Publications by authors named "Giacomo Fortini"
Objectives: To evaluate 6-month risk stratification capacity of the newly developed TeleHFCovid19-Score for remote management of older patients with heart failure (HF) during the coronavirus disease 2019 pandemic.
Design: Monocentric observational prospective study.
Setting And Participants: Older HF outpatients remotely managed during the first pandemic wave.
Evidence on the effectiveness of SARS-CoV-2 vaccines in nursing home (NHs) residents is limited. We examined the impact of the BNT162b2 mRNA SARS-CoV-2 vaccine on the course of the epidemic in NHs in the Florence Health District, Italy, before and after vaccination. Moreover, we assessed survival and hospitalization by vaccination status in SARS-CoV-2-positive cases occurring during the post-vaccination period.
View Article and Find Full Text PDFBackground: Nursing home (NH) residents have been dramatically affected by COVID-19, with extremely high rates of hospitalization and mortality.
Aims: To describe the features and impact of an assistance model involving an intermediate care mobile medical specialist team (GIROT, Gruppo Intervento Rapido Ospedale Territorio) aimed at delivering "hospital-at-nursing home" care to NH residents with COVID-19 in Florence, Italy.
Methods: The GIROT activity was set-up during the first wave of the pandemic (W1, March-April 2020) and became a structured healthcare model during the second (W2, October 2020-January 2021).
Studies have shown that a hemodynamic-guided therapy improves the post operative outcomes of high-risk patients.This study, evaluated if a short period through minimally invasive hemodynamic monitoring, pressure recording analytical method (PRAM), on admission to a post-cardiac surgery step-down unit (SDU), may identify patients at higher risk of 6-month adverse events after cardiac surgery. From December 2016-May 2017,173 patients were admitted in SDU within 24-48 hours of major cardiac surgery procedure, and submitted to clinical, laboratoristic and echocardiographic evaluation and a 1-hour PRAM recording to obtain a "biohumoral snapshot" of individual patient's.
View Article and Find Full Text PDFArticle Synopsis
- Due to the COVID-19 pandemic, the heart failure outpatient clinic had to cancel in-person visits for around 150 patients, prompting the establishment of a telephone follow-up system.
- A standardized 23-item questionnaire was created to assess various aspects of patient health, resulting in the development of the Covid-19-HF score, which helps evaluate clinical stability and risk levels.
- The study presents findings from the first 30 patients who underwent this telephone follow-up over four weeks, detailing their initial health status and any significant health events during this period.