| Id |
Subject |
Object |
Predicate |
Lexical cue |
| T3 |
0-8 |
Sentence |
denotes |
Abstract |
| T4 |
10-20 |
Sentence |
denotes |
OBJECTIVES |
| T5 |
21-169 |
Sentence |
denotes |
During the Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) pandemic, Northern Italy had to completely reorganize its hospital activity. |
| T6 |
170-372 |
Sentence |
denotes |
In Lombardy, the hub-and-spoke system was introduced to guarantee emergency and urgent cardiovascular surgery, whereas most hospitals were dedicated to patients with coronavirus disease 2019 (COVID-19). |
| T7 |
373-463 |
Sentence |
denotes |
The aim of this study was to analyse the results of the hub-and-spoke organization system. |
| T8 |
465-472 |
Sentence |
denotes |
METHODS |
| T9 |
473-596 |
Sentence |
denotes |
Centro Cardiologico Monzino (Monzino) became one of the four hubs for cardiovascular surgery, with a total of eight spokes. |
| T10 |
597-652 |
Sentence |
denotes |
SARS-CoV-2 screening became mandatory for all patients. |
| T11 |
653-737 |
Sentence |
denotes |
New flow charts were designed to allow separated pathways based on infection status. |
| T12 |
738-819 |
Sentence |
denotes |
A reorganization of spaces guaranteed COVID-19-free and COVID-19-dedicated areas. |
| T13 |
820-957 |
Sentence |
denotes |
Patients were also classified into groups according to their pathological and clinical status: emergency, urgent and non-deferrable (ND). |
| T14 |
959-966 |
Sentence |
denotes |
RESULTS |
| T15 |
967-1041 |
Sentence |
denotes |
A total of 70 patients were referred to the Monzino hub-and-spoke network. |
| T16 |
1042-1136 |
Sentence |
denotes |
We performed 41 operations, 28 (68.3%) of which were emergency/urgent and 13 of which were ND. |
| T17 |
1137-1260 |
Sentence |
denotes |
The screening allowed the identification of COVID-19 (three patients, 7.3%) and non-COVID-19 patients (38 patients, 92.7%). |
| T18 |
1261-1392 |
Sentence |
denotes |
The newly designed and shared protocols guaranteed that the cardiac patients would be divided into emergency, urgent and ND groups. |
| T19 |
1393-1498 |
Sentence |
denotes |
The involvement of the telematic management heart team allowed constant updates and clinical discussions. |
| T20 |
1500-1511 |
Sentence |
denotes |
CONCLUSIONS |
| T21 |
1512-1680 |
Sentence |
denotes |
The hub-and-spoke organization system efficiently safeguards access to heart and vascular surgical services for patients who require ND, urgent and emergency treatment. |
| T22 |
1681-1842 |
Sentence |
denotes |
Further reorganization will be needed at the end of this pandemic when elective cases will again be scheduled, with a daily increase in the number of operations. |
