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Description of patients with severe COVID-19 treated in a national referral hospital in Peru. / Caracterización de pacientes con COVID-19 grave atendidos en un hospital de referencia nacional del Perú.
Acosta, Giancarlo; Escobar, Gerson; Bernaola, Gissela; Alfaro, Johan; Taype, Waldo; Marcos, Carlos; Amado, Jose.
  • Acosta G; Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.
  • Escobar G; Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.
  • Bernaola G; Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.
  • Alfaro J; Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.
  • Taype W; Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.
  • Marcos C; Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.
  • Amado J; Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.
Rev Peru Med Exp Salud Publica ; 37(2): 253-258, 2020.
Article in Spanish, English | MEDLINE | ID: covidwho-1128200
ABSTRACT
In order to describe manifestations from patients with coronavirus disease 2019 (COVID-19), sociodemographic variables such as, previous medical history, clinical and radiological manifestations, treatments and evolution of patients were evaluated. This took place from March 6th to 25th, 2020, in the "Edgardo Rebagliati Martins" National Hospital in Lima. Seventeen patients were registered 76% were male, with an average age of 53.5 years (range 25-94); 23.5% had returned from abroad; 41.2% were referred from other health facilities; 41.2% were admitted to mechanical ventilation; 29.4% (5 patients) died. The risk factors detected were advanced age, arterial hypertension and obesity. The main symptoms detected were cough, fever and dyspnea. Frequent laboratory findings were elevated C-reactive protein and lymphopenia. The predominant radiological presentation was bilateral interstitial lung infiltrate. A first experience in the management of patients diagnosed with severe COVID-19 in Peru is reported.
RESUMEN
Con el objetivo de describir las manifestaciones de pacientes con enfermedad por coronavirus 2019 (COVID-19), se evaluaron variables sociodemográficas, antecedentes, manifestaciones clínicas y radiológicas, tratamientos y evolución en pacientes que ingresaron por emergencia, del 6 al 25 de marzo de 2020, al Hospital Nacional Edgardo Rebagliati Martins en Lima. Se registraron 17 pacientes el 76% eran varones, edad promedio de 53,5 años (rango de 25 a 94); el 23,5% había regresado del extranjero; 41,2% referido de otros establecimientos de salud; 41,2% ingresó a ventilación mecánica; falleció el 29,4% (5 pacientes). Los factores de riesgo detectados fueron adulto mayor, tener hipertensión arterial y obesidad; los principales síntomas, tos, fiebre y disnea; los hallazgos de laboratorio frecuentes, proteína C reactiva elevada y linfopenia; la presentación radiológica predominante, el infiltrado pulmonar intersticial bilateral. Se reporta una primera experiencia en el manejo de pacientes con diagnóstico de la COVID-19 grave en el Perú.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiration, Artificial / Coronavirus Infections / Hospitalization Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: South America / Peru Language: English / Spanish Journal: Rev Peru Med Exp Salud Publica Journal subject: Public Health Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiration, Artificial / Coronavirus Infections / Hospitalization Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: South America / Peru Language: English / Spanish Journal: Rev Peru Med Exp Salud Publica Journal subject: Public Health Year: 2020 Document Type: Article