ArticleBMC health services research2026
The role of hospitals in monitoring the emergency: the experience of "Sentinel network" of the Italian Federation of Health Trusts.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
The COVID-19 pandemic showed few weak points in health-system resilience and highlighted the need to strengthen surveillance capacities. In Italy, the Federation of Health Trusts (FIASO) established the Sentinel Hospital Network (SHNet) to monitor COVID-19 hospitalizations and support operational decision-making. A multicentre ecological study was conducted across 21 hospitals (November 2021-March 2023), collecting weekly data on admissions, vaccination status, and classification of cases as for or with COVID-19. Trends were compared with national surveillance from the Istituto Superiore di Sanità (ISS). SHNet recorded 48,117 admissions in 2022. Basically vaccination reduced the severe disease, with an 87% decrease in ICU admissions for COVID-19. Hospitalizations with COVID-19 showed limited variation. Strong correlation with ISS trends confirmed SHNet reliability. SHNet provided timely, clinically detailed data complementing national surveillance and improved understanding of hospital burden. Sentinel surveillance represents a preacious tool for preparedness, enabling rapid response, resource optimization, and resilience in future health emergencies.
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