The Many Faces of Covid-19 at a Glance: A University Hospital Multidisciplinary Account From Milan, Italy

Frontiers in Public Health

Elena Vegni¹  Amilcare Cerri²  Marco Gardinali³  Stefano Carugo⁴  Massimo Zuin⁵  Antonella D'Arminio Monforte⁶  Davide Chiumello⁷  Marco Cattaneo⁸  Federico Biglioli⁹  Mario Cozzolino^1,10  Isotta Olivari^1,11  Alberto Priori^1,11  Anna Maria Marconi^1,12  Daris Ferrari^1,13  Luca Pietrogrande^1,14  Giovanni Felisati^1,15  Gaetano Bulfamante^1,16  Maria Paola Canevini^1,17  Giuseppe Banderali^1,18  Orsola Gambini^1,19  Maurizio Cariati^2,20  Antonino Previtera^2,21  Stefano Centanni^2,22  Nicola Vincenzo Orfeo^2,23  Enrico Opocher^2,24  Luca Rossetti^2,25  Alessandro Baisi^2,26  Vincenzo Toschi^2,27  Claudio Colosio^2,28 

[1] Clinical Psychology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Dermatology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Emergency Unit, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Milan, Italy;From the Units of Cardiology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Gastroenterology & Hepatology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Infectious Disease, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Intensive Care, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Internal Medicine, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Maxillofacial Surgery, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Nephrology & Dialysis, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Neurology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Obstetrics & Gynecology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Oncology Unit, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Milan, Italy;Orthopedy & Traumatology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Otorhinolaryngology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Pathology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Pediatric Neuropsychiatry, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Pediatrics, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Psychiatry, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Radiology Unit, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Milan, Italy;Rehabilitation, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Respiratory Medicine, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Strategic Hospital Management, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Milan, Italy;Surgery, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Surgical Ophthalmology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Thoracic Surgery, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;Transfusion Unit, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Milan, Italy;Workers' Health, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy;

关键词: psychology;    gynecology;    neurology;    pathology;    internal medicine;    infectious diseases respiratory medicine;    COVID-19;   

DOI  :  10.3389/fpubh.2020.575029

来源: Frontiers

【 摘 要 】

In March 2020, northern Italy became the second country worldwide most affected by Covid-19 and the death toll overtook that in China. Hospital staff soon realized that Covid-19 was far more severe than expected from the few data available at that time. The Covid-19 pandemic forced hospitals to adjust to rapidly changing circumstances. We report our experience in a general teaching hospital in Milan, the capital of Lombardy, the most affected area in Italy. First, we briefly describe Lombardy's regional Covid-19-related health organizational changes as well as general hospital reorganization. We also provide a multidisciplinary report of the main clinical, radiological and pathological Covid-19 findings we observed in our patients.

【 授权许可】

CC BY