AcEMC). During the lockdown period the accesses were reduced by more than 50%, and in the following months of May and June 2020, there was a recovery clearly below (70%) previous year’s numbers. We have observed a drastic reduction in white and green codes, a fair reduction in yellow codes, while red codes remained stable. The decrease in access to the ER mainly concerned patients with low priority color codes, but also the reduction in the number of accesses of yellow and red codes, insignificant at a superficial glance, is notable. If we consider that yellow and red codes during the months of the lockdown included many patients with COVIDrelated respiratory insufficiency, it is evident that there was a clear reduction in the number of serious illnesses not COVID-related. This is certainly another serious consequence of the COVID-19 pandemic.

scholarly journals Otolaryngology activity in two hospitals in northern and central Italy differently affected by COVID-19 pandemic

2021 ◽  
Vol 104 (2) ◽  
pp. 003685042199848
Author(s):  
Antonio Minni ◽  
Francesco Pilolli ◽  
Massimo Ralli ◽  
Niccolò Mevio ◽  
Luca Roncoroni ◽  
...  
Keyword(s):  
Intensive Care ◽  
Severe Acute Respiratory Syndrome ◽  
Intensive Care Units ◽  
Healthcare System ◽  
Central Italy ◽  
Northern Italy ◽  
Public Hospitals ◽  
Geographical Differences ◽  
Italian Regions

The Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) pandemic had a significant impact on the Italian healthcare system, although geographical differences were present; regions in northern Italy have been the most severely affected while regions in the south of the country were relatively spared. Otolaryngologists were actively involved in the management of the pandemic. In this work, we analyzed and compared the otolaryngology surgical activity performed during the pandemic in two large public hospitals located in different Italian regions. In northern Italy, otolaryngologists were mainly involved in performing surgical tracheotomies in COVID-19 positive patients and contributed to the management of these patients in intensive care units. In central Italy, where the burden of the infection was significantly lower, otolaryngologists focused on diagnosis and treatment of emergency and oncology patients. This analysis confirms the important role of the otolaryngology specialists during the pandemic, but also highlights specific differences between two large hospitals in different Italian regions.

A retrospective study using epiphytic lichens as biomonitors of air quality: 1980 and 1996 (Tuscany, central Italy)

1998 ◽  
Vol 19 (4) ◽  
pp. 405-408 ◽  
Author(s):  
Stefano Loppi ◽  
Ettore Putortì ◽  
Chiara Signorini ◽  
Sara Fommei ◽  
Stergios A. Pirintsos ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Air Quality ◽  
Central Italy ◽  
Epiphytic Lichens

scholarly journals Rapid Emergency Medicine Score (REMS) in the trauma population: a retrospective study

BMJ Open ◽  
2014 ◽  
Vol 4 (5) ◽  
pp. e004738 ◽  
Author(s):  
Bryan F Imhoff ◽  
Nia J Thompson ◽  
Michael A Hastings ◽  
Niaman Nazir ◽  
Michael Moncure ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Retrospective Study ◽  
Trauma Population

scholarly journals Retrospective Study on the Occurrence of Antibodies against Coxiella burnetii in Dogs from Central Italy

Pathogens ◽  
2020 ◽  
Vol 9 (12) ◽  
pp. 1068
Author(s):  
Valentina Virginia Ebani
Keyword(s):  
Retrospective Study ◽  
Coxiella Burnetii ◽  
Central Italy ◽  
Oral Route ◽  
Immunofluorescence Assay ◽  
Farm Animals ◽  
Serum Samples ◽  
Hunting Activity ◽  
Canine Population ◽  
Urban Rural

Coxiella burnetii, a cause of infection in humans and several animal species, is transmitted through inhalations and oral route but also tick bites. Its spreading in ruminants has been largely investigated, whereas data about the occurrence of this infection in canine population are scanty. In this retrospective study, blood serum samples of 516 dogs were tested by indirect immunofluorescence assay to detect antibodies against C. burnetii; 42 (8.13%) were positive with titers ranging from 1:64 to 1:512. The highest seroprevalences were detected in dogs aged > 5 years, employed in hunting activity and living in a peri-urban/rural environment. Diagnosis for C. burnetii infection should be always carried out in bitches with reproductive disorders. Moreover, in view of the zoonotic impact of this infection, asymptomatic dogs exposed to ticks’ bites and/or to contact with infected farm animals should be checked, too.

