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Urgency and emergency treatments in cardiovascular surgery during the COVID pandemic: results of extremized HUB and spoke organization in northern Italy.
  • +24
  • Matteo Saccocci,
  • LUCA ATTISANI,
  • FRANCESCO FERRARO,
  • alessandro fossati,
  • Emmanuel Villa,
  • Matteo Pegorer,
  • Antonio Messina,
  • Luca Luzzani,
  • Marco Cirillo,
  • Stefania Blasi,
  • Zean Mhagna,
  • Luisa Cossu,
  • Margherita Dalla Tomba,
  • Stefano Pirrelli,
  • Manfredo Rambaldini,
  • federico martinelli,
  • franco briolini,
  • Maurizio Merlo,
  • roberto mezzetti,
  • Vittorio Baratta,
  • Piergiorgio Sala,
  • Gabriele Piffaretti,
  • Paolo Panisi,
  • Stefano Benussi,
  • Claudio Muneretto,
  • raffaello bellosta,
  • Giovanni Troise
Matteo Saccocci
Poliambulanza Foundation Hospitals

Corresponding Author:[email protected]

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LUCA ATTISANI
Poliambulanza Foundation Hospitals
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FRANCESCO FERRARO
Poliambulanza Foundation Hospitals
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alessandro fossati
Poliambulanza Foundation Hospitals
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Emmanuel Villa
Poliambulanza Foundation Hospitals
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Matteo Pegorer
Poliambulanza Foundation Hospitals
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Antonio Messina
Poliambulanza Foundation Hospitals
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Luca Luzzani
Poliambulanza Foundation Hospitals
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Marco Cirillo
Poliambulanza Foundation Hospitals
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Stefania Blasi
Poliambulanza Foundation Hospitals
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Zean Mhagna
Poliambulanza Foundation Hospitals
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Luisa Cossu
Poliambulanza Foundation Hospitals
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Margherita Dalla Tomba
Poliambulanza Foundation Hospitals
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Stefano Pirrelli
Azienda Socio Sanitaria Territoriale di Mantova
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Manfredo Rambaldini
Azienda Socio Sanitaria Territoriale di Mantova
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federico martinelli
Azienda Socio Sanitaria Territoriale di Mantova
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franco briolini
Azienda Ospedaliera Papa Giovanni XXIII
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Maurizio Merlo
Azienda Ospedaliera Papa Giovanni XXIII
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roberto mezzetti
Policlinico San Marco
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Vittorio Baratta
Azienda Sanitaria Locale Provincia di Cremona
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Piergiorgio Sala
Istituto Clinico S Anna
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Gabriele Piffaretti
University of Insubria Faculty of Medicine and Surgery
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Paolo Panisi
Humanitas Gavazzeni
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Stefano Benussi
Università degli Studi di Brescia
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Claudio Muneretto
Università degli Studi di Brescia
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raffaello bellosta
Poliambulanza Foundation Hospitals
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Giovanni Troise
Poliambulanza Foundation Hospitals
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Abstract

OBJECTIVES: Feasibility and results of cardiovascular hub-spoke networks to face COVID19 pandemic. The COVID-19 pandemic in Italy had the primary outbreak in the northern part of the country forcing the regional health care system to expand the availability of beds in the wards and intensive care units and to institute a Hub and Spoke hospital network to ensure assistance continuity for urgencies and emergencies. We report a descriptive analysis of the activity of the first 30 days of the Hub center. METHODS: Role of our Hub center was to guarantee 24/24h 7/7days cardiovascular surgical care for an area of 3.145.312 inhabitants’ area. Hub-spoke reorganization permitted a significant increase of ICU and ward beds availability for COVID patients needing hospitalization in all peripheral centers. Records of all consecutive patients admitted were collected and analyzed. RESULTS: a total of 100 patients were evaluated in the study period . Hub and spoke cooperation have been successful, all patients affected by cardiovascular urgencies or emergencies found a highly specialized hospital and was evaluated and treated. Global reduction of elective and non-deferrable interventions in spoke centers was achieved for both vascular and cardiac surgery while we detected a significant increase of urgent vascular interventions for acute limb ischemia. We did not observe an increase of in-hospital mortality in non-infected patients. CONCLUSION: Hub and spoke network for cardiovascular pathology is an effective way to face healthcare needs during the pandemic.