Reshaping of Italian Echocardiographic Laboratories Activities during the Second Wave of COVID-19 Pandemic and Expectations for the Post-Pandemic Era.

Autor: Ciampi Q; Division of Cardiology, Fatebenefratelli Hospital, Viale Principe di Napoli, 12 I-82100 Benevento, Italy., Antonini-Canterin F; Rehabilitative Cardiology, Rehabilitative Hospital High Speciality, 31045 Motta di Livenza, Italy., Barbieri A; Cardiology Division, University Hospital Modena-Policlinico, 41125 Modena, Italy., Barchitta A; Emergency Medicine Division, Azienda Ospedaliera di Padova, 35128 Padova, Italy., Benedetto F; Cardiology Division, Metropolitano Hospital 'Bianchi-Melacrino-Morelli', 89124 Reggio Calabria, Italy., Cresti A; Cardiology Division, Misericordia Hospital, 58100 Grosseto, Italy., Miceli S; Geriatric Division, University Hospital Mater Domini, 88100 Catanzaro, Italy., Monte I; Cardiology Division, University Hospital Policlinic, University of Catania, 95124 Catania, Italy., Petrella L; Cardiology Division, Civil Hospital G Mazzini, 64100 Teramo, Italy., Trocino G; Cardiology Division, St Gerardo Hospital, 20900 Monza, Italy., Aquila I; Cardiology Division, University Hospital Mater Domini, 88100 Catanzaro, Italy., Barbati G; Cardiology Division, San Bortolo Hospital, 36100 Vicenza, Italy., Barletta V; Cardiology 2 Division, Cardiac Vascular Thoracic Department, Pisa University Hospital, 56124 Pisa, Italy., Barone D; Cardiology Division, S. Andrea Hospital, 19121 La Spezia, Italy., Beraldi M; Cardiology Division, ASST Mantova, 46100 Mantova, Italy., Bergandi G; Cardiology Division, Civil Hospital, 10015 Ivrea, Italy., Bilardo G; Cardiology Division, Civil Hospital, 32032 Feltre, Italy., Boriani G; Cardiology Division, University Hospital Modena-Policlinico, 41125 Modena, Italy., Bossone E; Cardiology Division, Cardarelli Hospital, 80131 Napoli, Italy., Bongarzoni A; Cardiology Division, San Paolo Hospital, ASST San Carlo, San Carlo Unit, 20123 Milano, Italy., Bovolato FE; Cardiology Division, Ospedali Riuniti Padova Sud-ULSS Euganea, 35131 Padova, Italy., Bursi F; Cardiology Division, San Paolo Hospital, ASST Santi Paolo e Carlo, San Paolo Unit, University Center, 20142 Milano, Italy., Cammalleri V; Cardiology Division, University Hospital Policlinico Tor Vergata, 00133 Rome, Italy., Carbonella M; Cardiology Division, SS Maria Addolorata Hospital, 84025 Eboli, Italy., Casavecchia G; Cardiology Division, Riuniti Hospital, 71122 Foggia, Italy., Cicco S; Internal Medicine Division, Policlinic Hospital, 70124 Bari, Italy., Cioffi G; Cardiology Division, San Pancrazio Arco di Trento Hospital, 38062 Arco di Trento, Italy., Cocchia R; Cardiology Division, Cardarelli Hospital, 80131 Napoli, Italy., Colonna P; Cardiology Division, Policlinic Hospital, 70124 Bari, Italy., Cortigiani L; Cardiology Division, San Luca Hospital, 55100 Lucca, Italy., Cucchini U; Cardiology Division, San Bassiano Hospital, 36061 Bassano Del Grappa, Italy., D'Alfonso MG; Non-Invasive Cardiovascular Diagnostic Division, Careggi Hospital, 50139 Firenze, Italy., D'Andrea A; Cardiology Division, Umberto I Hospital, 84014 Nocera Inferiore, Italy., Dell'Angela L; Cardiology Division, Gorizia-Monfalcone Hospital, 34170 Gorizia, Italy., Dentamaro I; Cardiology Division, Miulli Hospital, 70021 Acquaviva delle Fonti, Italy., De Paolis M; Cardiology Division, Santa Maria Hospital, 05100 Terni, Italy., De Stefanis P; Cardiology Division, San Luigi Gonzaga University Hospital, 10043 Orbassano, Italy., Deste