意大利大型都市三级保健医院介入放射学活动的纵向研究：COVID-19 大流行紧急情况如何改变了我们的活动。
Longitudinal study of interventional radiology activity in a large metropolitan Italian tertiary care hospital: how the COVID-19 pandemic emergency has changed our activity.
机构信息
Fondazione Policlinico Universitario "A. Gemelli" - IRCCS, Dipartimento di Diagnostica per Immagini, Radioterapia, Oncologia ed Ematologia - Area di Diagnostica per Immagini, UOC Radiologia Diagnostica e Interventistica Generale, L.go A. Gemelli 8, 00168, Rome, Italy.
Università Cattolica del Sacro Cuore, L.go F. Vito 1, 00168, Rome, Italy.
出版信息
Eur Radiol. 2020 Dec;30(12):6940-6949. doi: 10.1007/s00330-020-07041-y. Epub 2020 Jun 30.
OBJECTIVES
To retrospectively analyze interventional radiology (IR) activity changes in the COVID-19 era and to describe how to safely and effectively reorganize IR activity.
METHODS
All IR procedures performed between January 30 and April 8, 2020 (COVID-era group) and the same 2019 period (non-COVID-era group) were retrospectively included and compared. A sub-analysis for the lockdown period (LDP: 11 March-8 April) was also conducted. Demographic, hospitalization, clinical, and procedural data were obtained for both groups and statistically compared with univariable analysis.
RESULTS
A total of 1496 procedures (non-COVID era, 825; COVID era, 671) performed in 1226 patients (64.9 ± 15.1 years, 618 women) were included. The number of procedures decreased by 18.6% between 2019 and 2020 (825 vs 671, p < .001), with a reduction by 48.2% in LDP (188 vs 363, p < .0001). In the LDP COVID era, bedside procedures were preferred (p = .013), with an increase in procedures from the intensive care unit compared with the emergency department and outpatients (p = .048), and an increased activity for oncological patients (p = .003). No incidents of cross-infection of non-infected from infected patients and no evidence of COVID-19 infection of healthcare workers in the IR service was registered.
CONCLUSIONS
Coronavirus disease outbreak changed the interventional radiology activity with an overall reduction in the number of procedures. However, this study confirms that interventional radiology continuum of care can be safely performed also during the pandemic, following defined measures and protocols, taking care of all patients.
KEY POINTS
• Coronavirus disease pandemic determined a reduction of interventional radiology activity as compared to the same period of the previous year. • Interventional radiology procedures for life-threatening conditions and non-deferrable oncologic treatments were prioritized as opposed to elective procedures. • Strict adoption of safe procedures allowed us to have until now no incidents of cross-infection of non-infected from infected patients and no evidence of COVID-19 infection of HCWs in the IR service.
目的
回顾性分析 COVID-19 时代介入放射学（IR）活动的变化，并描述如何安全有效地重组 IR 活动。
方法
回顾性纳入 2020 年 1 月 30 日至 4 月 8 日（COVID 时代组）和同年同期（非 COVID 时代组）进行的所有 IR 操作，并进行比较。还对封锁期（LDP：3 月 11 日至 4 月 8 日）进行了亚分析。对两组的人口统计学、住院、临床和程序数据进行了获取，并进行了单变量分析。
结果
共纳入 1226 例患者（64.9±15.1 岁，618 例女性）的 1496 例操作（非 COVID 时代组 825 例，COVID 时代组 671 例）。2019 年至 2020 年期间，操作数量减少了 18.6%（825 例比 671 例，p<0.001），LDP 减少了 48.2%（188 例比 363 例，p<0.0001）。在 LDP COVID 时代，床边操作更受欢迎（p=0.013），与急诊和门诊相比，重症监护病房的操作增加（p=0.048），肿瘤患者的活动增加（p=0.003）。IR 服务中未发现非感染患者感染感染患者的交叉感染事件，也未发现医护人员感染 COVID-19 的证据。
结论
冠状病毒病爆发改变了介入放射学活动，手术总数减少。然而，本研究证实，介入放射学连续护理可以在大流行期间安全进行，遵循既定的措施和方案，照顾所有患者。
关键要点
冠状病毒病大流行导致介入放射学活动减少，与前一年同期相比。
危及生命的疾病和非可推迟的肿瘤治疗的介入放射学程序被优先考虑，而不是选择程序。
严格采用安全程序，使我们到目前为止，在 IR 服务中没有非感染患者感染感染患者的交叉感染事件，也没有医护人员感染 COVID-19 的证据。
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