PMC:7337742 / 3363-4462
Annnotations
{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7337742","sourcedb":"PMC","sourceid":"7337742","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7337742","text":"A dedicated pathway had to be created to guarantee access to the best possible health care treatment, i.e. for emergency, urgent or non-deferrable (ND) cases. To ensure such a system, the Health Care Lombardy Regional System promoted the hub-and-spoke organization system on March 8 [10]. This system had been used successfully in the past [11–13]. On March 8, 7375 Italian patients were infected with SARS-CoV-19, 650 of whom were in critical condition. In Lombardy, there were 3372 and 399 cases, respectively [14]. In this scenario, heart and vascular surgical activities had to be reorganized. Four reference and enrolment hub hospitals were identified. Other hospitals, the spokes, which treating almost entirely COVID-19 patients, became peripheral referral centres. Hubs had to identify different dedicated pathways for COVID-19-positive and -negative patients. The main tasks of the hubs were to admit and treat patients (24/7) coming from the cardiovascular spokes [15]. Our goal was to analyse our flow charts and examine the pathways designed for COVID-19-positive and -negative 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