[在大布宜诺斯艾利斯东南部地区公共卫生中心确诊感染新冠病毒的住院患者群体]

[Hospitalized population diagnosed with Covid-19 in public health centers in the southeastern region of Greater Buenos Aires].

作者信息

Yacobitti Alejandro, Otero Lisandro J, Doldan Arruabarrena Valeria Soledad, Arano Juan, Lage Sergio, Silberman Martín, Zubieta Martín, Erbetta Ilda, Danei Patricia, Baeck Gertrudis, Vallejos Virgina, Cavalli Federico, Calderón Nicolás, Di Gregorio Maximiliano, Hernández Viviana, Bruno Daniela, Rodera Beatriz, Parisi David, Macherett Ignacio, Gallastegui Matías, Paz Andrea, Bernardi Rubén, Azcárate Sandra, Hraste A, Caridi Inés, Boechi Leonardo, Kochen Silvia

机构信息

Dirección de Gestión de Pacientes en Red Hospital El Cruce de Florencio Varela.

Área de Planificación, Hospital El Cruce .

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2021 Mar 23;78(1):17-24. doi: 10.31053/1853.0605.v78.n1.31146.

DOI:10.31053/1853.0605.v78.n1.31146

PMID:33787017

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8713370/

Abstract

INTRODUCTION

The present work describes the clinical characteristics and interventions to minimize morbidity and mortality in hospitalized patients diagnosed with COVID-19.

METHODS

It is a prospective cohort investigation of patients who received a response from the Health Centers in the southeast region (RS) of the metropolitan area (AMBA) from April 8 to September 30, 2020. A Situation Room was used epidemiological with two monitoring and follow-up boards, one for bed management and the other for patient management.

RESULTS

During the analyzed period, 2,588 patients with confirmed COVID-19 diagnosis were admitted, 1,943 with suspected COVID-19 pathology, and 1,464 subjects with other pathologies. 55% of the patients were men and the mean age was 51 years. There were 82.8% patients with pre-existing diseases, hypertension and diabetes were the most frequent. 14% were hospitalized in the Intensive Care Unit. The mortality of the cohort was 15.05%, mortality was higher for men, with a mean age of 60 years, 92.65% had some pre-existing disease.

CONCLUSION

Our cohort is younger than other published works. Older people, men, and people with comorbidities are at increased risk for COVID-19-related mortality. The public health system was able to respond to the demand without collapsing the hospital institutions.

摘要

引言

本研究描述了确诊为COVID-19的住院患者的临床特征以及为降低发病率和死亡率所采取的干预措施。

方法

这是一项对2020年4月8日至9月30日在大都市区（AMBA）东南部地区（RS）的健康中心有反馈的患者进行的前瞻性队列研究。设立了一个疫情分析室，配有两个监测和随访板块，一个用于床位管理，另一个用于患者管理。

结果

在分析期间，2588例确诊为COVID-19的患者入院，1943例有疑似COVID-19病理情况，1464例患有其他疾病。55%的患者为男性，平均年龄为51岁。82.8%的患者有基础疾病，高血压和糖尿病最为常见。14%的患者入住重症监护病房。该队列的死亡率为15.05%，男性死亡率更高，平均年龄为60岁，92.65%有某种基础疾病。