[Care path for non-deferred elective hospitalizations in cardiology in the Covid-19 period].

IF 0.8 4区 医学 Q4 NURSING
Valentina Astegiano, Carola Condò, Daniela Sergi, Loredana Busioc, Mara Bianco, Lyudmila Voronina, Franca Cossai, Anna Puntil, Elisa Macario Ban, Laura Tognazzolo, Elisa Pelissero, Gaetano Senatore
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引用次数: 0

Abstract

. Care path for non-deferred elective hospitalizations in cardiology in the Covid-19 period.

Introduction: The novel coronavirus-19 (Covid-19) has rapidly resulted in a global pandemic. Our hospital had to postpone all elective admissions to increase capacity for COVID-19 patients. Therefore, a rearrangement of the elective admissions was necessary to guarantee a restart of ordinary procedures.

Aim: To describe the organizational model adopted for elective procedures during the Covid-19 pandemic, to guarantee maximum safety for patients and healthcare workers.

Methods: Patients on waiting list for cardiac procedures were rearranged based on risks prioritization. Procedure of coronary angiography and cardiac devices (PM and ICD) implants or replacement took priority upon other cardiac procedures. Each patient underwent a telephone nurse triage to assess for any covid-19 symptoms. The hospital admissions were organized in accordance with health and safety measures declared by the National Institute of Health, with different paths according to the swab results.

Results: A total of 66 patients were contacted and 40 accepted the hospital admission (26 refused it, for fear of infection or covid-19 related family problems). No patient resulted positive to the nasal swab.

Conclusions: In view of the impact on the health care system of this new pandemic, the choice of an appropriate pathway which can preserve patients' safety is essential, while guaranteeing the treatment of problems, such as cardiovascular diseases, with a high mortality rate.

[Covid-19期间心脏病学非延期选择性住院的护理路径]。
. Covid-19期间心脏病学非延期选择性住院的护理路径新型冠状病毒-19 (Covid-19)已迅速导致全球大流行。我们医院不得不推迟所有选择性入院,以增加COVID-19患者的容量。因此,必须重新安排选修入学,以保证正常程序的重新启动。目的:描述Covid-19大流行期间选择性手术采用的组织模式,以最大限度地保证患者和医护人员的安全。方法:对心脏手术候诊患者进行风险排序。冠状动脉造影和心脏装置(PM和ICD)植入或更换的程序优先于其他心脏程序。每位患者都接受了电话护士分诊,以评估是否有任何covid-19症状。根据国家卫生研究所宣布的健康和安全措施安排了入院,根据棉签结果安排了不同的路径。结果:共联系66例患者,其中40例接受住院治疗(26例因担心感染或与covid-19相关的家庭问题而拒绝住院治疗)。无患者鼻拭子阳性。结论:鉴于新冠肺炎疫情对卫生保健系统的影响,在保证心血管疾病等高死亡率问题得到治疗的同时,选择一条既能保障患者安全的合适途径至关重要。
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
CiteScore
1.30
自引率
18.20%
发文量
24
审稿时长
>12 weeks
期刊介绍: Assistenza Infermieristica e Ricerca (AIR) è una rivista scientifica che si propone l''obiettivo di promuovere e sviluppare il confronto sulle conoscenze che hanno un impatto sulla pratica, sulla formazione e sulla direzione dell''assistenza infermieristica.
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