Position paper ANMCO: Riorganizzazione funzionale delle unità di terapia intensiva cardiologica (UTIC) in Italia
Recently, cardiac intensive care units (CICUs) have undergone a significant transformation related to the evolution in management of acute coronary syndrome and influenced by other factors such as the epidemiological transition, the increasing complexity of clinical cases, the technological advancement, and the growth of clinical and scientific expertise of cardiologists. In the context of this evolution, a functional reorganization of CICUs in Italy has to be implemented in order to meet the changing needs of the population with cardiovascular disease requiring critical care. Therefore, the Italian Association of Hospital Cardiologists (ANMCO) proposes this position paper for the reorganization of CICUs into three levels with increasing functional complexity, based on the hospital characteristics, the available technology, and clinical cases treated. The system would be functionally integrated into a regional CICU organization modeled on a time-dependent care network. This proposed network aims to standardize diagnostic and therapeutic protocols and establish unified data collection registries to facilitate self-assessment and support clinical research. The document delineates specific requirements for each CICU level, including the management of clinical cases, the expertise of intensive care cardiologists, the technological facilities, and the medical and nursing staff needed to ensure optimal care delivery.
Authors
- Alessandro Navazio (ORCID: https://orcid.org/0000-0001-8417-7783)
- Massimo Grimaldi (ORCID: https://orcid.org/0000-0002-9347-8884)
- Attilio Iacovoni (ORCID: https://orcid.org/0000-0003-0347-6672)
- Roberta Rossini (ORCID: https://orcid.org/0000-0002-7298-2037)
- Carlotta Sorini Dini (ORCID: https://orcid.org/0000-0003-0080-5434)
- Fabrizio Oliva
- Rita Camporotondo (ORCID: https://orcid.org/0000-0002-0346-5503)
- Michela Barisone (ORCID: https://orcid.org/0000-0003-4224-8779)
- Vittorio Pascale (ORCID: https://orcid.org/0000-0003-0465-4709)
- Fortunato Scotto di Uccio (ORCID: https://orcid.org/0000-0003-3984-5265)
- Paolo Trambaiolo (ORCID: https://orcid.org/0000-0003-2314-1060)
- Claudio Bilato (ORCID: https://orcid.org/0000-0003-3474-0579)
- Alice Sacco (ORCID: https://orcid.org/0000-0002-8150-474X)
- Serafina Valente
- Michele Massimo Gulizia (ORCID: https://orcid.org/0000-0003-1513-7125)
- Gaetano Maria De Ferrari (ORCID: https://orcid.org/0000-0003-4940-0876)
- Emanuele Tizzani
- Furio Colivicchi (ORCID: https://orcid.org/0000-0001-7187-2234)
- Domenico Gabrielli (ORCID: https://orcid.org/0000-0003-3392-0527)
- Federico Nardi (ORCID: https://orcid.org/0000-0002-7743-2587)
- Pietro Scicchitano (ORCID: https://orcid.org/0000-0003-0471-0053)
- Gianni Casella (ORCID: https://orcid.org/0000-0002-0701-7329)
- Leonardo De Luca (ORCID: https://orcid.org/0000-0002-8552-1272)
- Marco Marini (ORCID: https://orcid.org/0000-0003-2165-556X)
- Giovanna Geraci (ORCID: https://orcid.org/0000-0003-0092-8717)
- Maddalena Lettino
- Carmine Riccio (ORCID: https://orcid.org/0000-0003-0160-3674)
- Alberto Genovesi Ebert
- Andrea Farina (ORCID: https://orcid.org/0000-0002-2093-771X)
- Marco Corda (ORCID: https://orcid.org/0000-0003-2365-8596)
- Massimo Milli (ORCID: https://orcid.org/0000-0003-4811-6224)
- Massimo Di Marco (ORCID: https://orcid.org/0000-0002-4423-5202)
Institutions
- Humanitas University (IT)
- Altera (United States) (US)
- Azienda Ospedaliera Citta' della Salute e della Scienza di Torino (IT)
- Ospedale Maggiore (IT)
- Società Italiana di Cardiologia (IT)
- Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT)
- Azienda Ospedaliera San Camillo-Forlanini (IT)
- Associazione Nazionale Medici Cardiologi Ospedalieri (IT)
- AULSS 2 Marca Trevigiana (IT)
- Ospedale San Filippo Neri (IT)
- Ospedale Maggiore Carlo Alberto Pizzardi (IT)
- Ospedale Santa Maria alle Scotte (IT)
- Azienda Sanitaria di Firenze (IT)
- Nuovo Ospedale San Giovanni di Dio (IT)
- Ospedale Garibaldi (IT)
- Ospedale Papa Giovanni XXIII (IT)
- Ospedale di Santo Spirito (IT)
- Azienda Ospedaliera San Gerardo (IT)
- Alessandro Manzoni Hospital (IT)
- Ospedale San Giovanni Bosco (IT)
- Presidio Ospedaliero (IT)
- Azienda Ospedaliera S.Maria (IT)
- Ospedale Sandro Pertini (IT)
- Azienda Sanitaria Ospedaliera S.Croce e Carle Cuneo (IT)
- Ospedale Generale Regionale Francesco Miulli (IT)
- Azienda Ospedaliera Pugliese Ciaccio (IT)
- Ospedale Sant'Anna (IT)
- Policlinico San Matteo Fondazione (IT)
- Ospedale degli Infermi (IT)
- Azienda Usl Toscana Centro (IT)
- Azienda Ospedaliera G. Brotzu (IT)
Publication Details
- Journal
- Giornale italiano di cardiologia
- Published
- 2025-02-01
- DOI
- https://doi.org/10.1714/4418.44144
- Primary Topic
- Health Systems, Economic Evaluations, Quality of Life
- Type
- article
- Field-Weighted Citation Impact
- 0.00