A call to action becomes practice: cardiac and vascular surgery during the COVID-19 pandemic based on the Lombardy emergency guidelines

Coronavirus in Lombardia: ha funzionato il sistema hub-and-spoke? Il punto di osservazione del Monzino (Eur J Cardiothorac Surg 2020 Jun 25)

26 Giugno Giu 2020 13 days ago
  • Bonalumi G, Ranieri C, Cavallotti L, Trabattoni P, Naliato M, Polvani G, Roberto M, Alamanni F

During the Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) pandemic, Northern Italy had to completely reorganize its hospital activity. In Lombardy, the hub-and-spoke system was introduced to guarantee emergency and urgent cardiovascular surgery, whereas most hospitals were dedicated to patients with coronavirus disease 2019 (COVID-19). A new study tried to analyse the results of the hub-and-spoke organization system.

Centro Cardiologico Monzino (Monzino) became one of the four hubs for cardiovascular surgery, with a total of eight spokes. A total of 70 patients were referred to the Monzino hub-and-spoke network. The newly designed and shared protocols guaranteed that the cardiac patients would be divided into emergency, urgent and ND groups. The involvement of the telematic management heart team allowed constant updates and clinical discussions.

According to the conclusions, the hub-and-spoke organization system efficiently safeguards access to heart and vascular surgical services for patients who require ND, urgent and emergency treatment.


Reference
1. Bonalumi G, Giambuzzi I, Barbone A, Ranieri C, Cavallotti L, Trabattoni P, Naliato M, Polvani G, Torracca L, Pelenghi S, Ragni F, Russo CF, Guerra F, Trimarchi S, Civilini E, Romani F, Bellosta R, Losa S, Roberto M, Alamanni F. A call to action becomes practice: cardiac and vascular surgery during the COVID-19 pandemic based on the Lombardy emergency guidelines. Eur J Cardiothorac Surg 2020 Jun 25;ezaa204. doi: 10.1093/ejcts/ezaa204. Go to PubMed