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ISSN 1684-1824 (Electronic)

2020, Number 6

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Rev Méd Electrón 2020; 42 (6)

Clinical-epidemiologic characteristics of the patients admitted in the Hospital ''Amalia Simoni'' during the Covid-19 pandemics

Navarro PDO, Gallo NJ, Martínez CS, Arredondo BAE

Language: Spanish
References: 21
Page:
PDF size: 149.13 Kb.


ABSTRACT

Introduction: from the end of the last year in Wuhan, China, it was informed an unknown etiology pneumonia leading the World Health Organization to declare the infection with SARS-CoV-2 a sanitary emergency naming it coronavirus disease 2019 (Covid-19). A confrontation program was elaborated in Cuba, in which hospital care followed a rigorous protocol to take care to Covid-19-positive patients in areas of minimal, intensive and progressive care.
Objective: to clinically/epidemiologically characterize Covid-19-positive patients admitted in the Hospital “Amalia Simoni”.
Materials and methods: a cross-sectional, descriptive study was carried out in 1 066 patients admitted in the Hospital “Amalia Simoni” in the period March-May 2020. Clinical records were reviewed and data gathered were age, sex, origin, symptomatology, co-morbidities and epidemiological evolution, data obtained through descriptive statistics.
Results: it was found the predominance of medium age, without sex differences; the cases of patients from the city of Camaguey and from the municipalities with biggest urbanization predominated. Cough and fever prevailed; half of cases did not have comorbidities, and only a little percent of cases was confirmed.
Conclusions: with an approach based in preventive medicine, medium age, and provenance from urban areas with bigger population and social concentrations predominated in the studied cases. It was showed that precocious admission, based on the Primary Health Care screening, succeeded in diminish confirmed cases to a little percent, as diminished the seriously ill ones; only one patient died.


REFERENCES

  1. Red Nacional de Vigilancia Epidemiológica [Internet]. Informe sobre la situación de COVID-19 en España. Madrid: Centro Nacional de Epidemiología.2020 [citado 15/06/2020]; [aprox. 30 pag]. Disponible en: Disponible en: https://www.isciii.es/QueHacemos/Servicios/VigilanciaSaludPublicaRENAVE/EnfermedadesTransmisibles/Paginas/InformesCOVID-19.aspx

  2. Wölfel R, Corman VM, Guggemos W, et al. Virological assessment of hospitalized patients with COVID-2019. Nature [Internet]. 2020 [citado 17/06/2020] ; 581(7809) : 465-9. Disponible en: Disponible en: https://www.nature.com/articles/s41586-020-2196-x?fbclid=IwAR0dxTczGh6zOK3e0mvBEtNPOIdO5rK9na6RNpd2LPS5cCorbiViL8a9XlU

  3. Wu F, Zhao S, Yu B, et al. Severe acute respiratory syndrome coronavirus 2 isolate Wuhan-Hu-1, complete genome. Nature 2020; 579 (7798): 265-69. Citado en PubMed; PUBMED 32015508.

  4. World health Organization. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). [Internet] 2020 [citado 05/05/2020]; Disponible en: Disponible en: https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf

  5. Wu Z, Mc-Googan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239-42. Citado en PubMed; PMID: 32091533.

  6. Aragón Nogales R, Vargas Almanza I, Miranda Novales MG. COVID-19 por SARS-CoV-2: la nueva emergencia de salud. Rev Mex Pediatr [Internet]. 2020 [citado 17/06/2020]; 86(6) : 213-8. Disponible en: Disponible en: https://www.medigraphic.com/pdfs/pediat/sp-2019/sp196a.pdf

  7. Ferrer Castro JE, Sánchez Hernández E, Poulout Mendoza A, et al. Caracterización clínica y epidemiológica de pacientes confirmados con la COVID-19 en la provincia de Santiago de Cuba. MEDISAN [Internet] 2020 [citado 17/06/2020]; 24(3):473-85. Disponible en: Disponible en: http://medisan.sld.cu/index.php/san/article/view/3145

  8. MINSAP. COVID. Información actualizada. Nota informativa sobre la Covid-19 en Cuba. [Internet]Cuba: Portal MINSAP;2010 [citado 19/06/2020]. Disponible en: Disponible en: https://temas.sld.cu/coronavirus/2020/06/18/nota-informativa-sobre-la-covid-19-en-cuba-17-de-junio/

  9. Cruz MP, Santos E, Cervantes MV, et al. COVID-19, una emergencia de salud pública mundial. Rev Clínica Española [Internet]. 2020 [citado 17/06/2020] :Disponible en: Disponible en: https://www.sciencedirect.com/science/article/pii/S0014256520300928

