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Braz J Infect Dis ; 24(6): 570-574, 2020.
Article in English | MEDLINE | ID: covidwho-893643

ABSTRACT

As of August 30, 2020, Brazil ranked second among countries with the highest number of COVID-19 cases, with the city of São Paulo as the national epidemic epicenter. Local public healthcare institutions were challenged to respond to a fast-growing hospital demand, reengineering care provision to optimize clinical outcomes and minimize intra-hospital coronavirus infection. In this paper we describe how the largest public hospital complex in Latin America faced this unprecedented burden, managing severe COVID-19 cases while sustaining specialized care to patients with other conditions. In our strategic plan a 900-bed hospital was exclusively designated for COVID-19 care and continuity of care to those not infected with coronavirus ensured in other inpatient facilities. After 152 days, 4241 patients with severe COVID-19 were hospitalized, 70% of whom have already been discharged, whereas the remaining Institutes of the complex successfully maintained high complexity inpatient and urgent/emergency care to non-COVID-19 patients.


Subject(s)
COVID-19 , Coronavirus Infections , Hospitals, Public , Pneumonia, Viral , Brazil , Cities , Continuity of Patient Care , Coronavirus Infections/epidemiology , Humans , Latin America , Pandemics , Pneumonia, Viral/epidemiology , SARS-CoV-2
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