Next Article in Journal
A Review on Bacterial Contribution to Lignocellulose Breakdown into Useful Bio-Products
Previous Article in Journal
Representations of Psychoactive Drugs’ Use in Mass Culture and Their Impact on Audiences
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
IJERPH
Volume 18
Issue 11
10.3390/ijerph18115999
ijerph-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

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

by
Filomena Pietrantonio
1,2,
Francesco Rosiello
1,3,*,
Elena Alessi
1,
Matteo Pascucci
1,
Marianna Rainone
1,
Enrica Cipriano
1,
Alessandra Di Berardino
1,
Antonio Vinci
4,
Matteo Ruggeri
2,5 and
Serafino Ricci
6
1
Internal Medicine Unit, Castelli Hospital, Azienda Sanitaria Locale Roma 6, 00072 Ariccia, Italy
2
Department of Health Economics, St. Camillus University Health and Medical Sciences, 00131 Rome, Italy
3
Department of Public Health and Infectious Disease, Sapienza University of Rome, 00185 Rome, Italy
4
School of Specialization in Hygiene and Preventive Medicine, University of Rome “Tor Vergata”, 00133 Rome, Italy
5
National Centre for HTA, National Institute for Health, 00161 Rome, Italy
6
Department of Anatomical, Hystological Sciences and Legal Medicine, Sapienza University of Rome, 00185 Rome, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(11), 5999; https://doi.org/10.3390/ijerph18115999
Submission received: 29 April 2021 / Revised: 28 May 2021 / Accepted: 30 May 2021 / Published: 3 June 2021
Browse Figures
Review Reports Versions Notes

Abstract

Background: COVID-19 causes major changes in day-to-day hospital activity due to its epidemiological characteristics and the clinical challenges it poses, especially in internal medicine wards. Therefore, it is necessary to understand and manage all of the implicated factors in order to maintain a high standard of care, even in sub-par circumstances. Methods: This was a three-phase, mixed-design study. Initially, the Delphi method allowed us to analyze the causes of poor outcomes in a cohort of an aggregate of Italian COVID-19 wards via an Ishikawa diagram. Then, for each retrieved item, a score was assigned according to a pros/cons, opportunities/threats system. Scores were also assigned according to potential value/perceived risk. Finally, the performances of MCs (Medicine-COVID-19 wards) and MCFs (Medicine-COVID-19-free: Internal Medicine wards) units were represented via a Barber’s nomogram. Results: MCFs hospitalized 790 patients (−23.90% compared to 2019 Internal Medicine admissions). The main risk factors for mortality were patients admitted from local facilities (+7%) and the presence of comorbidities (>3: 100%, ≥5: 24.7%). A total of 197 (25%) patients were treated with non-invasive ventilation (NIV). The most deaths (57.14%) occurred in patients admitted from local facilities. Conclusions: Medicine-COVID-19 wards show higher complexity and demand compared to non-COVID-19 ones and they are comparable to sub-intensive therapy wards. It is necessary to promote the use of NIV in such settings.
Keywords: COVID-19; Internal Medicine ward; territorial medicine COVID-19; Internal Medicine ward; territorial medicine

Share and Cite

MDPI and ACS Style

Pietrantonio, F.; Rosiello, F.; Alessi, E.; Pascucci, M.; Rainone, M.; Cipriano, E.; Di Berardino, A.; Vinci, A.; Ruggeri, M.; Ricci, S. 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. Int. J. Environ. Res. Public Health 2021, 18, 5999. https://doi.org/10.3390/ijerph18115999

AMA Style

Pietrantonio F, Rosiello F, Alessi E, Pascucci M, Rainone M, Cipriano E, Di Berardino A, Vinci A, Ruggeri M, Ricci S. 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. International Journal of Environmental Research and Public Health. 2021; 18(11):5999. https://doi.org/10.3390/ijerph18115999

Chicago/Turabian Style

Pietrantonio, Filomena, Francesco Rosiello, Elena Alessi, Matteo Pascucci, Marianna Rainone, Enrica Cipriano, Alessandra Di Berardino, Antonio Vinci, Matteo Ruggeri, and Serafino Ricci. 2021. "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" International Journal of Environmental Research and Public Health 18, no. 11: 5999. https://doi.org/10.3390/ijerph18115999

APA Style

Pietrantonio, F., Rosiello, F., Alessi, E., Pascucci, M., Rainone, M., Cipriano, E., Di Berardino, A., Vinci, A., Ruggeri, M., & Ricci, S. (2021). 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. International Journal of Environmental Research and Public Health, 18(11), 5999. https://doi.org/10.3390/ijerph18115999

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop