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The Italian Covid-19 Phase 2 in Piacenza: results of the first semester of 2020 and future prospective of new orthopedics surgical procedures.
Maniscalco, Pietro; Quattrini, Fabrizio; Ciatti, Corrado; Gattoni, Serena; Puma Pagliarello, Calogero; Burgio, Valeria; Di Stefano, Giovanni; Cauteruccio, Michele; Giovanelli, Matteo; Magro, Alessandra; Capelli, Patrizio.
  • Maniscalco P; Orthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy. P.Maniscalco@ausl.pc.it.
  • Quattrini F; AUSL PIACENZA. f.quattrini@ausl.pc.it.
  • Ciatti C; AUSL PIACENZA. c.ciatti@ausl.pc.it.
  • Gattoni S; AUSL PIACENZA. s.gattoni@ausl.pc.it.
  • Puma Pagliarello C; AUSL PIACENZA. c.pumapagliarello@ausl.pc.it.
  • Burgio V; AUSL PIACENZA. v.burgio@ausl.pc.it.
  • Di Stefano G; AUSL PIACENZA. g.distefano@ausl.pc.it.
  • Cauteruccio M; AUSL PIACENZA. m.cauteruccio@ausl.pc.it.
  • Giovanelli M; UNIVERSITY HOSPITAL OF PARMA. m.giovanelli@ausl.pc.it.
  • Magro A; AUSL PIACENZA. a.magro@ausl.pc.it.
  • Capelli P; AUSL PIACENZA. p.capelli@ausl.pc.it.
Acta Biomed ; 91(4): e2020159, 2020 11 10.
Article in English | MEDLINE | ID: covidwho-1058716
ABSTRACT

INTRODUCTION:

During the pandemic, Piacenza's Orthopedic and Traumatology Dep. firstly dealt with the emergency with the complete closure of all the elective surgical and outpatient activities.As general population, also healthcare workers were affected by Coronavirus, increasing difficulties of epidemic management.The aim of our study is to evaluate the activity trend of the first 6months of 2020 in our hospital.Data will be compared to the two semesters of 2019, in order to have two objective samples. MATERIALS AND

METHODS:

We retrospectively analyzed all the orthopedics surgical procedures performed at Guglielmo da Saliceto Hospital (Piacenza, Emilia Romagna, Northern Italy)between 1/1/20 and 30/06/20. 2019 semesters (1/01/20-30/6/20 and 1/07/20-31/12/20) have been used as control group to evaluate the activity trend of the first six months of 2020, compared to the two semesters of 2019.

RESULTS:

We noticed a significant increase of domestic and retirement houses accidents, a consistent increase in one-month mortality rate of 2020 first semester and a decrease of mean hospitalization time.About surgical procedures, we detect a drop in the total number in the first semester of 2020 we performed 499 (-39.9%) surgeries less than the first semester of 2019 and 337 (-30.9%) then the second one. Traumatology recorded a decrease of 27.6% than the first semester of 2019 (-204 surgeries) and of 26.3% than the second one (-191 surgeries).Concerning orthopedic procedures, in comparison to the first semester of 2019 we registered a reduction of 57.6% (-295 surgeries) and of 40.2% to the second semester (-146 surgeries). DISCUSSION AND

CONCLUSION:

Covid-19 forced a reorganization of the Italian Health System that led to a clear reduction of surgical procedures performed in the orthopedic and traumatology department.The "Phase 2" can't be consider the last step of the emergency.We surely will have to get used to live with this enemy, at least until we will find an effective cure or a vaccine.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Orthopedic Procedures / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Topics: Vaccines Limits: Humans Country/Region as subject: Europa Language: English Journal: Acta Biomed Journal subject: Medicine Year: 2020 Document Type: Article Affiliation country: Abm.v91i4.10377

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Orthopedic Procedures / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Topics: Vaccines Limits: Humans Country/Region as subject: Europa Language: English Journal: Acta Biomed Journal subject: Medicine Year: 2020 Document Type: Article Affiliation country: Abm.v91i4.10377