Deaths by COVID-19 in a hospital from a city from Legal Amazon region: what lessons could be learned?
Objectives: Describe the epidemiology of COVID-19 deaths within a hospital in the Amazon region in a period of 64 days, which corresponds to the growth curve of the COVID-19 first-wave pandemic in 2020. Methods: The data were obtained from medical records of 152 deaths registered for adults and e...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | Portuguese |
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Universidade de São Paulo
2023-04-01
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| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.revistas.usp.br/rmrp/article/view/199994 |
| _version_ | 1797846532370726912 |
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| author | Fabrício Silva Pessoa Helena Beatriz Moura Martins Agostinha Pereira Rocha Neta Andinilde Nogueira Martins Francisca Bruna Adriana Sousa Rêgo Givago da Silva Souza Luís Cláudio Nascimento da Silva Maria Rosa Quaresma Bomfim Eliza Maria da Costa Brito Lacerda |
| author_facet | Fabrício Silva Pessoa Helena Beatriz Moura Martins Agostinha Pereira Rocha Neta Andinilde Nogueira Martins Francisca Bruna Adriana Sousa Rêgo Givago da Silva Souza Luís Cláudio Nascimento da Silva Maria Rosa Quaresma Bomfim Eliza Maria da Costa Brito Lacerda |
| author_sort | Fabrício Silva Pessoa |
| collection | DOAJ |
| description |
Objectives: Describe the epidemiology of COVID-19 deaths within a hospital in the Amazon region in a period of 64 days, which corresponds to the growth curve of the COVID-19 first-wave pandemic in 2020.
Methods: The data were obtained from medical records of 152 deaths registered for adults and elderly hospitalized. The data were also compared with the number of deaths in previous years during the same period studied to assess the impact of the pandemic on this hospital. The study also assesses the impact of intra-hospital transfers, accounting for the number of times patients who died performed transfers between sectors of the hospital.
Results: During the period analyzed, there was an increase in deaths compared to the previous years. The majority of dead patients were male, aged between 34 and 96 years. The deaths were associated comorbidities such as arterial hypertension, diabetes mellitus, and kidney disease. The SARS-CoV-2 infection was confirmed in 91 cases. Among them, 15 individuals were admitted without conditions related to SARS-CoV-2 infection; they had a three-fold higher number of hospital transfers than those admitted with SARS-CoV-2 infection symptoms. Sixteen patients with SARS-CoV-2 infection developed respiratory symptoms just after hospitalization. The diagnostic exam for SARS-CoV-2 infection was performed on average 4 (± 6) days after the onset of symptoms and 6 (± 6) days after admission, and the average time from the onset of respiratory symptoms to death was 4 (± 6) days.
Conclusions: These data suggest the high presence of hospital infection by SARS-CoV-2 in the Brazilian Amazon region, which may be related to the number of sectorial transfers, delay in confirming the diagnosis, and lack of management. We report a serious public health problem, as it demonstrates the fragility of healthcare institutions in the hospital environment.
