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RESEARCH PRODUCT
Clinical pathways for urology patients during the COVID-19 pandemic
Francesco PorpigliaCosimo De NunzioAlberto AbrateGiacomo NovaraAndrea TubaroGianluca GiannariniCarlo TrombettaRiccardo BartolettiNicola PavanAlessandro CrestaniVincenzo FicarraSimonato AlchiedeLiguori GiovanniAndrea Gregorisubject
Critical Pathways; Elective Surgical Procedures; Female; Humans; Italy; Male; Perioperative Care; Public Health; Triage; Urologic Diseases; Urologic Neoplasms; Urologic Surgical Procedures; Urologists; Coronavirus Infections; Pandemics; Pneumonia Viral; UrologyMaleUrologistscoronavirus030232 urology & nephrologyPsychological interventioncovid19clinical pandemic0302 clinical medicinePandemicMedicineViralurologyItalycovid-19Elective Surgical ProceduresNephrology030220 oncology & carcinogenesisCritical PathwaysUrologic Surgical ProceduresFemalePublic HealthtelemedicineCoronavirus InfectionsElective Surgical ProcedureUrologic DiseasesUrologic Neoplasmsmedicine.medical_specialtyCoronavirus disease 2019 (COVID-19)UrologyPneumonia ViralMEDLINECoronavirus COVID-19 Clinical pandemic Urology Practice guideline Clinical pathways TelemedicinePerioperative Careclinical pandemic; clinical pathways; coronavirus; covid-19; practice guideline; telemedicine; urology03 medical and health sciencesHumansPandemicsbusiness.industrypractice guidelinepandemicPublic healthcovid19; urology; pandemicPneumoniaTriageEmergency medicineclinical pathwaysTriagebusinessHospital staydescription
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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2020-01-01 | Minerva Urologica e Nefrologica |