ABSTRACT
SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) infection is a respiratory infection initially identified in Wuhan, China, in December 2019. Some of the patients have been found to show no signs of respiratory distress;however, when oxygen saturation levels are measured, they are abnormally lower than expected in relation to their clinical condition. This is why we collected a series of cases from patients diagnosed with COVID-19 (Coronavirus disease 2019) who underwent a 2-min walking test during the initial evaluation in the emergency department. A drop in oxygen saturation below 90% was considered a positive result. Eighty-five percent of patients with a positive walking test required in-hospital management and 70% required oxygen supplementation during hospitalization. This clinical tool could help determine which of these patients might require in-hospital care due to occult hypoxemia, considering the current epidemiological situation and high bed occupancy rates. © 2022 Asociación Colombiana de Medicina Crítica y Cuidado lntensivo
ABSTRACT
Background: SARS-CoV-2, the novel coronavirus identified for the first time in December 2019 in the city of Wuhan, China was identified for the first time in the Colombian territory on March 6, 2020. By November 2020, it had affected more than 47 million people and caused more than a million deaths worldwide. It has been observed that comorbidities such as diabetes can be associated with more severe forms of the disease and higher mortality rates. Hyperglycaemic crisis, referring to diabetic ketoacidosis and hyperosmolar nonketotic state can be precipitated by COVID-19. The following describes the cases of 15 patients who were admitted for COVID-19 and also had a hyperglycaemic crisis in a hospital in Medellín, Colombia. © 2021