id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-341076-ox2ckhqu	Cenzato, Marco	Editorial. Neurosurgery in the storm of COVID-19: suggestions from the Lombardy region, Italy (ex malo bonum)	2020-04-10		.txt	text/plain	1261	62	47	Therefore, by applying various strategies, 1 a tremendous effort has been put in place in order to increase the critical care capacity; as of this writing, there are about 1200 COVID-19 patients admitted to ICUs in our region. These strategies to increase the regional ICU allowance included the reduction of all surgical activities starting with elective to ultimately also include emergency cases. According to such estimated caseloads, a plan of action was settled on clustering all urgent neurosurgical activities (mainly trauma and vascular) among only 3 centers (Niguarda, Brescia, and Varese), which were chosen based on geographical criteria as well as their receptive capacity, creating a hub-and-spoke scheme. During the first 2 weeks of activity of the hub-andspoke system, the Niguarda Hospital admitted 95 emergency cases and operated on 47 patients, Brescia admitted 88 cases and operated on 23 patients, and Varese admitted 34 cases and operated on 13 patients, for a total of 83 surgical cases, a number lower than expected.	./cache/cord-341076-ox2ckhqu.txt	./txt/cord-341076-ox2ckhqu.txt