W; Cardiology Division, University Hospital Policlinic, University of Catania, 95124 Catania, Italy., Di Fulvio M; Cardiology Division, Clinicizzato Hospital, 66100 Chieti, Italy., Di Giannuario G; Cardiology Division, Infermi Hospital, 47923 Rimini, Italy., Di Lisi D; Cardiology Division, Policlinico Hospital, 90127 Palermo, Italy., Di Nora C; Cardiology Division, University Hospital, 33100 Udine, Italy., Fabiani I; Cardiology and Cardiovascular Medicine Division, Fondazione Gabriele Monasterio, 56124 Pisa, Italy., Esposito R; Internal Medicine Division, Federico II University Hospital, 80138 Napoli, Italy., Fazzari F; Echocardiography Division, Humanitas Clinical and Research Center, 20089 Rozzano, Italy., Ferrara L; Cardiology Division, Villa Dei Fiori Clinic, 80011 Acerra, Italy., Filice G; Cardiology Division, Annunziata Hospital, 87100 Cosenza, Italy., Forno D; Cardiology Division, Maria Vittoria Hospital, 10144 Torino, Italy., Giorgi M; Cardiology Division, Città della Scienza e della Salute Hospital, 10126 Torino, Italy., Giustiniano E; Department of Anesthesiology, Humanitas Clinical and Research Center, 20089 Rozzano, Italy., Greco CA; Cardiac Surgery Division, Vito Fazzi Hospital, 73100 Lecce, Italy., Iannuzzi GL; Cardiology Division, Maugeri Clinic, 82037 Telese, Italy., Izzo A; Cardiology Division, Sant'Anna e San Sebastiano Hospital, 81100 Caserta, Italy., Lanzone AM; Cardiology Division, Humanitas Gavazzeni Hospital, 24125 Bergamo, Italy., Malagoli A; Cardiology Division, S. Agostino Estense Hospital, 41126 Baggiovara, Italy., Mantovani F; Cardiology Division, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy., Manuppelli V; Cardiology Division, University Hospital Ospedali Riuniti di Foggia, 71122 Foggia, Italy., Mega S; Cardiology Division, Campus Biomedico University Hospital, 00128 Roma, Italy., Merli E; Cardiology Division, Degli Infermi Hospital, 48018 Faenza, Italy., Ministeri M; Cardiology Division, Centro Cuore Morgagni, 95030 Pedara, Italy., Morrone D; Cardiology Division, Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy., Napoletano C; Cardiology Division, Civil Hospital G Mazzini, 64100 Teramo, Italy., Nunziata L; Cardiology Division, Santa Maria della Pietà Hospital, 80035 Nola, Italy., Pastorini G; Cardiology Division, Regina Montis Regalis Hospital, 12084 Mondovì, Italy., Pedone C; Cardiology Division, Maggiore Hospital, 40133 Bologna, Italy., Petruccelli E; Cardiology Division, S. Giacomo Hospital, 70043 Monopoli, Italy., Polito MV; Cardiology Division, Evangelic Hospital Betania, 80147 Napoli, Italy., Polizzi V; Cardiology Division, San Camillo-Fornalinini Hospital, 00152 Roma, Italy., Prota C; Cardiology Division, San Luca Hospital, 84078 Vallo della Lucania, Italy., Rigo F; Cardiology Division, Civil Hospital Dolo, 30031 Dolo, Italy., Rivaben DE; Rehabilitative Cardiology, Rehabilitative Hospital High Speciality, 31045 Motta di Livenza, Italy., Saponara S; Cardiology Division, Luigi Curto Hospital, 84035 Polla, Italy., Sciacqua A; Geriatric Division, University Hospital Mater Domini, 88100 Catanzaro, Italy., Sartori C; Cardiology Division, Santi Antonio e Biagio e Cesare Arrigo Hospital, 15121 Alessandria, Italy., Scarabeo V; Cardiology Division, Camposampiero Hospital, 35012 Camposampiero, Italy., Serra W; Cardiology Division, University Hospital Parma, 43126 Parma, Italy., Severino S; Cardiology Division, Cotugno Hospital, 80128 Naples, Italy., Spinelli L; Rehabilitative Cardiology, S. Rita Clinic, 88811 Cirò