Burden of COVID-19 on Italian Internal Medicine Wards: Delphi, SWOT, and Performance Analysis after Two Pandemic Waves in the Local Health Authority “Roma 6” Hospital Structures

Pietrantonio, Filomena; Rosiello, Francesco; Alessi, Elena; Pascucci, Matteo; Rainone, Marianna; Cipriano, Enrica; Berardino, A. Di; Vinci, Antonio; Ruggeri, Matteo; Ricci, Serafino

doi:10.3390/ijerph18115999

Cited by 15 publications

(17 citation statements)

References 28 publications

(27 reference statements)

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“…The coronavirus disease (COVID-19) pandemic represents the biggest global health crisis of our time [1,2]. Unlike other workers who reduced or did not modify their workplace settings, medical and paramedical staff had to intensify their professional activity during the acute phases of the pandemic [3].…”

Section: Introductionmentioning

confidence: 99%

Healthcare Workers after Two Years of COVID-19: The Consequences of the Pandemic on Psychological Health and Sleep among Nurses and Physicians

Alfonsi

Scarpelli

Gorgoni

et al. 2023

IJERPH

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COVID-19 has challenged the health workforce worldwide. In this cross-sectional study with a retrospective assessment, we explored the impact of the pandemic on mental health and sleep among a sample of Italian nurses and medical doctors. A total of 287 healthcare workers (212 nurses and 75 physicians) completed a web survey on socio-demographic, psychological, and sleep-related aspects referring to the period before the pandemic and to the present period of February to June 2022. Comparisons between nurses and physicians revealed that the former had greater distress in response to the pandemic. Consistently, the multivariate analysis of covariance showed that even if both groups were negatively impacted by the pandemic, nurses presented a greater worsening over time regarding several psychological and sleep symptoms. Furthermore, we observed that working on the frontline represented an additional risk factor for nurses. In line with previous evidence, we also found that personal experiences with COVID-19 are significant predictors of the current health status. Our results underscore the urgent need for preventive programs among healthcare operators to increase their coping skills and prevent the long-term consequences of chronic stress, especially for high-risk professionals. Specific attention should also be devoted to programs to improve sleep quality and reduce sleep-related traumatic symptoms.

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Section: Introductionmentioning

confidence: 99%

Healthcare Workers after Two Years of COVID-19: The Consequences of the Pandemic on Psychological Health and Sleep among Nurses and Physicians

Alfonsi

Scarpelli

Gorgoni

et al. 2023

IJERPH

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“…Outcome data were compared both to the LOS data and to the intensive care hospitalization data related to recovered and dead patients. The data came from the analytical Instant Report of the COVID-19 organizational model published by the Altems website of the Università Cattolica di Roma (4).…”

Section: Methodsmentioning

confidence: 99%

Polypharmacy Management in a Gender Perspective: at the Heart of The Problem. Analysis of Major Cardiac Diseases, Sars-Cov-2 Affection and Gender in a Cohort of Patients in Internal Medicine Ward

Pietrantonio¹,

Ciamei²,

Vinci³

et al. 2022

Preprint

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Background: Covid-19 patients with any pre-existing cardio-vascular disease (CVD) are at highest risk for viral infection and for developing of severe disease. Pathophysiological mechanism is characterized by the viral link to Angioten-sin-Converting Enzyme 2 (ACE2) and the involvement of the endothelial system with the release of cytokines and direct damage on myocardium, micro throm-bosis, and alterations of oxygen diffusion. Aim of the study is to analyze clinical course, treatment and outcome in patients (gender stratified) with pre-existing CVD. Methods: Out of the 1299 (700 M/599 F) patients admitted to Internal Medicine COVID Unit of “Castelli Hospital”, Lazio, Italy, from 01/01/2021 to 31/12/2021, 278 patients (167 M/111 F), mean age 76 (76 M/ 75 F) had previous CVD. Demographic characteristics, length of the stay (LOS) and oxygen therapy were evaluated. Results: Most common CVD pathologies were Hearth Failure (HF): 131 (72 M/59 F), Atrial Fibrillation (AF): 45 (25 M/20 F), Myocardial Infarction (MI): 26 (19 M/7 F) and associations among them. 100% of CVD COVID patients under-went Non-Invasive Ventilation (NIV) and were treated with more than 5 drugs. HF was linked with increased LOS (23 days) compared to AF (21 days), MI (18 days) and no CVD (16 days). Overall mean LOS was 16,5 days. 21,4% of total pa-tients had CVD. Conclusions: Timely identification and evaluation of patients with pre-existing CVD are fundamental for adequate treatment based on gender, severity and state of illness and for risk reduction. Keywords: polypharmacy, gender medicine; COVID 19; Sars CoV 2; cardiovas-cular disease.

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“…These aspects were intentionally kept out of the scope of this work, which is mostly related to higher-level data management issues. For those interested, an updated review work is provided in Pietrantonio et al ( 2021 ).…”

Section: Conclusion: Pandemic Managementmentioning

confidence: 99%

Pandemetrics: systematically assessing, monitoring, and controlling the evolution of a pandemic

Barone

Chakhunashvili

2022

Qual Quant

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The still ongoing pandemic of SARS-CoV-2 virus and COVID-19 disease, affecting the population worldwide, has demonstrated the need of more accurate methodologies for assessing, monitoring, and controlling an outbreak of such devastating proportions. Authoritative attempts have been made in traditional fields of medicine (epidemiology, virology, infectiology) to address these shortcomings, mainly by relying on mathematical and statistical modeling. However, here, we propose approaching the methodological work from a different, and to some extent alternative, standpoint. Applied systematically, the concepts and tools of statistical engineering and quality management, developed not only in healthcare settings, but also in other scientific contexts, can be very useful in assessing, monitoring, and controlling pandemic events. We propose a methodology based on a set of tools and techniques, formulas, graphs, and tables to support the decision-making concerning the management of a pandemic like COVID-19. This methodological body is hereby named Pandemetrics. This name intends to emphasize the peculiarity of our approach to measuring, and graphically presenting the unique context of the COVID-19 pandemic.

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Burden of COVID-19 on Italian Internal Medicine Wards: Delphi, SWOT, and Performance Analysis after Two Pandemic Waves in the Local Health Authority “Roma 6” Hospital Structures

Cited by 15 publications

References 28 publications

Healthcare Workers after Two Years of COVID-19: The Consequences of the Pandemic on Psychological Health and Sleep among Nurses and Physicians

Healthcare Workers after Two Years of COVID-19: The Consequences of the Pandemic on Psychological Health and Sleep among Nurses and Physicians

Polypharmacy Management in a Gender Perspective: at the Heart of The Problem. Analysis of Major Cardiac Diseases, Sars-Cov-2 Affection and Gender in a Cohort of Patients in Internal Medicine Ward

Pandemetrics: systematically assessing, monitoring, and controlling the evolution of a pandemic

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