An In-hospital Pathway for Acute Coronary Syndrome Patients During the COVID-19 Outbreak: Initial Experience Under Real-World Suboptimal Conditions.
Acute Coronary Syndrome
/ epidemiology
Aged
Betacoronavirus
/ isolation & purification
COVID-19
Coronavirus Infections
/ epidemiology
Critical Pathways
Emergency Service, Hospital
/ organization & administration
Female
Humans
Infection Control
/ methods
Italy
/ epidemiology
Male
Organizational Innovation
Pandemics
/ prevention & control
Patient Care Management
/ methods
Pneumonia, Viral
/ epidemiology
Risk Management
/ methods
SARS-CoV-2
Journal
The Canadian journal of cardiology
ISSN: 1916-7075
Titre abrégé: Can J Cardiol
Pays: England
ID NLM: 8510280
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
03
04
2020
revised:
14
04
2020
accepted:
14
04
2020
pubmed:
8
5
2020
medline:
1
7
2020
entrez:
8
5
2020
Statut:
ppublish
Résumé
Owing to the COVID-19 outbreak in Lombardy, Italy) there is an urgent need to manage cardiovascular emergencies, including acute coronary syndrome (ACS), with appropriate standards of care and dedicated preventive measures and pathways against the risk of SARS-CoV-2 infection. For this reason, the Government of Lombardy decided to centralize the treatment of ACS patients in a limited number of centers, including our university cardiology institute, which in the past 4 weeks became a cardiovascular emergency referral center in a regional hub-and-spoke system. Therefore, we rapidly developed a customized pathway to allocate patients to the appropriate hospital ward, and treat them according to ACS severity and risk of suspected SARS-CoV-2 infection. We present here the protocol dedicated to ACS patients adopted in our center since March 13, 2020, and our initial experience in the management of ACS patients during the first 4 weeks of its use. Certainly, the protocol has room for further improvement as everyone's experience grows, but we hope that it could be a starting point, adaptable to different realities and local resources.
Identifiants
pubmed: 32376346
pii: S0828-282X(20)30396-2
doi: 10.1016/j.cjca.2020.04.011
pmc: PMC7162765
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
961-964Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
Références
JAMA. 2020 Apr 28;323(16):1545-1546
pubmed: 32167538
J Am Coll Cardiol. 2020 May 12;75(18):2372-2375
pubmed: 32199938
J Am Coll Cardiol. 2020 Jun 9;75(22):2871-2872
pubmed: 32283124
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pubmed: 32299781