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| first_indexed | 2024-04-09T17:56:31Z |
| format | Article |
| id | doaj.art-194a5fb54ef74d23af28dabe7c054b87 |
| institution | Directory Open Access Journal |
| issn | 0076-6046 2176-7262 |
| language | Portuguese |
| last_indexed | 2024-04-09T17:56:31Z |
| publishDate | 2023-04-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-194a5fb54ef74d23af28dabe7c054b872023-04-14T16:04:41ZporUniversidade de São PauloMedicina0076-60462176-72622023-04-01561Deaths by COVID-19 in a hospital from a city from Legal Amazon region: what lessons could be learned?Fabrício Silva Pessoa0Helena Beatriz Moura Martins1Agostinha Pereira Rocha Neta2Andinilde Nogueira Martins3Francisca Bruna4Adriana Sousa Rêgo5Givago da Silva Souza6Luís Cláudio Nascimento da Silva7Maria Rosa Quaresma Bomfim8Eliza Maria da Costa Brito Lacerda9Universidade CEUMA, Sao Luis, (MA), Brazil.Universidade CEUMA, Sao Luis, (MA), Brazil.Universidade Federal do Maranhao, Sao Luis, (MA), BrazilUniversidade Federal do Para, Belem, (PA), Brazil.Universidade CEUMA, Sao Luis, (MA), Brazil.Universidade CEUMA, Sao Luis, (MA), Brazil.Universidade Federal do Para, Belem, (PA), Brazil.Universidade CEUMA, Sao Luis, (MA), BrazilUniversidade CEUMA, Sao Luis, (MA), Brazil.Universidade CEUMA, Sao Luis, (MA), Brazil Objectives: Describe the epidemiology of COVID-19 deaths within a hospital in the Amazon region in a period of 64 days, which corresponds to the growth curve of the COVID-19 first-wave pandemic in 2020. Methods: The data were obtained from medical records of 152 deaths registered for adults and elderly hospitalized. The data were also compared with the number of deaths in previous years during the same period studied to assess the impact of the pandemic on this hospital. The study also assesses the impact of intra-hospital transfers, accounting for the number of times patients who died performed transfers between sectors of the hospital. Results: During the period analyzed, there was an increase in deaths compared to the previous years. The majority of dead patients were male, aged between 34 and 96 years. The deaths were associated comorbidities such as arterial hypertension, diabetes mellitus, and kidney disease. The SARS-CoV-2 infection was confirmed in 91 cases. Among them, 15 individuals were admitted without conditions related to SARS-CoV-2 infection; they had a three-fold higher number of hospital transfers than those admitted with SARS-CoV-2 infection symptoms. Sixteen patients with SARS-CoV-2 infection developed respiratory symptoms just after hospitalization. The diagnostic exam for SARS-CoV-2 infection was performed on average 4 (± 6) days after the onset of symptoms and 6 (± 6) days after admission, and the average time from the onset of respiratory symptoms to death was 4 (± 6) days. Conclusions: These data suggest the high presence of hospital infection by SARS-CoV-2 in the Brazilian Amazon region, which may be related to the number of sectorial transfers, delay in confirming the diagnosis, and lack of management. We report a serious public health problem, as it demonstrates the fragility of healthcare institutions in the hospital environment. https://www.revistas.usp.br/rmrp/article/view/199994COVID-19SARS-CoV-22019 novel coronavirus PandemicNosocomial infectionAmazon region |
| spellingShingle | Fabrício Silva Pessoa Helena Beatriz Moura Martins Agostinha Pereira Rocha Neta Andinilde Nogueira Martins Francisca Bruna Adriana Sousa Rêgo Givago da Silva Souza Luís Cláudio Nascimento da Silva Maria Rosa Quaresma Bomfim Eliza Maria da Costa Brito Lacerda Deaths by COVID-19 in a hospital from a city from Legal Amazon region: what lessons could be learned? Medicina COVID-19 SARS-CoV-2 2019 novel coronavirus Pandemic Nosocomial infection Amazon region |
| title | Deaths by COVID-19 in a hospital from a city from Legal Amazon region: what lessons could be learned? |
| title_full | Deaths by COVID-19 in a hospital from a city from Legal Amazon region: what lessons could be learned? |
| title_fullStr | Deaths by COVID-19 in a hospital from a city from Legal Amazon region: what lessons could be learned? |
| title_full_unstemmed | Deaths by COVID-19 in a hospital from a city from Legal Amazon region: what lessons could be learned? |
| title_short | Deaths by COVID-19 in a hospital from a city from Legal Amazon region: what lessons could be learned? |
| title_sort | deaths by covid 19 in a hospital from a city from legal amazon region what lessons could be learned |
| topic | COVID-19 SARS-CoV-2 2019 novel coronavirus Pandemic Nosocomial infection Amazon region |
| url | https://www.revistas.usp.br/rmrp/article/view/199994 |
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