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Setting up hospital care provision to patients with COVID-19: lessons learnt at a 2400-bed academic tertiary center in São Paulo, Brazil.
Perondi, Beatriz; Miethke-Morais, Anna; Montal, Amanda C; Harima, Leila; Segurado, Aluisio C.
  • Perondi B; Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, SP, Brazil.
  • Miethke-Morais A; Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, SP, Brazil.
  • Montal AC; Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, SP, Brazil.
  • Harima L; Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, SP, Brazil.
  • Segurado AC; Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, SP, Brazil. Electronic address: segurado@usp.br.
Braz J Infect Dis ; 24(6): 570-574, 2020.
Article in English | MEDLINE | ID: covidwho-893643
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
2. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / COVID-19 / Hospitals, Public Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Braz J Infect Dis Journal subject: Communicable Diseases Year: 2020 Document Type: Article Affiliation country: J.bjid.2020.09.005

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / COVID-19 / Hospitals, Public Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Braz J Infect Dis Journal subject: Communicable Diseases Year: 2020 Document Type: Article Affiliation country: J.bjid.2020.09.005