The COVID-19 Epidemic : the experience in the Social and Health Care Center of the Mantua District (Lombardy Region, Northern Italy)
OBJECTIVES: to describe the course of COVID-19 epidemic in the hospitals of the ASST of Mantua (Lombrady Region, Northern Italy) from February 2020 to April 2021.
DESIGN: observational study.
SETTING AND PARTICIPANTS: data from hospital discharging chart of all patients admitted to the hospitals of ASST were collected from 26.02.2020 to 30.04.2021 with COVID-19 diagnosis. Data from Emergency Rooms for patients evaluated but not admitted to departments were also collected.
MAIN OUTCOME MEASURES: the data from hospital discharging were crossed for diagnosis with data from laboratory. The department were classified into 'low intensity' and 'middle/high intensity'. The comparison was according to the different periods of epidemic.
RESULTS: patients admitted to the hospitals were 2,738: 510 died (17.3%) and 1,736 patients were evaluated in the Emergency Rooms but not admitted to departments. Among these patients, 166 died (9.6%). The prevailing age class were >=65 years, with a trend to reduction in the third wave. The proportion of admission in middle/high intensity departments was significantly higher in the second wave than in the first. N. 510 deaths by 2,738 (17.3%) were observed, with significant reduction in the second and third waves in the low intensity departments (from 21.9% to 14.3% and 12.7%) (p<0.001), while mortality was substantially unchanged in the middle/high intensity departments (28.0%, 29.6%, and 28.3%). The mortality for patients with >=65 years was 26.7%. Females showed lower mortality (OR 0.690; CI95% 0.560-0.840) and lower incidence of admissions in middle/high intensity departments (OR 0.556; CI95% 0.459-0.673) in the three waves. Finally, including also the patients not admitted, the general mortality was 15.1%.
CONCLUSIONS: a worse outcome by mortality and severity of disease was observed for male gender compared to female and for older age classes. Moreover, a significant improvement of outcomes in the second and third waves, compared to the first, was pointed out.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:45 |
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| Enthalten in: |
Epidemiologia e prevenzione - 45(2021), 6 vom: 23. Nov., Seite 559-567 |
| Sprache: |
Italienisch |
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| Weiterer Titel: |
Epidemia di COVID-19: l’esperienza della struttura socio sanitaria territoriale provinciale di Mantova |
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| Beteiligte Personen: |
Casari, Salvatore [VerfasserIn] |
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| Links: |
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| Themen: |
COVID-19 |
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| Anmerkungen: |
Date Completed 11.01.2022 Date Revised 11.01.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.19191/EP21.6.142 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM335368670 |
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| 100 | 1 | |a Casari, Salvatore |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The COVID-19 Epidemic |b the experience in the Social and Health Care Center of the Mantua District (Lombardy Region, Northern Italy) |
| 246 | 3 | 3 | |a Epidemia di COVID-19: l’esperienza della struttura socio sanitaria territoriale provinciale di Mantova |
| 264 | 1 | |c 2021 | |
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| 500 | |a Date Completed 11.01.2022 | ||
| 500 | |a Date Revised 11.01.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVES: to describe the course of COVID-19 epidemic in the hospitals of the ASST of Mantua (Lombrady Region, Northern Italy) from February 2020 to April 2021 | ||
| 520 | |a DESIGN: observational study | ||
| 520 | |a SETTING AND PARTICIPANTS: data from hospital discharging chart of all patients admitted to the hospitals of ASST were collected from 26.02.2020 to 30.04.2021 with COVID-19 diagnosis. Data from Emergency Rooms for patients evaluated but not admitted to departments were also collected | ||
| 520 | |a MAIN OUTCOME MEASURES: the data from hospital discharging were crossed for diagnosis with data from laboratory. The department were classified into 'low intensity' and 'middle/high intensity'. The comparison was according to the different periods of epidemic | ||
| 520 | |a RESULTS: patients admitted to the hospitals were 2,738: 510 died (17.3%) and 1,736 patients were evaluated in the Emergency Rooms but not admitted to departments. Among these patients, 166 died (9.6%). The prevailing age class were >=65 years, with a trend to reduction in the third wave. The proportion of admission in middle/high intensity departments was significantly higher in the second wave than in the first. N. 510 deaths by 2,738 (17.3%) were observed, with significant reduction in the second and third waves in the low intensity departments (from 21.9% to 14.3% and 12.7%) (p<0.001), while mortality was substantially unchanged in the middle/high intensity departments (28.0%, 29.6%, and 28.3%). The mortality for patients with >=65 years was 26.7%. Females showed lower mortality (OR 0.690; CI95% 0.560-0.840) and lower incidence of admissions in middle/high intensity departments (OR 0.556; CI95% 0.459-0.673) in the three waves. Finally, including also the patients not admitted, the general mortality was 15.1% | ||
