Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 7 de 7
Filter
1.
Acta Colombiana de Cuidado Intensivo ; 20:113-127, 2020.
Article in English, Spanish | Scopus | ID: covidwho-2094933

ABSTRACT

A new pandemic was recently declared by the World Health Organisation due to the SARS-CoV-2 virus. This virus is characterised by being highly transmissible, lethal, and affecting all age groups. This declaration led to the activation, in all countries, of emergency mechanisms to deal with this public health crisis that has exposed the weaknesses of the health systems and the deficit of beds in adult intensive care (UCIA) and paediatric intensive care units (PICU). Colombia has a reduced number of PICU beds compared to other low- and middle-income countries. For this reason, we must optimise resources, anticipate severe cases, and understand the behaviour of the disease caused by the SARS-CoV-2 virus (called COVID-19) in paediatrics, especially in severe forms of presentation in children. The severity and degree of involvement by the virus in all countries has been very similar, with a greater severity and frequency of infection in the adult population, particularly in people over 60 years of age, and with comorbidities (obesity, hypertension, diabetes, among others). However, severe cases requiring advanced interventions in intensive care have also been reported in the paediatric population, including a form of presentation with a large inflammatory response in children, called multi-systemic inflammatory syndrome (MIS-C). The Colombian Association of Critical Medicine and Intensive Care (AMCI) convened a multidisciplinary team of experts in paediatric critical medicine to establish a consensus statement of good clinical practice for the care of children with severe COVID-19 requiring care in intermediate care or paediatric intensive care. The objective of this consensus statement is to facilitate and standardise decision making in the most relevant aspects of care and to carry out a comprehensive approach to the paediatric patient based on the best available evidence and the opinion of experts in paediatric intensive care with at least 10 years of work experience in the area. Additionally, it was sought to involve those Paediatric Intensivists who have to directly care for children with COVID-19, and belong to reference or university hospitals and have a proven track record in research and teaching in paediatric critical care. This consensus statement will seek to update, as often as necessary, according to the change in the best available evidence, which will enable physicians who care for critical children with COVID-19 to provide comprehensive and adequate care according to the best available literature. © 2020 Asociación Colombiana de Medicina Crítica y Cuidado lntensivo

2.
Companion ; : 17-19, 2021.
Article in English | CAB Abstracts | ID: covidwho-2046845
3.
Revista Espanola de Salud Publica ; 95(e202103045), 2021.
Article in Spanish | GIM | ID: covidwho-1870725

ABSTRACT

Background: Older people have been severely affected by the COVID-19 pandemic. The aim of this study was to describe the main epidemiological findings of a COVID-19 outbreak occurred in March 2020 at a nursing home for elderly in Granada. Risk factors associated with the spread of the virus in the center were investigated.

4.
Investigacion Clinica ; 62:137-147, 2021.
Article in Spanish | Web of Science | ID: covidwho-1619278

ABSTRACT

An explanatory longitudinal and prospective experimental cutting study was conducted with deliberate intervention, where a platform based on emerging technologies for epidemiological and clinical approach to the Covid 19 pandemic was developed in terms of risk factors, diagnosis, treatment, prognosis and geolocation. The diagnostic efficacy of Covid 19 disease was demonstrated through evaluation by this application with a sensitivity of 56% and a specificity of 95%, with a positive likelihood ratio of 12. With regard to the assessment of the risk status in the population, there was a sensitivity of 18% with a specificity of 87%. While the positive likelihood rate was 1.5. The determination of ELISA Immunoassay Antibodies (IgM and IgG) for SARS-Cov-2 was positive in 86% of confirmed cases, the determination of antigens (Rapid Tests) showed efficacy for ruling out infection in 73.3% of patients studied. RT-qPCR was the confirming method of molecular diagnosis of virus infection in 90% of confirmed cases. 86% of confirmed cases required treatment and poor prognostic factors were detected in 18.6% of patients evaluated. There were no deaths for Covid 19. The relative risk of complications attributable to this coronavirus was twice as high before evaluation through the Emerging Technologies-based platform. 100% of the patients included were geolocated. The platform showed efficiency and effectiveness for the integral management of the Covid 19 Pandemic.

5.
Investigacion Clinica (Venezuela) ; 62:42-54, 2021.
Article in Spanish | EMBASE | ID: covidwho-1431631

ABSTRACT

Applied research was carried out, consisting of a longitudinal and prospective experimental explanatory study, where from an expert evaluation models were selected for the comprehensive clinical evaluation of patients in the COVID-19 pandemic through an integrated platform based on Emerging Technologies that allowed to identify risk factors, perform diagnostic, thera-peutic, prognostic and geolocation approach from a sample of 332 patients from the Tungurahua Province, Canton Ambato. The elaborate models allow self-assessment of risk by the patient and the approach by specialists to diagno-sis, treatment, prognosis and geolocation from a virtual environment, through an integrated platform based on Emerging Technologies in patients in home isolation conditions.

6.
Investigacion Clinica ; 62:61-71, 2021.
Article in Spanish | Web of Science | ID: covidwho-1349101

ABSTRACT

A systematic review of the Literature on the Application of Emerging Technologies, in the design of health platforms, was carried out by searching for articles in the PubMed, ProQuest, Embase, Redalyc, Ovid, Medline, DynaMed and ClinicalKey databases during the period 2016-2020. 37 articles were chosen that provided the best available scientific evidence on emerging technology varieties and their applications in the field of Health, as well as the theoretical and practical foundations that underpinned the development at Ambato Technical University of a platform based on Emerging Technologies for the assessment of risk factors, diagnosis, treatment, prognosis and geolocation in COVID-19 pandemic, as well as its academic, scientific and social impact.

7.
Rev Esp Salud Publica ; 95, 2021.
Article in Spanish | PubMed | ID: covidwho-1187359

ABSTRACT

OBJECTIVE: Older people have been severely affected by the COVID-19 pandemic. The aim of this study was to describe the main epidemiological findings of a COVID-19 outbreak occurred in March 2020 at a nursing home for elderly in Granada. Risk factors associated with the spread of the virus in the center were investigated. METHODS: A retrospective cohort study was conducted, collecting the most relevant clinical and epidemiological findings, occurred during the outbreak follow-up period (from 03/13/2020 to 06/20/2020). The association between the residents' health conditions (underlying diseases, level of physical dependence, level of cognitive impairment) and the risk of infection was estimated using multivariate Cox regression. RESULTS: 52 PCR-confirmed COVID-19 cases were identified among the residents and 50 cases among the employees of the nursing home. The epidemic curve was characteristic of a person to person transmission. Among residents with a higher level of physical dependence, according to the Barthel index score, a higher incidence of infection was detected, adjusting for age, sex and health conditions. At 55 days of exposure, moderately (RR 2.82), severely (RR 4.71) and completely (RR 3.49) dependent residents had between 2-4 times greater risk of infection than the minimally dependent residents (p<0.05). CONCLUSIONS: The epidemic curve supports the hypothesis of a cross-transmission of infections between residents and staff members of the nursing home. In the context of sustained transmission of the virus, physical dependence of the residents increases the risk of exposure to the virus, facilitating its spreading.

SELECTION OF CITATIONS
SEARCH DETAIL