Genetic counseling during COVID-19 pandemic: Tuscany experience
Genetic counseling during COVID-19 pandemic: Tuscany experience
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DOI：
10.1002/mgg3.1433
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发表时间：
2020-08-03
影响因子：
2
通讯作者：
Giglio, Sabrina
中科院分区：
文献类型：
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作者：
Pagliazzi, Angelica;Mancano, Giorgia;Giglio, Sabrina
背景：COVID-19爆发促使卫生中心重组其临床和手术活动。在本文中，我们展示了如何医学遗传学部门的活动，在我们的三级儿科医院，已经改变了由于pandemic.Methods：我们分层我们所有的预定访问，从3月9日至4月30日，并评估个案遗传咨询应保持面对面访问，或推迟/切换到远程医疗。结果：在288次预约中，60次是产前检查，228次是产后检查。我们以面对面的方式进行了大部分产前咨询，因为除了我们的咨询之外，女性还会在医院进行其他手术。至于产后护理，我们暂停了所有门诊首次就诊，并选择远程医疗进行选定的后续咨询：有趣的是，我们75%的患者家长透露，他们会取消预约，因为担心感染。结论：COVID-19在意大利的传播迫使我们改变我们的工作习惯。考虑到优化医疗资源和最大限度地减少院内感染风险的必要性，我们体验了远程遗传学的好处。当前的大流行使我们熟悉了远程医疗，为其应用于处理临床遗传学中越来越多的请求奠定了基础。
Background: COVID-19 outbreak prompted health centres to reorganize their clinical and surgical activity. In this paper, we show how medical genetics department's activity, in our tertiary pediatric hospital, has changed due to pandemic.Methods: We stratified all our scheduled visits, from March 9th through April 30th, and assessed case-by-case which genetic consultations should be maintained as face-to-face visit, or postponed/switched to telemedicine.Results: Out of 288 scheduled appointments, 60 were prenatal consultations and 228 were postnatal visits. We performed most of prenatal consultations as face-to-face visits, as women would have been present in the hospital to perform other procedures in addition to our consult. As for postnatal care, we suspended all outpatient first visits and opted for telemedicine for selected follow-up consultations: interestingly, 75% of our patients' parents revealed that they would have cancelled the appointment themselves for the fear to contract an infection.Conclusions: Spread of COVID-19 in Italy forced us to change our working habits. Given the necessity to optimize healthcare resources and minimize the risk of in-hospital infections, we experienced the benefits of telegenetics. Current pandemic made us familiar with telemedicine, laying the foundations for its application to deal with the increasing number of requests in clinical genetics.