Marina, Italy., Tamborini G; Cardiology Division, Centro Cardiologico Monzino, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 20138 Milano, Italy., Tota A; Cardiology Division, Policlinic Hospital, 70124 Bari, Italy., Villari B; Division of Cardiology, Fatebenefratelli Hospital, Viale Principe di Napoli, 12 I-82100 Benevento, Italy., Carerj S; Department of Clinic and Experimental Medicine, University of Messina, 98122 Messina, Italy., Picano E; Biomedicine Department, National Research Council Institute of Clinical Physiology (CNR-IFC), 56124 Pisa, Italy., Pepi M; Cardiology Division, Centro Cardiologico Monzino, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 20138 Milano, Italy., SIECoVId Study Group On Behalf Of The Italian Society Of Echocardiography And Cardiovascular Imaging Siecvi
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2021 Aug 05; Vol. 10 (16). Date of Electronic Publication: 2021 Aug 05.
DOI: 10.3390/jcm10163466
Abstrakt: Background: Cardiology divisions reshaped their activities during the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to analyze the organization of echocardiographic laboratories and echocardiography practice during the second wave of the COVID-19 pandemic in Italy, and the expectations for the post-COVID era.
Methods: We analyzed two different time periods: the month of November during the second wave of the COVID-19 pandemic (2020) and the identical month during 2019 (November 2019).
Results: During the second wave of the COVID-19 pandemic, the hospital activity was partially reduced in 42 (60%) and wholly interrupted in 3 (4%) echocardiographic laboratories, whereas outpatient echocardiographic activity was partially reduced in 41 (59%) and completely interrupted in 7 (10%) laboratories. We observed an important change in the organization of activities in the echocardiography laboratory which reduced the operator-risk and improved self-protection of operators by using appropriate personal protection equipment. Operators wore FFP2 in 58 centers (83%) during trans-thoracic echocardiography (TTE), in 65 centers (93%) during transesophageal echocardiography (TEE) and 63 centers (90%) during stress echocardiography. The second wave caused a significant reduction in number of echocardiographic exams, compared to November 2019 (from 513 ± 539 to 341 ± 299 exams per center, -34%, p < 0.001). On average, there was a significant increase in the outpatient waiting list for elective echocardiographic exams (from 32.0 ± 28.1 to 45.5 ± 44.9 days, +41%, p < 0.001), with a reduction of in-hospital waiting list (2.9 ± 2.4 to 2.4 ± 2.0 days, -17%, p < 0.001). We observed a large diffusion of point-of-care cardiac ultrasound (88%), with a significant increase of lung ultrasound usage in 30 centers (43%) during 2019, extended to all centers in 2020. Carbon dioxide production by examination is an indicator of the environmental impact of technology (100-fold less with echocardiography compared to other cardiac imaging techniques). It was ignored in 2019 by 100% of centers, and currently it is considered potentially crucial for decision-making in cardiac imaging by 65 centers (93%).
Conclusions: In one year, major changes occurred in echocardiography practice and culture. The examination structure changed with extensive usage of point-of-care cardiac ultrasound and with lung ultrasound embedded by default in the TTE examination, as well as the COVID-19 testing.
Databáze: MEDLINE
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