DISCUSSION
The devastating impact of COVID 19 infection in our area, forced the
RHCS to arrange an emergency plan to face the pandemic. The majority of
regional hospitals were converted entirely to the treatment of COVID
patients; as a consequence, all other activities had to be reorganized.
Hub-spoke network had been applied to all the major critical areas as
trauma, stroke, and myocardial infarction. As far as we know, our region
is the first European region to re-arrange the cardio-vascular
emergency/urgent network to face the pandemic. In particular the
geographical area covered by our Hub and spoke networks has been the
most affected by the pandemic with more than 39.000 confirmed case of
Sars-Cov19 infection.