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In the eye of the hurricane: the Swiss COVID-19 pandemic stepwise shutdown approach in organ donation and transplantation

Original article
Immer F, Benden C, Elmer A, Krügel N, Nyfeler S, Nebiker M, Wilhlem M, Hirzel C, National Committee for Organ Donation (CNDO), Medical Committee (CM) and Swisstransplant Infectious Diseases Working Group (STAI)
Swiss Med Wkly. 2020;150:w20447

The Swiss stepwise shutdown approach in organ donation and transplantation helped to maintain a limited national organ procurement and vital organ transplant activity, avoiding a complete nationwide shutdown of organ donation and transplant activity. 

Impact of the COVID-19 pandemic on acute coronary syndromes

Original article
Perrin N, Iglesias JF, Rey F, Benzakour L, Cimci M, Noble S, Degrauwe S, Tessitore E, Mach F, Roffi M
Swiss Med Wkly. 2020;150:w20448

Prolonged delays from symptom onset to first medical contact and a decline in overall ACS incidence were observed during the first wave of the COVID-19 pandemic, with a higher threshold to call for help among ACS patients.

Towards novel reimbursement models for expensive advanced therapy medicinal products (ATMPs)

Original article
Picecchi D, Bertram K, Brücher D, Bauer M
Swiss Med Wkly. 2020;150:w20355

This article analyses the current legal framework in Switzerland and critically evaluates existing reimbursement models, particularly with respect to their adaptation for advanced therapy medicinal products. As a promising reimbursement arrangement, this paper proposes a model combining outcome-based instalment payments with aspects of the pay for performance and the annuity payment model. 

Crisis of emerging antibiotic resistances mirroring that of the COVID-19 in the age of globalisation

Nordmann P, Poirel L, Frey J
Swiss Med Wkly. 2020;150:w20402

Like to the COVID crisis, control of emerging antibiotic resistance genes requires early detection, rapid diagnosis, early intervention and development of novel antimicrobial agents. Epidemiological surveillance at the local level for emerging resistance at the molecular and biochemical levels is required.

Ventilatory weaning and early rehabilitation in COVID-19-related acute respiratory distress syndrome: the experience at Locarno hospital, canton of Ticino, Switzerland

Forni R, Besana T, Amitrano A, Voinea C, Ogna A
Swiss Med Wkly. 2020;150:w20397

The experience presented here, although limited, allows us to draw some important conclusions which may become useful in the current context of increasing numbers of COVID-19 patients needing hospitalisation.

Attitudes and acceptance of patients undergoing visceral surgery towards an open access electronic medical record – a Swiss-German single-centre study

Original article
Bindschädler P, Frei L, Raptis DA, Tschuor C, Breitenstein S
Swiss Med Wkly. 2020;150:w20328

The question of whether patients should have electronic access to their data has become one of the key topics under discussion.

The new remuneration system TARPSY in Swiss psychiatric hospitals: effects on length of stay and readmissions?

Original article
Hepp U, Raim Gautier C, Baumgartner M, Bridler R, Hoff P, Minder J, Müller M, Savaskan E, Seifritz E, Stulz N
Swiss Med Wkly. 2020;150:w20337

If being evident at all, the effects of the new remuneration system TARPSY on LOS and readmission rates seem to be small. Concerns that declining daily rates in TARPSY would result in early discharges and increased readmission rates did not prove true in adult and geriatric psychiatry.

Neonatal transport in Switzerland: a retrospective single-centre analysis – quo vadis?

Original article
Leemann T, Bernet V, Grass B, Hagmann C
Swiss Med Wkly. 2020;150:w20308

The high proportion of urgent transfers emphasises the need for an efficient neonatal transport system and dedicated neonatal transport teams staffed by members with training in neonatal transport and expertise in handling neonatal emergencies.

Management of hepatitis C in opioid agonist therapy patients of the Swiss canton Aargau within and outside the cohort study

Original article
Schürch S, Fux CA, Dehler S, Conen A, Knuchel J, Friedl A, Eigenmann F, Roser P, Ackle P, Bregenzer A
Swiss Med Wkly. 2020;150:w20317

Bayesian networks to identify potential high-risk multimorbidity and intervention clusters in inpatients: an explorative data mining study

Original article
Roth JA, Sakoparnig T, Gerber M, Hug BL
Swiss Med Wkly. 2020;150:w20299

Bayesian network analysis may be used as a tool to mine large healthcare databases in order to explore intervention targets for quality improvement programmes. However, the resulting associations should be substantiated in consecutive investigations using specific causal models.

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