Next Article in Journal
Effectiveness of a Family Intervention to Increase Physical Activity in Disadvantaged Areas—A Healthy Generation, a Controlled Pilot Study
Next Article in Special Issue
The Spread of the Covid-19 Pandemic in Time and Space
Previous Article in Journal
Health of Youth in Transition in Hong Kong
Previous Article in Special Issue
Alternative Global Health Security Indexes for Risk Analysis of COVID-19
Open AccessBrief Report

The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway

1
Medical Oncology Unit Sant’Andrea Hospital, University La Sapienza, 00189 Rome, Italy
2
Department of Molecular Medicine, University La Sapienza, 00189 Rome, Italy
3
Infectious Diseases Unit Sant’Andrea Hospital, University La Sapienza, 00189 Rome, Italy
4
Laboratory Analysis and Advanced Molecular Diagnostics Unit, Sant’Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy
5
Emergency Department Unit Sant’Andrea Hospital, University La Sapienza, 00189 Rome, Italy
6
Anesthesia and Intensive Care Medicine, Department of Clinical and Surgical Translational Medicine, Sant’Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy
7
Division of Pneumology, Department of Clinical and Molecular Medicine, Sapienza University of Rome, AOU Sant’Andrea, 00189 Rome, Italy
8
Medical Direction Sant’Andrea Hospital, University La Sapienza, 00189 Rome, Italy
9
Department of Public Health and Infectious Diseases, University La Sapienza, 00189 Rome, Italy
10
Microbiology Unitand Advanced Molecular Diagnostics Unit, Sant’Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy
11
Department of Physiology, CharitéUniversitätsmedizin Berlin, Charitéplatz 1, D-10117 Berlin, Germany
12
General Direction Sant’Andrea Hospital, University La Sapienza, 00189 Rome, Italy
*
Author to whom correspondence should be addressed.
These authors contributed equally to the research.
Int. J. Environ. Res. Public Health 2020, 17(11), 3792; https://doi.org/10.3390/ijerph17113792
Received: 26 April 2020 / Revised: 20 May 2020 / Accepted: 25 May 2020 / Published: 27 May 2020
The Coronavirus Disease (Covid-19) pandemic is rapidly spreading across the world, representing an unparalleled challenge for health care systems. There are differences in the estimated fatality rates, which cannot be explained easily. In Italy, the estimated case fatality rate was 12.7% in mid-April, while Germany remained at 1.8%. Moreover, it is to be noted that different areas of Italy have very different lethality rates. Due to the complexity of Covid-19 patient management, it is of paramount importance to develop a well-defined clinical workflow in order to avoid the inconsistent management of patients. The Integrated Care Pathway (ICP) represents a multidisciplinary outline of anticipated care to support patient management in the Sant’Andrea Hospital, Rome. The main objective of this pilot study was to develop a new ICP evaluated by care indicators, in order to improve the COVID-19 patient management. The suggested ICP was developed by a multi-professional team composed of different specialists and administrators already involved in clinical and management processes. After a review of current internal practices and published evidences, we identified (1) the activities performed during care delivery, (2) the responsibilities for these activities, (3) hospital structural adaptation needs and potential improvements, and (4) ICP indicators. The process map formed the basis of the final ICP document; 160 COVID-19 inpatients were considered, and the effect of the ICP implementation was evaluated over time during the exponential phase of the COVID-19 pandemic. In conclusion, a rapid adoption of ICP and regular audits of quality indicators for the management of COVID-19 patients might be important tools to improve the quality of care and outcomes. View Full-Text
Keywords: coronavirus; COVID-19; clinical pathway; Italy; pandemic; SARS-Cov-2; risk management coronavirus; COVID-19; clinical pathway; Italy; pandemic; SARS-Cov-2; risk management
Show Figures

Figure 1

MDPI and ACS Style

Capalbo, C.; Aceti, A.; Simmaco, M.; Bonfini, R.; Rocco, M.; Ricci, A.; Napoli, C.; Rocco, M.; Alfonsi, V.; Teggi, A.; Orsi, G.B.; Borro, M.; Santino, I.; Preissner, R.; Marchetti, P.; Marcolongo, A.; Anibaldi, P. The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway. Int. J. Environ. Res. Public Health 2020, 17, 3792.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Search more from Scilit
 
Search
Back to TopTop