Home » Covid, 90% of hospitalizations lost due to the pandemic recovered in 2021

Covid, 90% of hospitalizations lost due to the pandemic recovered in 2021

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In internal medicine wards, in the first 9 months of 2021, more than 90% of hospitalizations and healthcare services skipped in 2020 due to the Covid-19 pandemic were recovered. It emerges from the data elaborated by the Federation of hospital internists (Fadoi), in congress until 4 October in Florence.

These are treatments aimed at people in many cases suffering from BPCO, heart failure, diabetes, chronic remal insufficiency, pneumonia, sepsis, acute pulmonary edema, hemorrhages or cerebral infarcts. The data, says Fadoi, are surprising: last year in internal medicine wards, about 400 thousand hospitalizations were skipped due to the pandemic, which saw internists take charge of 70% of Covid patients. The Federation estimates that to date the recovery has been almost total, with only 8% fewer hospitalizations compared to those recorded in 2018, before the pandemic era.

And give

From 1 January 2018 to September of the same year there were 705 thousand hospitalizations, while in the same period of this year there were 650 thousand, only 55 thousand fewer (8% in fact) compared to pre-Covid. The numbers do not change much if we take into consideration only the chronic patients, who represent a substantial portion of the patients admitted to the internal medicines of our hospitals. Also from January to September in 2018 the hospitalizations in this case were 395 thousand, while in the same period of this year it reached 346 thousand. In this case, therefore, 49 thousand hospitalizations are missing, 12% to return to anti-pandemic levels.

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This is “a surprising result if we consider that the estimates on hospitalizations refer exclusively to no-Covid patients and that instead it is our wards that have taken care of a large part of the people who fell ill with SarsCov-2 – he comments Dario Manfellotto, president of Fadoi -. Now it is a question of taking advantage of this experience, because the intra-disciplinary approach under the direction of internal medicine that is the basis of this miraculous recovery can and must become the new modus operandi of our hospitals, thus allowing us to treat the sore as well. waiting lists “.

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The multidisciplinary approach

The experience gained during the pandemic, “where the multidisciplinary approach was the winning weapon to counter the multisystemic attacks of Covid – explains Manfellotto – confirms that the idea of ​​an internal medicine that assists patients with low intensity of care is now out of reality, because beyond the Covid hospitalized, most of the patients who arrive in the medical departments for acute first aid now have a high level of complexity and involve a considerable care burden. For this it is necessary to reorganize the medical areas of our hospitals, enhancing the transversal skills of internal medicine, able to tackle the problems of patients with the highest intensity of care, as happened in the pandemic era with the management of the sub-intensive areas by internists ” .

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To assist these patients, Manfellotto concludes, “the most functional organizational model is the ‘network’ one, where all professionals, including those in the area, collaborate. The activation in July of the internal medicine network in Lombardy is a step in this. direction. We will do our best so that it does not remain an isolated example “.

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