新冠肺炎时代的意大利长期护理机构:回顾

IF 0.4 Q4 GERONTOLOGY
R. Gnasso, I. Iommazzo, G. Corbi, Francesco S Celi, A. Iannicelli, Nicola Ferrara, C. Ruosi
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引用次数: 2

摘要

背景。自COVID-19开始流行以来,意大利长期护理机构(LTCF)已登记了9154例死亡病例。其中一半与COVID - 19有关。目标。在本综述中,我们分析了意大利LTCF中受影响最严重地区的COVID-19疫情管理情况。结果。在意大利卫生研究所(ISS)的报告中,1356名LTCF(41.3%)回答了LTCF中COVID-19感染的问卷。只有7.4%的死亡与冠状病毒有关(通过拭子确诊),而33.8%的死者出现流感样症状,但没有通过拭子确诊。77.2%的建筑缺乏个人防护装备。在这一评估中,各地区的自治管理政策不容忽视,尤其是伦巴第大区,它将病人从医院转移到其他机构,如LTCF。结论。老年人是新冠肺炎发病的高危人群,临床恶化迅速。应特别优化控制措施,特别是在预计可能再次出现大流行的情况下。当然,在不同制度之间进行比较有助于在程序标准化方面获得更多的信息。找出这一制度的缺陷,是尽可能完善和优化疫情管理的必要条件。©by societ Italiana。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Italian long-term care facilities during COVID-19 era: a review
Background. Since the start COVID-19 epidemic, 9154 deaths have been registered in Italian Long-Term Care Facilities (LTCF). Half of them were COVID 19-related. Objective. In this review we analyzed the management of COVID-19 outbreak in Italian LTCF, in the most affected regions. Results. In the Italian Institute of Health (ISS) report, 1356 LTCF (41.3%) answered to questionnaires on COVID-19 infection in LTCF. Only 7.4% of deaths was related to Coronavirus (confirmed by swab), while 33,8% of deceased presented flu-like symptoms without confirmation by swab. 77.2% of structures reported the lack of Personal Protective Equipment. The autonomous management policies of the regions cannot be negligible in this assessment, above all Lombardia Region that diverted patients from hospital to extra-structures, like LTCF. Conclusions. The elderlies represent high-risk patients for developing COVID-19 with rapid clinical deterioration. Containment measures should be particularly optimized, especially in anticipation of another possible pandemic recurrence. Surely a comparison among different systems could help to achieve more information in the standardization of procedures. Identifying flaws in this system is necessary to perfect and optimize epidemic management as much as possible. © by Società Italiana.
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
31
期刊介绍: The Journal of Gerontology and Geriatrics (JGG) is the official journal of the Italian Society of Gerontology and Geriatrics (SIGG), which will be an international, interdisciplinary, peer-reviewed journal concerning frontiers and advances in the field of aging. The aim of the journal is to provide a forum for original research papers, reviews, clinical case reports, and commentaries on the most relevant areas pertaining to aging. JGG publishes relevant articles covering the full range of disciplines pertaining to aging. Appropriate areas include (but are not limited to) Physiology and Pathology of Aging, Biogerontology, Epidemiology, Clinical Geriatrics, Pharmacology, Ethics, Psychology, Sociology and Geriatric Nursing.
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