ABSTRACT
CoViD-19 caused a significant alteration of the normal activity of hospital facilities. In particular, the surgical departments have been converted and reprogrammed to cope with the emergency, giving priority to urgent procedures that cannot be deferred. To this must be added the actions implemented by governments, such as the lockdown, which forced people to stay in their homes. In this study it was analyzed how the pandemic and the actions taken to counter the spread of the infection have influenced the activity of the Department of Emergency Surgery of "San Giovanni di Dio and Ruggi d'Aragona"University Hospital in Salerno (Italy). Logistic regression and statistical analysis were used to compare the pre-pandemic data (year 2019) with that recorded at the height of the pandemic (year 2020). The results show that Diagnostic Related Group (DRG) weight and urgent hospitalization increased significantly in 2020. © 2021 ACM.
ABSTRACT
Due to the Sars-Cov-2 pandemic, the entire health sector in all countries around the world had to reorganize. It was not only a question of increasing the number of intensive care places, but all other medical specialties also had to rewrite their protocols. In this context, it is interesting to investigate whether these new measures have changed the volume of activity and the way hospital departments work. The aim of this study is precisely to verify what has happened to the Transplantation and Related Surgery Centre of the "San Giovanni di Dio e Ruggi d'Aragona"University Hospital of Salerno. For this reason, data were collected on patients who were admitted in 2019 (pre-pendemic) and 2020. The statistical analysis carried out showed that nothing had changed in this department in 2020. © 2021 ACM.
ABSTRACT
The new COVID-19 disease has swept the world in recent months, causing enormous disruption to social, economic and health systems. Given the diversity of international health systems and conditions differ from one location to another. In all cases, however, it was decided to limit the elective surgical practices considered non-urgent. Plastic surgery departments have also seen a change in their normal business. The aim of this study was to investigate how the pandemic changed the activity of the Plastic Surgery Department of the "San Giovanni di Dio and Ruggi d'Aragona"University Hospital in Salerno (Italy). In particular, starting from the hospital discharge forms for the two-year period 2019-2020, Gender, Age, Date of admission, Date of discharge, Diagnostic Related Group (DRG) weight and Hospital admission procedures for patients were extracted. Statistical analysis and logistic regression were used to compare the activity of 2019, used in this study as a reference, with that of 2020 in the midst of the pandemic. The analysis showed a statically significant reduction in the Length of Stay (LOS), thus improving appropriateness and achieving a reduction in spending. © 2021 ACM.
ABSTRACT
The CoViD-19 pandemic imposed severe social containment measures in all sectors on countries around the world. This led to a general reorganization of the health sector involving all medical specialties. In addition, the growing influx of CoViD-19 patients in serious or critical conditions has led to a reallocation of healthcare personnel and a block of elective procedures deemed deferrable. Therefore, the surgical departments are those that have most undergone a modification of the activity normally provided. In fact, various protocols have been adopted to help doctors identify those cases in which a delay in surgery could cause serious damage to patients and on which it is necessary to intervene, thus also improving the appropriateness of admission. This study was conducted in the Complex Operative Unit (C.O.U.) of Otorhinolaryngology of the University Hospital of Salerno (Italy) "San Giovanni di Dio e Ruggi d'Aragona". Data were collected on patients who entered hospital in 2019 and 2020. Statistical analysis and logistic regression were used to quantify the effect of CoViD-19 on C.O.U.. To do this, the year 2019 was used as a reference of the normal activity of the department and compared with what was achieved in 2020, in the midst of the pandemic. Logistic regression performed on these data showed an increase in length of hospital stay (LOS) and diagnostic related group (DRG) weight in 2020 thus showing increased appropriateness of care offered. © 2021 ACM.
Subject(s)
Acromegaly , COVID-19 , Human Growth Hormone , Endocrine System , Humans , Receptors, Somatotropin , SARS-CoV-2ABSTRACT
The COVID-19 pandemic has shown the need for neuropsychological care for older adults with memory complaints in different contexts, including rural areas or areas with difficult access. Objective: This study aimed to analyze the clinical utility of the Phototest, through telemedicine, to identify mild cognitive impairment in rural older adults with memory complaints, during the COVID-19 pandemic. Methods: We performed a cross-sectional, case-control, and clinical utility comparison of brief cognitive tests (BCTs). The sample included 111 rural elderly people with mild cognitive impairment (MCI) and 130 healthy controls from the Los Lagos region, Chile. The instruments adopted were modified Mini-Mental State Examination (MMSEm) and adapted version of the Phototest (PT) for Chile. Results: To identify mild cognitive impairment, using a cutoff score of 27–28 points, the Phototest showed a sensitivity of 96.6% and a specificity of 81.8%;indicators superior to those of the MMSEm. Conclusions: The Phototest is more accurate than the MMSEm in identifying cognitive alterations in rural older adults with cognitive memory complaints through telemedicine. Therefore, its use in primary care is recommended in order to perform early detection of preclinical cognitive alterations in mild cognitive impairment or neurodegenerative diseases. © 2022, Associacao Arquivos de Neuro-Psiquiatria. All rights reserved.