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The Impact of COVID-19 Outbreak on Syncope Units Activities in Italy: A Report from the Italian Multidisciplinary Working Group on Syncope (GIMSI).
Russo, Vincenzo; Boggian, Giulio; Bolognesi, Maria Giulia; Carretta, Domenico Maria; Cencetti, Simone; De Laura, Domenica; Hrovatin, Enzo; Pastori, Paolo; Tomaselli, Caterina; Parente, Erika; Rafanelli, Martina; Ungar, Andrea.
  • Russo V; Cardiology and Syncope Unit, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, 80131 Naples, Italy.
  • Boggian G; Internal Medicine and Syncope Unit, Bentivoglio Hospital, Health Authority Bologna, 40053 Bologna, Italy.
  • Bolognesi MG; Cardiology and Syncope Unit, Guglielmo da Saliceto Hospital, 29121 Piacenza, Italy.
  • Carretta DM; Cardiology and Syncope Unit, Giovanni XXIII Hospital, 70126 Bari, Italy.
  • Cencetti S; Internal Medicine and Syncope Unit, Piero Palagi Hospital, Health Authority Toscana Centro, 50122 Firenze, Italy.
  • De Laura D; Cardiology and Syncope Unit, San Paolo Hospital, 70123 Bari, Italy.
  • Hrovatin E; Cardiology and Syncope Unit, Monfalcone Hospital, Health Authority Giuliano Isontina (GO), 34074 Monfalcone, Italy.
  • Pastori P; Cardiology and Syncope Unit, Fidenza Hospital, Health Authority Parma, 43036 Fidenza, Italy.
  • Tomaselli C; Cardiology and Syncope Unit, Annunziata Hospital, 87100 Cosenza, Italy.
  • Parente E; Cardiology and Syncope Unit, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, 80131 Naples, Italy.
  • Rafanelli M; Geriatrics and Intensive Care Unit, Hypertension Centre-Syncope Unit University of Florence and Careggi Hospital, 50134 Florence, Italy.
  • Ungar A; Geriatrics and Intensive Care Unit, Hypertension Centre-Syncope Unit University of Florence and Careggi Hospital, 50134 Florence, Italy.
Int J Environ Res Public Health ; 18(17)2021 08 31.
Article in English | MEDLINE | ID: covidwho-1390615
ABSTRACT
The aim of our study was to evaluate the impact of the COVID-19 outbreak on Syncope Units (SUs) Activities in Italy.

Methods:

Data about types of SU activities and admissions were obtained from 10 SUs throughout Italy, certified by the Italian Multidisciplinary Working Group on Syncope (GIMSI), from 10 March 2020 to 31 December 2020 and compared with the same time frame in 2019.

Results:

A remarkable reduction in overall non-invasive diagnostic tests (-67%; p < 0.001) and cardiac invasive procedure. Elective cardiac pacing procedures disclosed a significant decrease (-62.7%; p < 0.001); conversely, the decrease of urgent procedures was not significant (-50%; p = 0.08). There was a significantly increased rate of patients who underwent both telemedicine follow-up visits (+225%, p < 0.001) and cardiac implantable electronic devices (CIEDs) remote monitoring follow-up visits (+100%; p < 0.001).

Conclusion:

The COVID-19 outbreak was associated with a remarkable decrease in all clinical activities of Syncope Units in Italy, including both non-invasive tests and cardiac invasive procedures; conversely, a significant increase in telehealth activities was shown.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph18179194

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph18179194