Complicaciones médicas e infecciosas del paciente con SARS-CoV-2 Hospitalizados en UCI durante el 2020
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Fecha
2022
Autores
Mulford Palomino, Edwin
Nieves Vélez, Deward Alexis
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
Antecedentes: La enfermedad por covid-19 tiene una presentación variable desde casos asintomáticos, hasta casos graves, una proporción de paciente presentan cuadros severos que requieren hospitalización en unidad de cuidados intensivos, esta proporción de paciente por lo general presentan edad avanzadas y consigo comorbilidades asociadas que predisponen a la presentación severa de la enfermedad en muchas ocasiones estos pacientes presentan complicaciones médicas e infecciosas durante su estancia hospitalaria lo que ensombrece el pronóstico y la evolución de los mismos con desenlaces en las mayoría de los casos fatal.
Objetivo: Caracterizar las complicaciones médicas e infecciosas del paciente con SARS-CoV-2 Hospitalizados en UCI en una IPS de Magangué (Bol, CO) durante el periodo comprendido entre el 1 de abril y 31 de diciembre del 2020.
Materiales y Métodos: Se realizó un estudio de corte retrospectivo, observacional, longitudinal y analítico. Se tomaron todos los pacientes que fueron remitidos a remitidos a la Unidad de Cuidado Intensivo positivos por RT-PCR. El periodo de estudio estuvo comprendido entre abril de 2020 a diciembre de 2020. Los datos acopiados se organizaron en la matriz de carga y se les realizó estadística descriptiva para caracterizar socio-demográficamente a la población en la Unidad de Cuidados Intensivos. Se halló la frecuencia a las variables y se le calculó la proporción de las complicaciones médicas asociadas al SARS-CoV-2 y complicaciones infecciosas de los pacientes en UCI.
Background: The disease by covid-19 has a variable presentation from asymptomatic cases, to severe cases, a proportion of patients present severe conditions that require hospitalization in an intensive care unit, this proportion of patients usually present advanced age and associated comorbidities that predispose Due to the severe presentation of the disease, these patients often present medical and infectious complications during their hospital stay, which overshadows their prognosis and evolution, with fatal outcomes in most cases. Objective: To characterize the medical and infectious complications of the patient with SARS-CoV-2 Hospitalized in the ICU at an IPS in Magangué (Bol, CO) during the period between April 1 and December 31, 2020 Materials and Methods: A retrospective, observational, longitudinal and analytical study was carried out. All patients who were referred to the Intensive Care Unit positive by RT-PCR were taken. The study period was from April 2020 to December 2020. The data collected was organized in the load matrix and descriptive statistics were performed to characterize the population in the Intensive Care Unit socio-demographically. The frequency of the variables was found and the proportion of medical complications associated with SARS-CoV-2 and infectious complications of patients in the ICU was calculated. Results: Data from 38 patients who were referred to the ICU were analyzed. 68% were men (p-value: 0.0253). The overall mean age was 66.6±17.7 (men: 69.9±17.1; women: 59.3±17.5 years), with no difference for age by sex (W: 216.0; p-value: 0.0614). Hypertension was the most frequent comorbidity (65.48%). The medical complications associated with SARS-CoV-2 infection hospitalized in the ICU were dyspnea (89.5%), fever (84%) and non-productive cough (81.6%). It was observed that patients with CKD, DM2, Dyslipidemia and CHF tended to have a higher number of complications.
Background: The disease by covid-19 has a variable presentation from asymptomatic cases, to severe cases, a proportion of patients present severe conditions that require hospitalization in an intensive care unit, this proportion of patients usually present advanced age and associated comorbidities that predispose Due to the severe presentation of the disease, these patients often present medical and infectious complications during their hospital stay, which overshadows their prognosis and evolution, with fatal outcomes in most cases. Objective: To characterize the medical and infectious complications of the patient with SARS-CoV-2 Hospitalized in the ICU at an IPS in Magangué (Bol, CO) during the period between April 1 and December 31, 2020 Materials and Methods: A retrospective, observational, longitudinal and analytical study was carried out. All patients who were referred to the Intensive Care Unit positive by RT-PCR were taken. The study period was from April 2020 to December 2020. The data collected was organized in the load matrix and descriptive statistics were performed to characterize the population in the Intensive Care Unit socio-demographically. The frequency of the variables was found and the proportion of medical complications associated with SARS-CoV-2 and infectious complications of patients in the ICU was calculated. Results: Data from 38 patients who were referred to the ICU were analyzed. 68% were men (p-value: 0.0253). The overall mean age was 66.6±17.7 (men: 69.9±17.1; women: 59.3±17.5 years), with no difference for age by sex (W: 216.0; p-value: 0.0614). Hypertension was the most frequent comorbidity (65.48%). The medical complications associated with SARS-CoV-2 infection hospitalized in the ICU were dyspnea (89.5%), fever (84%) and non-productive cough (81.6%). It was observed that patients with CKD, DM2, Dyslipidemia and CHF tended to have a higher number of complications.
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Palabras clave
Covid-19, Complicaciones clínicas, Unidad de cuidados intensivos, Sistema respiratorio, Comorbilidades, Clinical complications, Intensive care unit, Respiratory system, Comorbidities
