Management of Systemic Sclerosis Patients in the COVID-19 Era: The Experience of an Expert Specialist Reference Center.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2021-03-17 eCollection Date: 2021-01-01 DOI:10.1177/11795484211001349
Amelia Spinella, Luca Magnani, Marco De Pinto, Chiara Marvisi, Luca Parenti, Gianluigi Bajocchi, Carlo Salvarani, Maria Teresa Mascia, Dilia Giuggioli
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引用次数: 4

Abstract

Objective: COVID-19 pandemic represents a serious health emergency that severely compromised our Public Health system, resulting in a rapid and forced reorganization and involved the management of chronic diseases too. The Scleroderma Unit of Modena and Reggio Emilia follows more than 600 patients suffering from systemic sclerosis (SSc) and recently became the referral center (HUB) in Emilia-Romagna for this rare connective tissue disease. The aim of the present study was to evaluate the extent by which the lockdown and the pandemic has impacted the activity of admissions to Scleroderma Unit of Modena and Reggio Emilia.

Methods: Our daily clinical activity is characterized by outpatient visits, videocapillaroscopy exam, ulcers treatment, therapeutic infusions in day hospital regimen, multidisciplinary visits following our dedicated SSc care pathway, and clinical trials. Our activity has been quickly rescheduled to ensure the proper assistance to our SSc patients during the COVID-19 pressure.

Results: The use of telemedicine has certainly assured a robust continuity of health care. Furthermore, telephone pre-triage, nurse/medical triage, proper physical distancing and use of PPE/DPI allowed us to re-organize and continue SSc daily activity. Specifically, therapeutic infusions in day hospital regimen and outpatient visits, including ulcers treatment, was guaranteed and maximized.

Conclusion: The management of scleroderma patients by an expert specialist reference center is crucial in order to ensure continuity of care and pursue the best SSc practice.

Abstract Image

新冠肺炎时代系统性硬化症患者管理:专家专家咨询中心的经验
目的:COVID-19大流行是严重的突发卫生事件,严重损害了我们的公共卫生系统,导致快速和被迫重组,也涉及慢性病的管理。摩德纳和雷焦艾米利亚的硬皮病部门跟踪了600多名患有系统性硬化症(SSc)的患者,最近成为艾米利亚-罗马涅这种罕见结缔组织疾病的转诊中心(HUB)。本研究的目的是评估封锁和大流行对摩德纳和雷焦艾米利亚硬皮病病房入院活动的影响程度。方法:我们的日常临床活动的特点是门诊就诊,视频毛细血管镜检查,溃疡治疗,日间医院方案的治疗性输液,遵循我们专用的SSc护理途径的多学科就诊,以及临床试验。我们的活动已迅速重新安排,以确保在COVID-19压力下适当帮助我们的SSc患者。结果:远程医疗的使用无疑保证了医疗保健的稳健连续性。此外,电话预分类、护士/医疗分类、适当的身体距离和使用个人防护装备/DPI使我们能够重新组织和继续SSc的日常活动。具体而言,在日间医院方案和门诊就诊,包括溃疡治疗,治疗性输液得到保证和最大化。结论:专家咨询中心对硬皮病患者的管理是确保护理连续性和追求最佳SSc实践的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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