{"id":"https://openalex.org/W3204298459","doi":"https://doi.org/10.4081/itjm.2021.1445","title":"Lesson learned by COVID-19 outbreak: multilevel triage strategies in patients admitted to the emergency room in southern Italy","display_name":"Lesson learned by COVID-19 outbreak: multilevel triage strategies in patients admitted to the emergency room in southern Italy","publication_year":2021,"publication_date":"2021-09-24","ids":{"openalex":"https://openalex.org/W3204298459","doi":"https://doi.org/10.4081/itjm.2021.1445","mag":"3204298459"},"language":"en","primary_location":{"id":"doi:10.4081/itjm.2021.1445","doi":"https://doi.org/10.4081/itjm.2021.1445","is_oa":true,"landing_page_url":"https://doi.org/10.4081/itjm.2021.1445","pdf_url":"https://www.italjmed.org/ijm/article/download/itjm.2021.1445/1412","source":{"id":"https://openalex.org/S20900890","display_name":"Italian Journal of Medicine","issn_l":"1877-9344","issn":["1877-9344","1877-9352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","jufo-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319913","host_organization_name":"PAGEPress (Italy)","host_organization_lineage":["https://openalex.org/P4310319913"],"host_organization_lineage_names":["PAGEPress (Italy)"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Italian Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","datacite","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.italjmed.org/ijm/article/download/itjm.2021.1445/1412","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5020660579","display_name":"Pierpaolo Di Micco","orcid":"https://orcid.org/0000-0002-8484-4598","observed_orcids":["https://orcid.org/0000-0002-8484-4598"]},"institutions":[{"id":"https://openalex.org/I4210150922","display_name":"Ospedale Buon Consiglio Fatebenefratelli","ror":"https://ror.org/04mc60a87","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210150922"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Pierpaolo Di Micco","raw_affiliation_strings":["Department of Medicine, Ospedale Fatebenefratelli, Napoli"],"raw_orcid":"https://orcid.org/0000-0002-8484-4598","affiliations":[{"raw_affiliation_string":"Department of Medicine, Ospedale Fatebenefratelli, Napoli","institution_ids":["https://openalex.org/I4210150922"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018036828","display_name":"Michele Imparato","orcid":"https://orcid.org/0000-0002-3774-5079","observed_orcids":["https://orcid.org/0000-0002-3774-5079"]},"institutions":[{"id":"https://openalex.org/I4210150922","display_name":"Ospedale Buon Consiglio Fatebenefratelli","ror":"https://ror.org/04mc60a87","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210150922"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Michele Imparato","raw_affiliation_strings":["Department of Medicine, Ospedale Fatebenefratelli, Napoli"],"raw_orcid":"https://orcid.org/0000-0002-3774-5079","affiliations":[{"raw_affiliation_string":"Department of Medicine, Ospedale Fatebenefratelli, Napoli","institution_ids":["https://openalex.org/I4210150922"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018178711","display_name":"Mariateresa Iannuzzo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210150922","display_name":"Ospedale Buon Consiglio Fatebenefratelli","ror":"https://ror.org/04mc60a87","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210150922"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Maria Teresa Iannuzzo","raw_affiliation_strings":["Health Management, Ospedale Fatebenefratelli, Napoli"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Management, Ospedale Fatebenefratelli, Napoli","institution_ids":["https://openalex.org/I4210150922"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101979756","display_name":"Andrea Fontanella","orcid":"https://orcid.org/0000-0002-1279-8051","observed_orcids":["https://orcid.org/0000-0002-1279-8051"]},"institutions":[{"id":"https://openalex.org/I4210150922","display_name":"Ospedale Buon Consiglio Fatebenefratelli","ror":"https://ror.org/04mc60a87","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210150922"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Andrea Fontanella","raw_affiliation_strings":["Department of Medicine, Ospedale Fatebenefratelli, Napoli"],"raw_orcid":"https://orcid.org/0000-0002-1279-8051","affiliations":[{"raw_affiliation_string":"Department of Medicine, Ospedale Fatebenefratelli, Napoli","institution_ids":["https://openalex.org/I4210150922"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5020660579"],"corresponding_institution_ids":["https://openalex.org/I4210150922"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"15","issue":"3","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10041","display_name":"COVID-19 