tetano
Editor, Senior Moderator
J Clin Med
. 2020 Sep 21;9(9):E3042.
doi: 10.3390/jcm9093042.
Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy
Giacomo Cester[SUP] 1 [/SUP], Chiara Giraudo[SUP] 2 [/SUP], Francesco Causin[SUP] 1 [/SUP], Deris Gianni Boemo[SUP] 3 [/SUP], Mariagiulia Anglani[SUP] 1 [/SUP], Alfio Capizzi[SUP] 3 [/SUP], Giovanni Carretta[SUP] 3 [/SUP], Annamaria Cattelan[SUP] 4 [/SUP], Diego Cecchin[SUP] 5 [/SUP], Vito Cianci[SUP] 6 [/SUP], Andrea Crisanti[SUP] 7 [/SUP], Giorgio De Conti[SUP] 8 [/SUP], Daniele Donato[SUP] 3 [/SUP], Luciano Flor[SUP] 3 [/SUP], Joseph-Domenico Gabrieli[SUP] 1 [/SUP], Marina Munari[SUP] 9 [/SUP], Paolo Navalesi[SUP] 9 [/SUP], Alberto Ponzoni[SUP] 8 [/SUP], Maria Luisa Scapellato[SUP] 10 [/SUP], Ivo Tiberio[SUP] 11 [/SUP], Andrea Vianello[SUP] 12 [/SUP], Roberto Stramare[SUP] 2 [/SUP]
Affiliations
Abstract
At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of V? Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety.
Keywords: COVID-19; computed tomography; organizational model; outbreak; preparedness; radiology.
. 2020 Sep 21;9(9):E3042.
doi: 10.3390/jcm9093042.
Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy
Giacomo Cester[SUP] 1 [/SUP], Chiara Giraudo[SUP] 2 [/SUP], Francesco Causin[SUP] 1 [/SUP], Deris Gianni Boemo[SUP] 3 [/SUP], Mariagiulia Anglani[SUP] 1 [/SUP], Alfio Capizzi[SUP] 3 [/SUP], Giovanni Carretta[SUP] 3 [/SUP], Annamaria Cattelan[SUP] 4 [/SUP], Diego Cecchin[SUP] 5 [/SUP], Vito Cianci[SUP] 6 [/SUP], Andrea Crisanti[SUP] 7 [/SUP], Giorgio De Conti[SUP] 8 [/SUP], Daniele Donato[SUP] 3 [/SUP], Luciano Flor[SUP] 3 [/SUP], Joseph-Domenico Gabrieli[SUP] 1 [/SUP], Marina Munari[SUP] 9 [/SUP], Paolo Navalesi[SUP] 9 [/SUP], Alberto Ponzoni[SUP] 8 [/SUP], Maria Luisa Scapellato[SUP] 10 [/SUP], Ivo Tiberio[SUP] 11 [/SUP], Andrea Vianello[SUP] 12 [/SUP], Roberto Stramare[SUP] 2 [/SUP]
Affiliations
- PMID: 32967312
- DOI: 10.3390/jcm9093042
Abstract
At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of V? Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety.
Keywords: COVID-19; computed tomography; organizational model; outbreak; preparedness; radiology.