The Italian Covid-19 Phase 2 in Piacenza: results of the first semester of 2020 and future prospective of new orthopedics surgical procedures

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Pietro Maniscalco
Fabrizio Quattrini
Corrado Ciatti
Serena Gattoni
Calogero Puma Pagliarello
Valeria Burgio
Giovanni Di Stefano
Michele Cauteruccio
Matteo Giovanelli
Alessandra Magro
Patrizio Capelli

Keywords

Covid-19, orthopedic surgery, trauma surgery

Abstract

Introduction:During the pandemic, Piacenza’s Orthopedic and Traumatology Dep. firstly dealt with the emergency with the complete closure of all the elective surgical and outpatient activities.As general population, also healthcare workers were affected by Coronavirus, increasing difficulties of epidemic management.The aim of our study is to evaluate the activity trend of the first 6months of 2020 in our hospital.Data will be compared to the two semesters of 2019, in order to have two objective samples.Materials and Methods:We retrospectively analyzed all the orthopedics surgical procedures performed at Guglielmo da Saliceto Hospital (Piacenza, Emilia Romagna, Northern Italy)between 1/1/20 and 30/06/20. 2019 semesters (1/01/20-30/6/20 and 1/07/20-31/12/20) have been used as control group to evaluate the activity trend of the first six months of 2020, compared to the two semesters of 2019.Results:We noticed a significant increase of domestic and retirement houses accidents, a consistent increase in one-month mortality rate of 2020 first semester and a decrease of mean hospitalization time.About surgical procedures, we detect a drop in the total number: in the first semester of 2020 we performed 499 (-39.9%) surgeries less than the first semester of 2019 and 337 (-30.9%) then the second one. Traumatology recorded a decrease of 27.6% than the first semester of 2019 (-204 surgeries) and of 26.3% than the second one (-191 surgeries).Concerning orthopedic procedures, in comparison to the first semester of 2019 we registered a reduction of 57.6% (-295 surgeries) and of 40.2% to the second semester (-146 surgeries).Discussion and conclusion:Covid-19 forced a reorganization of the Italian Health System that led to a clear reduction of surgical procedures performed in the orthopedic and traumatology department.The “Phase 2” can’t be consider the last step of the emergency.We surely will have to get used to live with this enemy, at least until we will find an effective cure or a vaccine.

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References

1. Sechi GM, Migliori M, Dassi G, et al. Business Intelligence applied to Emergency Medical Services in the Lombardy region during SARS-CoV-2 epidemic. Acta Biomed. 2020;91(2):39-44. Published 2020 May 11. doi:10.23750/abm.v91i2.9557
2. Armocida B, Formenti B, Ussai S, Palestra F, Missoni E. The Italian health system and the COVID-19 challenge. Lancet Public Health. 2020;5(5):e253. doi:10.1016/S2468-2667(20)30074-8
3. Scarpioni R, Manini A, Valsania T, et al. Covid-19 and its impact on nephropathic patients: the experience at Ospedale "Guglielmo da Saliceto" in Piacenza. G Ital Nefrol. 2020;37(2):2020-vol2. Published 2020 Apr 9.
4. Erika P, Andrea V, Cillis MG, Ioannilli E, Iannicelli T, Andrea M. Triage decision-making at the time of COVID-19 infection: the Piacenza strategy [published online ahead of print, 2020 May 9]. Intern Emerg Med. 2020;1-4. doi:10.1007/s11739-020-02350-y.
5. Maniscalco P, Poggiali E, Quattrini F, et al. The deep impact of novel CoVID-19 infection in an Orthopedics and Traumatology Department: the experience of the Piacenza Hospital. Acta Biomed. 2020;91(2):97-105. Published 2020 May 11. doi:10.23750/abm.v91i2.9635
6. No authors signed. List of doctors who died during the Covid-19 epidemic. 2020, July 22. https://portale.fnomceo.it/elenco-dei-medici-caduti-nel-corso-dellepidemia-di-covid-19/
7. No authors signed. Gimbe, Pandemia Coronavirus. 2020, July 23. https://coronavirus.gimbe.org/
8. Decree of the President of the Government February 23rd 2020, No 45 (Implementing provisions of the Decree-Law February 23rd 2020, No 6).
9. Decree of the President of the Government March 11th 2020, No 64 (Additional implementing provisions of the Decree-Law February 23rd 2020, No 6).
10. Benazzo F, Rossi SMP, Maniscalco P, et al. The orthopaedic and traumatology scenario during Covid-19 outbreak in Italy: chronicles of a silent war [published online ahead of print, 2020 Jun 26]. Int Orthop. 2020;1-7. doi:10.1007/s00264-020-04637-3
11. Maniscalco P, Poggiali E, Quattrini F, et al. Proximal femur fractures in COVID-19 emergency: the experience of two Orthopedics and Traumatology Departments in the first eight weeks of the Italian epidemic. Acta Biomed. 2020;91(2):89-96. Published 2020 May 11. doi:10.23750/abm.v91i2.9636.
12. Armitage R, Nellums LB. COVID-19 and the consequences of isolating the elderly. Lancet Public Health. 2020;5(5):e256. doi:10.1016/S2468-2667(20)30061-X
13. Maniscalco P, Quattrini F, Ciatti C, et al. Neck modularity in total hip arthroplasty: a retrospective study of nine hundred twenty-eight titanium neck implants with a maximum follow-up of eighteen years [published online ahead of print, 2020 Jun 29]. Int Orthop. 2020;10.1007/s00264-020-04686-8. doi:10.1007/s00264-020-04686-8

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