Clinical Research Studies","score":0.7324000000953674,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10041","display_name":"COVID-19 Clinical Research Studies","score":0.7324000000953674,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11296","display_name":"COVID-19 and healthcare impacts","score":0.1096000000834465,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.10819999873638153,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":1.0},{"id":"https://openalex.org/keywords/sars-cov-2","display_name":"SARS-CoV-2","score":0.953000009059906},{"id":"https://openalex.org/keywords/emergency-department-triage","display_name":"emergency department triage","score":0.8259999752044678},{"id":"https://openalex.org/keywords/emergency-department-admission","display_name":"emergency department admission","score":0.5419999957084656},{"id":"https://openalex.org/keywords/acute-respiratory-distress-syndrome","display_name":"acute respiratory distress syndrome","score":0.6949999928474426},{"id":"https://openalex.org/keywords/viral-pneumonia","display_name":"viral pneumonia","score":0.8029999732971191},{"id":"https://openalex.org/keywords/patient-flow","display_name":"patient flow","score":0.39500001072883606},{"id":"https://openalex.org/keywords/infection-control","display_name":"infection control","score":0.47999998927116394},{"id":"https://openalex.org/keywords/southern-italy","display_name":"Southern Italy","score":0.6309999823570251}],"concepts":[{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.8952781558036804},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.875278115272522},{"id":"https://openalex.org/C2776348555","wikidata":"https://www.wikidata.org/wiki/Q344873","display_name":"ARDS","level":3,"score":0.7361048460006714},{"id":"https://openalex.org/C116675565","wikidata":"https://www.wikidata.org/wiki/Q3241045","display_name":"Outbreak","level":2,"score":0.5923131704330444},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.5893316268920898},{"id":"https://openalex.org/C2778859668","wikidata":"https://www.wikidata.org/wiki/Q103177","display_name":"Severe acute respiratory syndrome","level":5,"score":0.5153957605361938},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.45965757966041565},{"id":"https://openalex.org/C2776525042","wikidata":"https://www.wikidata.org/wiki/Q16654806","display_name":"Middle East respiratory syndrome","level":5,"score":0.4524837136268616},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.42487916350364685},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.40968799591064453},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.3983973264694214},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3291111886501312},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3245779871940613},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.21694135665893555},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.21341672539710999},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.17729753255844116},{"id":"https://openalex.org/C2777714996","wikidata":"https://www.wikidata.org/wiki/Q7886","display_name":"Lung","level":2,"score":0.15484166145324707}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.4081/itjm.2021.1445","doi":"https://doi.org/10.4081/itjm.2021.1445","is_oa":true,"landing_page_url":"https://doi.org/10.4081/itjm.2021.1445","pdf_url":"https://www.italjmed.org/ijm/article/download/itjm.2021.1445/1412","source":{"id":"https://openalex.org/S20900890","display_name":"Italian Journal of Medicine","issn_l":"1877-9344","issn":["1877-9344","1877-9352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","jufo-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319913","host_organization_name":"PAGEPress (Italy)","host_organization_lineage":["https://openalex.org/P4310319913"],"host_organization_lineage_names":["PAGEPress (Italy)"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Italian Journal of Medicine","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:39656d06457144219fa9bfe7239db847","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/39656d06457144219fa9bfe7239db847","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Italian Journal of Medicine, Vol 15, Iss 3 (2021)","raw_type":"article"},{"id":"pmh:oai:zenodo.org:205468","doi":null,"is_oa":true,"landing_page_url":"https://www.openaccessrepository.it/record/205468","pdf_url":null,"source":{"id":"https://openalex.org/S4306402478","display_name":"INFM-OAR (INFN Catania)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210116497","host_organization_name":"Istituto