| 520 | |a CONCLUSIONS: a worse outcome by mortality and severity of disease was observed for male gender compared to female and for older age classes. Moreover, a significant improvement of outcomes in the second and third waves, compared to the first, was pointed out | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a Mantua district | |
| 650 | 4 | |a Mortality | |
| 650 | 4 | |a Risk factors | |
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| 700 | 1 | |a Amadori, Marcello |e investigator |4 oth | |
| 700 | 1 | |a Amato, Massimo |e investigator |4 oth | |
| 700 | 1 | |a Attolini, Lucio |e investigator |4 oth | |
| 700 | 1 | |a Barai, Giampietro |e investigator |4 oth | |
| 700 | 1 | |a Beccaria, Massimiliano |e investigator |4 oth | |
| 700 | 1 | |a Benlodi, Andrea |e investigator |4 oth | |
| 700 | 1 | |a Bianciardi, Leonardo |e investigator |4 oth | |
| 700 | 1 | |a Boccia, Luigi |e investigator |4 oth | |
| 700 | 1 | |a Bolognini, Morena |e investigator |4 oth | |
| 700 | 1 | |a Bonini, Anna |e investigator |4 oth | |
| 700 | 1 | |a Borghesi, Eugenia |e investigator |4 oth | |
| 700 | 1 | |a Borzì, Paola Carmela |e investigator |4 oth | |
| 700 | 1 | |a Boschetti, Arianna |e investigator |4 oth | |
| 700 | 1 | |a Del Carmen Cabarcas Garcia, Rocio |e investigator |4 oth | |
| 700 | 1 | |a Cantore, Maurizio |e investigator |4 oth | |
| 700 | 1 | |a Capovilla, Giuseppe |e investigator |4 oth | |
| 700 | 1 | |a Carnevali, Monica |e investigator |4 oth | |
| 700 | 1 | |a Caruso, Beatrice |e investigator |4 oth | |
| 700 | 1 | |a Castelli, Gian Paolo |e investigator |4 oth | |
| 700 | 1 | |a Ceruti, Rossella |e investigator |4 oth | |
| 700 | 1 | |a Cestari, Stellina |e investigator |4 oth | |
| 700 | 1 | |a Ciccone, Alfonso |e investigator |4 oth | |
| 700 | 1 | |a Colopi, Stefano |e investigator |4 oth | |
| 700 | 1 | |a Costantino, Maria Teresa |e investigator |4 oth | |
| 700 | 1 | |a Cunico, Fiorenza |e investigator |4 oth | |
| 700 | 1 | |a Dall'Oglio, Bruno |e investigator |4 oth | |
| 700 | 1 | |a De Donno, Giuseppe |e investigator |4 oth | |
| 700 | 1 | |a De Togni, Stefano |e investigator |4 oth | |
| 700 | 1 | |a Fasolato, Valeria Angela |e investigator |4 oth | |
| 700 | 1 | |a Fasoli, Silvia |e investigator |4 oth | |
| 700 | 1 | |a Fazion, Stefano |e investigator |4 oth | |
| 700 | 1 | |a Ferrari, Antonio |e investigator |4 oth | |
| 700 | 1 | |a Ferraro, Francesco |e investigator |4 oth | |
| 700 | 1 | |a Franchini, Massimo |e investigator |4 oth | |
| 700 | 1 | |a Frizzelli, Rino |e investigator |4 oth | |
| 700 | 1 | |a Garbossa, Paolo |e investigator |4 oth | |
| 700 | 1 | |a Ghirardini, Marco |e investigator |4 oth | |
| 700 | 1 | |a Giovannoni, Gianni |e investigator |4 oth | |
| 700 | 1 | |a Grisolia, Gian Paolo |e investigator |4 oth | |
| 700 | 1 | |a Lanfredi, Ilaria |e investigator |4 oth | |
| 700 | 1 | |a Lettieri, Corrado |e investigator |4 oth | |
| 700 | 1 | |a Magnani, Piero Antonio |e investigator |4 oth | |
| 700 | 1 | |a Manfredini, Monica |e investigator |4 oth | |
| 700 | 1 | |a Matarazzo, Carmine |e investigator |4 oth | |
| 700 | 1 | |a Mazzola, Giuseppe |e investigator |4 oth | |
| 700 | 1 | |a Miglioli, Elena |e investigator |4 oth | |
| 700 | 1 | |a Muriana, Giovanni |e investigator |4 oth | |
| 700 | 1 | |a Pagani, Mauro |e investigator |4 oth | |
| 700 | 1 | |a Pajola, Fabio |e investigator |4 oth | |
| 700 | 1 | |a Panarelli, Cesarino |e investigator |4 oth | |
| 700 | 1 | |a Parogni, Pierpaolo |e investigator |4 oth | |
| 700 | 1 | |a Piazza, Fabio |e investigator |4 oth | |
| 700 | 1 | |a Pilati, Stefano |e investigator |4 oth | |
| 700 | 1 | |a Piovan, Enrico |e investigator |4 oth | |
| 700 | 1 | |a Pizzoli, Andrea |e investigator |4 oth | |
| 700 | 1 | |a Placidi, Donatella |e investigator |4 oth | |
| 700 | 1 | |a Rambaldini, Manfredo |e investigator |4 oth | |
| 700 | 1 | |a Reggiani, Albino |e investigator |4 oth | |
| 700 | 1 | |a Rigotti, Laura |e investigator |4 oth | |
| 700 | 1 | |a Rinaldi, Rosa |e investigator |4 oth | |
| 700 | 1 | |a Rossini, Pierluigi |e investigator |4 oth | |
| 700 | 1 | |a Salgarelli, Attilio Carlo |e investigator |4 oth | |
| 700 | 1 | |a Sciuto, Giuseppe |e investigator |4 oth | |
| 700 | 1 | |a Simonetti, Giovanni |e investigator |4 oth | |
| 700 | 1 | |a Superbi, Piero |e investigator |4 oth | |
| 700 | 1 | |a Tieghi, Alberto |e investigator |4 oth | |
| 700 | 1 | |a Traldi, Leo |e investigator |4 oth | |
| 700 | 1 | |a Verzola, Adriano |e investigator |4 oth | |
| 700 | 1 | |a Zampriolo, Paolo |e investigator |4 oth | |
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