Abstract
At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety.
Highlights
In December 2019, China started to face an outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-COV2), which went on to affect all continents only a few months later [1,2]
Coronavirus Disease 19 (COVID-19) requires a tremendous effort for the diagnosis and treatment of infected patients, for the care delivered to negative patients, and for the prevention of disease spread in the general population and among healthcare providers
In-patients and patients admitted to the Emergency Room (ER) in need of an emergency Computed Tomography (CT) scan, who had already performed an RT-PCR test but were still waiting for results or who had received an initial negative test, but who had highly suggestive anamnesis and/or symptoms of COVID-19: the CT scan was performed in the main building, in an area with a separate control room and access path
Summary
In December 2019, China started to face an outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-COV2), which went on to affect all continents only a few months later [1,2]. Coronavirus Disease 19 (COVID-19) requires a tremendous effort for the diagnosis and treatment of infected patients, for the care delivered to negative patients, and for the prevention of disease spread in the general population and among healthcare providers. With this in mind, hospital policies and procedures had to be promptly and efficiently adapted [5,6,7]. Both CT scans and surgical interventions for in-patients are shown in blue
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call