Retrospective study of emergency room dental patier retained in a hospital dental practice

1988 ◽  
Vol 8 (3) ◽  
pp. 102-105 ◽  
Author(s):  
JOHN N. DANE ◽  
WILLIAM J. HAYDEN ◽  
A. P. SOLDANELS
Keyword(s):  
Retrospective Study ◽  
Emergency Room ◽  
Dental Practice

scholarly journals Cluster of measles cases in the Roma/Sinti population, Italy, June-September 2006

2006 ◽  
Vol 11 (41) ◽  
Author(s):  
A Filia ◽  
F Curtale ◽  
P Kreidl ◽  
G Morosetti ◽  
L Nicoletti ◽  
...  
Keyword(s):  
Central Italy ◽  
Northern Italy ◽  
South Tyrol ◽  
Italian Regions

Three clusters of measles cases occurred between June and September 2006, in the Roma/Sinti populations in three different Italian regions: the Bolzano-South Tyrol in northern Italy; Lazio in central Italy; and the island of Sardinia in the southwest

scholarly journals A National Survey of Centers for Cognitive Disorders and Dementias in Italy

2021 ◽  
Vol 83 (4) ◽  
pp. 1849-1857
Author(s):  
Marco Canevelli ◽  
Alessandra Di Pucchio ◽  
Fabrizio Marzolini ◽  
Flavia Mayer ◽  
Marco Massari ◽  
...  
Keyword(s):  
National Survey ◽  
Response Rate ◽  
National Level ◽  
Central Italy ◽  
Cognitive Disorders ◽  
Northern Italy ◽  
Survey Questionnaire ◽  
Italian Region ◽  
Questionnaire Response ◽  
Provision Of Care

Background: Italy has one of the oldest populations in the World and more than one million dementia cases can be estimated at the national level. Objective: The objectives of this national survey include: 1) to report the administrative features and the professional competencies of Centers for Cognitive Disorders and Dementias (CCDDs); 2) to document possible discrepancies by geographic macro-area; and 3) to identify the features of CCDDs that are associated with a better quality in the provision of care. Methods: A survey of Italian CCDDs was conducted between February 2014 and December 2015. A list of CCDDs was obtained through direct interactions with designed delegates from each Italian region. A questionnaire was defined on five sections concerning: 1) location of the CCDD; 2) access to the CCDD; 3) organization of the CCDD; 4) services and treatments provided; and 5) quantitative data on the activities of the CCDD. Results: Overall, 577 out of the 597 eligible CCDDs returned the completed survey questionnaire (response rate: 96.6%): 260 (45.1%) from Northern Italy, 103 (17.8%) from Central Italy, and 214 (37.1%) from Southern-Islands Italy. More than a third of CCDDs were open only once or twice weekly. A median of 450 (IQR: 200–800) patients regularly attended these services. Most patients (70%) were affected by dementia or mild cognitive impairment (19%). Conclusion: We have provided a snapshot of the organization and activities of CCDDs in Italy and documented existing inequalities in the provision of care.

scholarly journals Impact of diabetes on COVID-19-related in-hospital mortality: a retrospective study from Northern Italy

2020 ◽  
Author(s):  
Stefano Ciardullo ◽  
Francesca Zerbini ◽  
Silvia Perra ◽  
Emanuele Muraca ◽  
Rosa Cannistraci ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Hospital Mortality ◽  
Northern Italy ◽  
Hospital Death ◽  
Chronic Obstructive ◽  
Malignant Neoplasms ◽  
Single Center ◽  
Comorbid Conditions ◽  
Diabetes Status ◽  
The Impact

Abstract Purpose. The purpose of this study was to evaluate the impact of pre-existing diabetes on in-hospital mortality in patients admitted for Coronavirus Disease 2019 (COVID-19).Methods. This is a single center, retrospective study conducted at Policlinico di Monza hospital, located in the Lombardy region, Northern Italy. We reviewed medical records of 373 consecutive adult patients who were hospitalized with COVID-19 between February 22 and May 15, 2020. Data were collected on diabetes status, comorbid conditions and laboratory findings. Multivariable logistic regression was performed to evaluate the effect of diabetes on in-hospital mortality after adjustment for potential confounding variables.Results. Mean age of the patients was 72 ± 14 years (range 17-98), 244 (65.4%) were male and 69 (18.5%) had diabetes. The most common comorbid conditions were hypertension (237 [64.8%]), cardiovascular disease (140 [37.7%]) and malignant neoplasms (50 [13.6%]). In-hospital death occurred in 142 (38.0%) patients. In the multivariable model older age (Odds Ratio [OR] 1.07 [1.04-1.10] per year), diabetes (OR 2.2 [1.10-4.73]), chronic obstructive pulmonary disease (OR 3.30 [1.22-8.90]), higher values of lactic dehydrogenase and C-reactive protein were independently associated with in-hospital mortality.Conclusion. In this retrospective single-center study, diabetes was independently associated with a higher in-hospital mortality. More intensive surveillance of patients with this condition is to be warranted.

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