Nazionale di Fisica Nucleare, Sezione di Catania","host_organization_lineage":["https://openalex.org/I4210116497"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/article"},{"id":"doi:10.5281/zenodo.205468","doi":"https://doi.org/10.5281/zenodo.205468","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.205468","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Image"}],"best_oa_location":{"id":"doi:10.4081/itjm.2021.1445","doi":"https://doi.org/10.4081/itjm.2021.1445","is_oa":true,"landing_page_url":"https://doi.org/10.4081/itjm.2021.1445","pdf_url":"https://www.italjmed.org/ijm/article/download/itjm.2021.1445/1412","source":{"id":"https://openalex.org/S20900890","display_name":"Italian Journal of Medicine","issn_l":"1877-9344","issn":["1877-9344","1877-9352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","jufo-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319913","host_organization_name":"PAGEPress (Italy)","host_organization_lineage":["https://openalex.org/P4310319913"],"host_organization_lineage_names":["PAGEPress (Italy)"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Italian Journal of Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.979200005531311,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3204298459.pdf","grobid_xml":"https://content.openalex.org/works/W3204298459.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W2008247787","https://openalex.org/W3004434564","https://openalex.org/W3005678464","https://openalex.org/W3007273493","https://openalex.org/W3014803927","https://openalex.org/W3015367915","https://openalex.org/W3015618194","https://openalex.org/W3017352783","https://openalex.org/W3042652558","https://openalex.org/W3104440425","https://openalex.org/W4205260312"],"related_works":["https://openalex.org/W3045483429","https://openalex.org/W3037371229","https://openalex.org/W3113143560","https://openalex.org/W3119339109","https://openalex.org/W3024520049","https://openalex.org/W3205989503","https://openalex.org/W4304757217","https://openalex.org/W3012933171","https://openalex.org/W3048026263","https://openalex.org/W3034592418"],"abstract_inverted_index":{"After":[0],"identifying":[1],"a":[2,6,171,208],"novel":[3],"disease":[4,85],"inducing":[5],"severe":[7],"acute":[8,57],"respiratory":[9,58,82],"syndrome-related":[10],"to":[11,94,99,125,131,156,182,196,214],"coronavirus":[12],"2":[13],"(SARS-CoV-2)":[14],"for":[15,117,135,148,153,180],"epidemic":[16,39,68,77,220],"pneumonia":[17,53],"in":[18,36,51,129,174,223],"China,":[19],"the":[20,27,33,75,113,136,157,183,215,219],"diffusion":[21,91],"of":[22,45,78,138,144,211,221],"infection":[23,47],"is":[24],"ongoing":[25],"around":[26],"world,":[28],"and":[29,80,96,116,146,150,152,191],"Italy":[30],"has":[31,40,69,167],"been":[32,41,70,168,178],"second":[34],"country":[35],"which":[37,175],"an":[38,89],"demonstrated.":[42],"Clinical":[43],"features":[44,128],"this":[46,65,67,164],"may":[48,62],"be":[49,100,110,123],"summarized":[50],"viral":[52],"that":[54],"SARS":[55,79,149],"or":[56],"distress":[59],"syndrome":[60],"(ARDS)":[61],"complicate.":[63],"For":[64],"reason,":[66],"considerably":[71],"more":[72,101],"aggressive":[73],"than":[74,103],"previous":[76],"Middle-East":[81],"syndrome.":[83],"Coronavirus":[84],"2019":[86],"(COVID-19)":[87],"showed":[88,98],"easy":[90],"from":[92],"human":[93,95,107],"also":[97],"contagious":[102],"other":[104],"viruses.":[105],"So":[106],"contact":[108],"should":[109,122],"avoided":[111],"at":[112,141],"emergency":[114,158,184,216],"room":[115,185,217],"inpatients":[118],"too.":[119],"The":[120],"Triage":[121],"adapted":[124],"these":[126],"new":[127],"order":[130],"speed":[132],"up":[133],"procedures":[134],"care":[137],"infected":[139],"patients":[140,176,187,192,212],"high":[142],"risk":[143],"morbidity":[145],"mortality":[147],"ARDS":[151],"traditional":[154],"access":[155],"room.":[159],"Based":[160],"on":[161],"our":[162],"experiences,":[163],"flow":[165],"chart":[166],"designed":[169],"with":[170,188],"multi-level":[172],"triage":[173,206],"have":[177],"divided":[179],"admission":[181],"into":[186],"fever/respiratory":[189],"symptoms":[190],"without":[193],"fever\\respiratory":[194],"symptoms,":[195],"improve":[197],"medical":[198],"performances":[199],"while":[200],"treating":[201],"COVID-19.":[202],"This":[203],"organized,":[204],"multilevel":[205],"permitted":[207],"good":[209],"selection":[210],"admitted":[213],"during":[218],"COVID-19":[222],"Southern":[224],"Italy.":[225]},"counts_by_year":[],"updated_date":"2026-09-25T08:18:29.962427","created_date":"2021-10-11T00:00:00"}