TY - JOUR
T1 - Pathways for urology patients during the COVID-19 pandemic
AU - Simonato, Alchiede
AU - Giannarini, Gianluca
AU - Pavan, Nicola
AU - Novara, Giacomo
AU - De Nunzio, Cosimo
AU - Abrate, Alberto
AU - Crestani, Alessandro
AU - De Nunzio, Cosimo
AU - Novara, Giacomo
AU - Gregori, Andrea
AU - Simonato, Alchiede
AU - Porpiglia, Francesco
AU - Bartoletti, Riccardo
AU - Trombetta, Carlo
AU - Tubaro, Andrea
AU - Ficarra, Vincenzo
AU - Liguori, Giovanni
AU - Abrate, Alberto
AU - De Gregorio, Andrea
AU - Liguori, Giovanni
PY - 2020
Y1 - 2020
N2 - The public health emergency caused by the Coronavirus Disease 2019 (COVID-19) pandemic has resulted in a significant reallocation of health resources with a consequent reorganization of the clinical activities also in several urological centers. A panel of Italian urologists has agreed on a set of recommendations on pathways of pre-, intra- and post-operative care for urological patients undergoing urgent procedures or non-deferrable oncological interventions during the COVID-19 pandemic. Simplification of the diagnostic and staging pathway has to be prioritized in order to reduce hospital visits and consequently the risk of contagion. In absence of strict uniform regulations that impose the implementation of nasopharyngeal swabs, we recommend that an accurate triage for possible COVID-19 symptoms be performed both by telephone at home before hospitalization and at the time of hospitalization. We recommend that during hospital stay patients should be provided with as many instructions as possible to facilitate their return to, and stay at, home. Patients should be discharged under stable good conditions in order to minimize the risk of readmission. It is advisable to reduce or reschedule post-discharge controls and implement an adequate system of communication for telemonitoring discharged patients in order to reduce hospital visits.
AB - The public health emergency caused by the Coronavirus Disease 2019 (COVID-19) pandemic has resulted in a significant reallocation of health resources with a consequent reorganization of the clinical activities also in several urological centers. A panel of Italian urologists has agreed on a set of recommendations on pathways of pre-, intra- and post-operative care for urological patients undergoing urgent procedures or non-deferrable oncological interventions during the COVID-19 pandemic. Simplification of the diagnostic and staging pathway has to be prioritized in order to reduce hospital visits and consequently the risk of contagion. In absence of strict uniform regulations that impose the implementation of nasopharyngeal swabs, we recommend that an accurate triage for possible COVID-19 symptoms be performed both by telephone at home before hospitalization and at the time of hospitalization. We recommend that during hospital stay patients should be provided with as many instructions as possible to facilitate their return to, and stay at, home. Patients should be discharged under stable good conditions in order to minimize the risk of readmission. It is advisable to reduce or reschedule post-discharge controls and implement an adequate system of communication for telemonitoring discharged patients in order to reduce hospital visits.
UR - http://hdl.handle.net/10447/407266
M3 - Article
JO - Minerva Urologica
JF - Minerva Urologica
SN - 0393-2249
ER -