ABSTRACT
OBJECTIVES: In 2019 Chinese authorities alerted of the appearance of a cluster of cases of unknown pneumonia related to a new type of coronavirus. Spain is among the most affected countries. Our aim is to describe the cases of COVID-19 at Infanta Sofía University Hospital (Madrid), a public secondary hospital that increased its hospital beds to provide assistance during the outbreak. METHODS: Retrospective descriptive study of cases that met COVID-19 clinical diagnosis criteria or had a positive PCR test from February 27 to June 29, 2020. A description of demographic variables, hospital stay, mortality and the epidemiological curve was performed. RESULTS: Of 1,828 confirmed cases, 64.4% were hospitalised, 5.6% were admitted to the ICU. About 52.2% were male. The median age was 63.2 years. About 13.1% were nursing home residents. Nineteen percent were of Latin American origin of which 6.8% were admitted to the ICU. Overall case fatality was 14.6%. We observed a biphasic epidemiological curve. CONCLUSIONS: Sixty to 79-year-old males were admitted and deceased more often than women. Mortality reached 14.7%. Latin Americans were admitted more often to the ICU. Further studies about epidemiological characteristics of COVID-19 in hospitals are necessary.
Subject(s)
COVID-19/mortality , Disease Outbreaks/statistics & numerical data , Hospitalization/statistics & numerical data , Secondary Care Centers/statistics & numerical data , Adult , Aged , Aged, 80 and over , Female , Humans , Intensive Care Units/statistics & numerical data , Male , Middle Aged , Retrospective Studies , SARS-CoV-2 , Spain/epidemiologyABSTRACT
OBJETIVO: Evaluar la efectividad de la intervención enfermera en la calidad de vida de las personas con cuidados paliativos domiciliarios. MÉTODO: Se realizó una revisión sistemática. Se consultaron las bases de datos PUBMED, CUIDEN, CUIDATGE, JBI, CINAHL, ENFISPO, PSYCINFO, EMBASE, LILACS, COCHRANE, TESEO y OPENGREY, analizándose 721 artículos científicos publicados entre 2003 y 2013. Se incluyeron estudios descriptivos, experimentales, cuasiexperimentales y revisiones sistemáticas. Dos autores de la revisión consideraron de forma individual la elegibilidad de los estudios incluidos, evaluaron la calidad de los mismos mediante fichas de lectura crítica (FLC 2.0) y extrajeron los datos. RESULTADOS: Ocho estudios cumplieron con los criterios de inclusión, e incluyen un total de 459 pacientes. Las edades estaban comprendidas entre los 24 y los 97 años, y un 49% de los participantes fueron mujeres. En todos los casos la intervención enfermera se realizó en el marco de un equipo multidisciplinar, estando habitualmente orientada hacia el control de síntomas de la enfermedad. CONCLUSIONES: El número de estudios encontrados en esta revisión, así como la calidad metodológica de los mismos, fueron limitados. Estos resultados apuntan a que los cuidados paliativos domiciliarios en los que se incluyen enfermeras producen mejoras en la calidad de vida del paciente y los cuidadores principales, además de mejor control de síntomas, disminución de la carga percibida debida a la enfermedad, mejora del estado de salud físico y mental, satisfacción con el cuidado recibido, reducción de las visitas a los servicios de urgencias y aumento del uso de documentos de voluntades anticipadas. Son necesarias mayores investigaciones con diseños de calidad que aporten evidencia sobre las intervenciones enfermeras en el cuidado de las personas que reciben cuidados paliativos a domicilio
OBJECTIVE: The aim of this study is to assess the effectiveness of nursing intervention on life quality of palliative patients in home-based care. METHOD A systematic review was conducted. The following databases were searched: PUBMED, CUIDEN, CUIDATGE, JBI, CINAHL, ENFISPO, PSYCINFO, EMBASE, LILACS, COCHRANE, TESEO and OPENGREY. An analysis was made of 721 scientific studies found and published between 2003 and 2013. Descriptive, experimental, quasi-experimental and systematic reviews were included. Two review authors individually considered the eligibility of the studies included, and, assessed the quality through critical reading (FLC 2.0) and extracted the data. RESULTS: The 8 studies selected that met the inclusion criteria, included a total of 459 PATIENTS: The ages ranged from 24 to 97 years, and 49% of participants were women. In all cases the nurse intervention was carried out within the framework of a multidisciplinary team, aimed at controlling disease symptoms. CONCLUSIONS: The number of studies found in this review, and the methodological quality of the data were limited. These results suggest that home-based palliative care in which nurses are included lead to improvements in the quality of life of patients and primary caregivers, in addition to better control of symptoms, decrease perceived burden from the disease, improving the state of physical and mental health, satisfaction with the care received, reduced visits to emergency departments, and increased use of living wills. Higher quality research designs are required that provide evidence for nursing interventions in the care of people receiving palliative care at home
