Your browser doesn't support javascript.
Clinical characteristics of vulnerable populations hospitalized and diagnosed with COVID-19 in Buenos Aires, Argentina.
Yacobitti, A; Otero, L; Doldan Arrubarrena, V; Arano, J; Lage, S; Silberman, M; Zubieta, M; Erbetta, I; Danei, P; Baeck, G; Vallejos, V; Cavalli, F; Calderón, N; Di Gregorio, M; Hernandez, V; Bruno, D; Rodera, B; Macherett, I; Parisi, M; Gallastegui, M; Paz, A; Bernardi, R; Azcárate, S; Hraste, A; Caridi, I; Boechi, L; Salgado, P; Kochen, S.
  • Yacobitti A; Network Patient Management, Hospital El Cruce N Kirchner, F. Varela, Pcia Buenos Aires, Argentina.
  • Otero L; Planning Area, Hospital El Cruce N Kirchner, F. Varela, Pcia Buenos Aires, Argentina.
  • Doldan Arrubarrena V; Planning Area, Hospital El Cruce N Kirchner, F. Varela, Pcia Buenos Aires, Argentina.
  • Arano J; General Ward, Hospital El Cruce N Kirchner, F. Varela, Pcia Buenos Aires, Argentina.
  • Lage S; Intensive Therapy Unit, Hospital El Cruce N Kirchner, F. Varela, Pcia Buenos Aires, Argentina.
  • Silberman M; Planning Area, Hospital El Cruce N Kirchner, F. Varela, Pcia Buenos Aires, Argentina.
  • Zubieta M; Laboratory, Hospital El Cruce, F. Varela, Pcia Buenos Aires, Argentina.
  • Erbetta I; Administrative Area, Hospital Module N° 11, F. Varela, Pcia Buenos Aires, Argentina.
  • Danei P; Administrative Area, UPA N° 11, F. Varela, Pcia Buenos Aires, Argentina.
  • Baeck G; Patient Admission, Hospital Mi Pueblo, F. Varela, Pcia Buenos Aires, Argentina.
  • Vallejos V; Prompt Attention Unit, UPA N° 5, A. Brown, Pcia Buenos Aires, Argentina.
  • Cavalli F; Administrative Area, UPA N° 5 and Module N° 9, A. Brown, Pcia Buenos Aires, Argentina.
  • Calderón N; Administrative Area, Hospital L. Meléndez, A. Brown, Pcia Buenos Aires, Argentina.
  • Di Gregorio M; Administrative Area, Hospital L. Meléndez, A. Brown, Pcia Buenos Aires, Argentina.
  • Hernandez V; Statistics, Hospital Oñativia, A. Brown, Pcia Buenos Aires, Argentina.
  • Bruno D; Administrative Area, Hospital Oñativia, A. Brown, Pcia Buenos Aires, Argentina.
  • Rodera B; Medical Clinic, Iriarte Hospital, Quilmes, Pcia Buenos Aires, Argentina.
  • Macherett I; Intensive Therapy Unit, Iriarte Hospital, Quilmes, Pcia Buenos Aires, Argentina.
  • Parisi M; Intensive Therapy Unit, Iriarte Hospital, Quilmes, Pcia Buenos Aires, Argentina.
  • Gallastegui M; Intensive Therapy Unit, Iriarte Hospital, Quilmes, Pcia Buenos Aires, Argentina.
  • Paz A; Oller HospitalOller Hospital, Quilmes, Pcia Buenos Aires, Argentina.
  • Bernardi R; Administrative Area, UPA N° 17, Quilmes, Pcia Buenos Aires, Argentina.
  • Azcárate S; Intensive Therapy Unit, Evita Pueblo Hospital, Berazategui, Pcia Buenos Aires, Argentina.
  • Hraste A; Patient Management, Evita Pueblo Hospital, Berazategui, Pcia Buenos Aires, Argentina.
  • Caridi I; Institute of Calculation, FCEN, UBA and CONICET, Ciudad de Buenos Aires, Argentina.
  • Boechi L; Institute of Calculation, FCEN, UBA and CONICET, Ciudad de Buenos Aires, Argentina.
  • Salgado P; Public Health Research Institute, University of Buenos Aires, Caba, Argentina.
  • Kochen S; Neurosciences and Complex Systems Unit (EnyS), CONICET- Hosp. El Cruce "N. Kirchner" - Univ. National A. Jauretche, Fac. Med, Univ. Buenos Aires, Av Calchaqui 5401, CP B1888AAE, F. Varela, Province Buenos Aires, Argentina. skochen@gmail.com.
Sci Rep ; 11(1): 9679, 2021 05 06.
Article in English | MEDLINE | ID: covidwho-1220211
ABSTRACT
There is not in Argentina publications regarding the presentation of patients with COVID-19 requiring hospitalized and emergency care in vulnerable populations (lower incomes and less education tend at greater risk for poor health status and healthcare access), and it has few reports in developing countries. The objective is to determine whether in the care of vulnerable patients, to succeed against COVID-19, multiple public health tools and interventions will be needed to minimize morbidity and mortality. The study is a prospective cohort investigation of patients with lab-confirmed COVID-19, who required to any of the Health Centers response from April 8, 2020, to August 18, 2020. In Buenos Aires Metropolitan Area (AMBA), April 8, 2020 the virus was identified in patients hospitalized in the "Southeast Network" (SN), AMBA. SN covering an area of 661 square kilometers, with 1.8 million inhabitants residing in urban, and rural areas. A total of 14 health centers with different levels of care complexity provide care to patients in the region. The information of each patient with COVID-19 evaluated by SN, was incorporated in an Epidemiological Dashboard. The investigation was designed and reported with consideration of observational studies in epidemiology. We describe the hospitals presentation and care of persons who required SN response and were ultimately diagnosed with COVID-19. From April 8, 2020, to August 18, 2020, were included 1495 patients with lab-confirmed COVID-19 in SN. A total of 58% patients were men, and the mean age (SD) was 48.9 (15.59) years. Eighty one percent patients with pre-existing diseases, most frequent hypertension and diabetes, but hypertension, chronic lung disease, and cardiovascular disease presented higher risk. A total of 13% were hospitalized in Intensive Therapy Unit. The mortality of the cohort was 9.77%. Mortality was higher for patients aged 65 or more (OR 5.09), and for those had some pre-existing disease (OR 2.61). Our observations are consistent with reports demonstrating older persons, and those with comorbidities have the highest risk of mortality related to COVID-19. However, unlike other reports from developed or some developing countries, the mortality in our study is lower. This finding may be related to age of our cohort is younger than other published. Also, the health system was able to respond to the demand.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: SARS-CoV-2 / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: South America / Argentina Language: English Journal: Sci Rep Year: 2021 Document Type: Article Affiliation country: S41598-021-87552-w

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: SARS-CoV-2 / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: South America / Argentina Language: English Journal: Sci Rep Year: 2021 Document Type: Article Affiliation country: S41598-021-87552-w