This study has 3 main goals: * to quantitavely describe the Covid-19 impact on the organization and functioning of the Lombardy's emergency system; * to create statistical model able to predict the flow of patients to the emergency room during the epidemic period and their destination (ex: discharge, hospitalization, death); * to value the impact on the non Covid-19 patients, both for their possibility to receive medical treatment and as an outcome on their health
The aim of this study is to evaluate the impact that Covid-19 had on the Emergency System of Lombardy. For instance, it affected the job organization and the possibility of responding to general health needs. First of all, the study will consider the calls to the Emergency Medical Service, the number of accesses to the Emergency Department, the waiting time before hospitalization, the ED output home (discharge, hospitalization, death, self-discharge before the end of the visit). Secondly, a statistical model will be implemented, in order to predict the number of patients in need of hospitalization for each day during the pandemic period. This model could help the re-organization of the hospital itself in case of a new Covid-19 outbreak. Finally, it will evaluate the impact on non-Covid patients, to see the difference in the mortality trends and their possiblity to be cured in a proper way.
Study Type
OBSERVATIONAL
Enrollment
10,000
Ospedale Papa Giovanni XXIII
Bergamo, Italy
Presidio Ospedaliero di Lodi
Lodi, Italy
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan, Italy
Ospedale San Carlo Borromeo
Milan, Italy
Daily calls to the Emergency System
The number of calls to the Lombardy Emergency System will be evaluated daily during the study period
Time frame: jan 2020 - dec 2020
Daily count of Emergency Department visits
The number of people accessing to each ED will be evaluated daily
Time frame: jan 2020 - dec 2020
Daily average boarding time
The average time between the end of the ED visit and the hospital admission will be measured daily
Time frame: jan 2020 - dec 2020
Outcome at ED discharge
Distribution of the ED outcome (home discharge, hospitalization, death, self-discharge before the end of the visit)
Time frame: jan 2020 - dec 2020
Mortality
Daily mortality for any cause
Time frame: jan 2020 - dec 2020
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