  10. Rodríguez-Morales AJ, Sánchez-Duque JA, Hernández-Botero S, et al. Preparación y control de la enfermedad por coronavirus 2019 (COVID-19) en América Latina. Acta Medica Peruana [Internet] 2020 [citado 17/06/2020]; 37(1) : 3-7. Disponible en: Disponible en: http://www.scielo.org.pe/scielo.php?pid=S1728-59172020000100003&script=sci_arttext&tlng=pt

  11. Jiang F, Deng L, Zhang L, et al. Review of the clinical characteristics of coronavirus disease 2019 (COVID-19). Journal of general internal medicine [Internet] 2020 [citado 17/06/2020] ; 1-5. Disponible en: Disponible en: https://link.springer.com/article/10.1007/s11606-020-05762-w

  12. Zhu J, Ji P, Pang J, et al. Clinical characteristics of 3,062 COVID‐19 patients: a meta‐analysis. Journal of Medical Virology [Internet] 2020 [citado 17/06/2020] . Disponible en: Disponible en: https://temas.sld.cu/coronavirus/2020/06/18/nota-informativa-sobre-la-covid-19-en-cuba-17-de-junio/

  13. Cheng VCC, Wong SC, Chen JHK, et al. Escalating infection control response to the rapidly evolving epidemiology of the Coronavirus disease 2019 (COVID-19) due to SARS-CoV-2 in Hong Kong. Infect Control Hosp Epidemiol [Internet]. 2020[citado 17/06/2020]; 41 (5) : 493-8. Disponible en:Disponible en: https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/escalating-infection-control-response-to-the-rapidly-evolving-epidemiology-of-the-coronavirus-disease-2019-covid19-due-to-sarscov2-in-hong-kong/52513ACC56587859F9C601DC747EB6EC

  14. Chin A, Chu J, Perera M, et al. Stability of SARS-CoV-2 in different environmental conditions. MedRxiv [Internet]. 2020 [citado 04/04/2020]; [aprox. 10 pag.]. Disponible en: Disponible en: https://www.medrxiv.org/content/10.1101/2020.03.15.20036673v2

  15. Ong SWX, Tan YK, Chia PY, et al. Air, Surface Environmental, and Personal Protective Equipment Contamination by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) From a Symptomatic Patient. JAMA . [Internet] 2020 [citado 17/06/2020] 323(16):1610-12; Disponible en: Disponible en: https://jamanetwork.com/journals/jama/article-abstract/2762692

  16. Doremalen-Van N, Bushmaker T, Morris D, et al. Aerosol and surface stability of HCoV-19 (SARS-CoV-2) compared to SARS-CoV-1. MedRxiv [Internet]. 2020 [citado 16/03/2020]; Disponible en: Disponible en: https://www.medrxiv.org/content/10.1101/2020.03.09.20033217v2

  17. Lynch JB, Davitkov P, Anderson DJ, et al. Infectious Diseases Society of America; 2020.- Guidelines on Infection Prevention for Health Care Personnel Caring for Patients with Suspected or Known COVID-19. EE UU: Infectious Diseases Society of America Guidelines on Infection Prevention for Health Care. 2020 [citado 17/06/2020]. Disponible en: Disponible en: www.idsociety.org/COVID19guidelines/ip .

  18. Abereu RP, Tejeda JG, Guach AD. Características clínico-epidemiológicas de la COVID-19. Rev Habanera de Ciencias Médicas [Internet] 2020 [citado 17/06/2020] ; 19(2) : 3254. Disponible en: Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/3254

  19. Goyal P, Choi JJ, Pinheiro LC, et al. Clinical characteristics of Covid-19 in New York city. N Engl J Med[Internet]. 2020[citado 17/06/2020]; 382:2372-4. Disponible en: Disponible en: https://www.nejm.org/doi/full/10.1056/NEJMc2010419

  20. European Centre for Disease Prevention and Control. Rapid Risk Assessment: Coronavirus disease 2019 (COVID 19) in the EU/EEA and the UK [Internet].2019 [citado 17/06/2020]. Disponible en: Disponible en: https://www.ecdc.europa.eu/en/publications-data/rapid-risk-assessment-coronavirusdisease-2019-covid-19-pandemic-eighth-update

  21. Ruiz Cantero MT. Las estadísticas sanitarias y la invisibilidad por sexo y de género durante la epidemia de COVID-19. Gaceta Sanitaria [Internet] 2020 [citado 12/05/2020]. Disponible en: Disponible en: https://www.gacetasanitaria.org/es-las-estadisticas-sanitariasinvisibilidad-por-avance-S0213911120300911




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