Résumé
Italy is the second most affected by coronavirus epidemy country in the world. In this article, members of the Italian Society of Surgical Endoscopy analyze the work of endoscopic units during the COVID-19 pandemic. Authors explain how to stratify patients according to risk groups, how to put on and off personal protective equipment, list decontamination standards for endoscopic equipment and endoscopic room.Copyright © 2020, Media Sphera Publishing Group. All rights reserved.
Résumé
We present the data and achievements of our pioneer Fracture Liaison Service (FLS) in Argentina, after 4 y of the Capture the Fracture program, within the Sanatorio Las Lomas private hospital. The aim is to evaluate our FLS consolidation after its implementation, taking in account the obstacles we faced and the experiences we obtained. Our secondary prevention program was launched during 2017, developed and attended by the Endocrinology and Metabolism Dept.'smedical staff. Immediately the Orthopedic Dept. joined us. We identified and gathered fractured patients in emergency, ambulatory and hospitalized rooms. During the first visit we included physical exam, personal and familiar medical history, BMD evaluation by DXA scan with TBS and FRAX algorithm and mineral metabolism laboratory testing. From 521 included patients, the fracture index was: 30.4% radius, 17.1% femoral, 16% vertebral, 11.6% tibial, 4% humerus and 11% other sites. Comparing April 2021 vs. April 2020, despite SARS-Cov-2 pandemic, we achieved an increase in patients recruitment (46.64%), doubling the number. We attribute this to our increased efforts by contacting fractured patients by telephone, offering medical assistance. The refracture index was 20%, with 25% of these patients suffering a third fracture. The centinel fracture and the most predictive of a second episode was the radius fracture. In the next chart we present the numbers achieved in our private hospital FLS.