11/18/2023 0 Comments Two point hospital grockle bay![]() ![]() The San Raffaele Hospital of Milan (Lombardy, Italy) admitted more than 400 patients with coronavirus disease 2019 (COVID-19) in 1 month (typically, during the month of February, about 300 patients are admitted in the whole San Raffaele Hospital).Īfter this first phase, the clinical care of patients was reorganized to provide better treatment for patients in acute condition and to better meet the rehabilitation needs of patients post COVID-19 to optimize home discharge. The rapid exponential diffusion of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has dramatically shaken the functional organization of public and private health facilities in Italy. Such clinical pathways should each involve dedicated multidisciplinary teams composed of pulmonologists, physiatrists, neurologists, cardiologists, physiotherapists, neuropsychologists, occupational therapists, speech therapists, and nutritionists. ![]() After hospital discharge, telemedicine was used to follow-up with patients at home. According to this new organization, patients were admitted first to acute care COVID-19 units and then to COVID-19 rehabilitation units, post-COVID-19 rehabilitation units, and/or quarantine/observation units. In the following 30 days, from March 2 to mid-April, despite the presence of 60 daily arrivals to the emergency department, the organization of patient flow between different wards was modified, and several different units were created based on a more accurate integration of patients’ needs. In those days, about 400 acute care beds were created (intensive care/infectious diseases). In this hospital, between February 1 and March 2, 2020, about 50 patients were admitted every day with COVID-19 symptoms. This communication reports the experience of the San Raffaele Hospital of Milan and recommends the setup of specialized clinical pathways for the rehabilitation of patients with COVID-19. Thus, there is the need for specialized rehabilitative care for these patients. The symptomatic evolution of patients with COVID-19 is characterized by 2 phases: an acute phase in which respiratory symptoms prevail and a postacute phase in which patients can show symptoms related to prolonged immobilization, to previous and current respiratory dysfunctions, and to cognitive and emotional disorders. The rapid evolution of the health emergency linked to the spread of severe acute respiratory syndrome coronavirus 2 requires specifications for the rehabilitative management of patients with coronavirus disease 2019 (COVID-19). ![]()
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