Clinical profile of patients admitted to a specialized COVID ICU of a reference public hospital in the metropolitan region of São Paulo

Authors

DOI:

https://doi.org/10.33448/rsd-v13i7.46321

Keywords:

Pandemic; Nursing; Intensive Care Unit; Disease impact profile; Patient care team.

Abstract

Studies show that during the COVID-19 pandemic, several hospitals in Brazil became a reference for care for patients with symptoms characteristic of SARS-CoV-2. Objective: to analyze the clinical profile of patients admitted to the Intensive Care Unit (ICU) of a reference hospital for the care of patients with COVID-19 in the metropolitan region of São Paulo. Method: A retrospective, observational, cross-sectional quantitative analysis study was carried out with 42 medical records of COVID-positive patients. Results: As a result, the majority were male (57.1%), presenting as a comorbidity during hospitalization pneumonia (61.9%), diabetes mellitus (40.5%), systemic arterial hypertension (31%) and obesity (28.6%). Regarding clinical interventions, all patients received antibiotic therapy and ventilatory support, with an average length of stay of 20.6 days (SD = 15.9) and an outcome of death of 66.67%. Conclusion: During the pandemic, the clinical profile of patients treated at the institution studied showed a high degree of severity and complexity requiring qualified multidisciplinary care.

References

Adhikari, S. P., Meng, S., Wu, Y.-J., Mao, Y.-P., Ye, R.-X., Wang, Q.-Z., Sun, C., Sylvia, S., Rozelle, S., Raat, H., & Zhou, H. (2020). Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infectious Diseases of Poverty, 9(1), 29. https://doi.org/10.1186/s40249-020-00646-x

Alwani, M., Yassin, A., Al‐Zoubi, R. M., Aboumarzouk, O. M., Nettleship, J., Kelly, D., AL‐Qudimat, A. R., & Shabsigh, R. (2021). Sex‐based differences in severity and mortality in COVID‐19. Reviews in Medical Virology, 31(6). https://doi.org/10.1002/rmv.2223

Bein, B., Bachmann, M., Huggett, S., & Wegermann, P. (2020). SARS-CoV-2/COVID-19: Evidence-Based Recommendations on Diagnosis and Therapy. Geburtshilfe und Frauenheilkunde, 80(05), 491–498. https://doi.org/10.1055/a-1156-3991

Brochard, L. J. (2023). Mechanical Ventilation. Critical Care Clinics, 39(3), 437–449. https://doi.org/10.1016/j.ccc.2022.12.002

Chiaravalloti Neto, F., Bermudi, P. M. M., Aguiar, B. S. de, Failla, M. A., Barrozo, L. V., & Toporcov, T. N. (2023). Covid-19 hospital mortality using spatial hierarchical models: cohort design with 74,994 registers. Revista de Saúde Pública, 57(Supl.1), 2. https://doi.org/10.11606/s1518-8787.2023057004652

Costa, D. C. A. R., Bahia, L., Carvalho, E. M. C. L. de, Cardoso, A. M., & Souza, P. M. S. (2020). Oferta pública e privada de leitos e acesso aos cuidados à saúde na pandemia de Covid-19 no Brasil. Saúde em Debate, 44(spe4), 232–247. https://doi.org/10.1590/0103-11042020e415

Cummings, M. J., Baldwin, M. R., Abrams, D., Jacobson, S. D., Meyer, B. J., Balough, E. M., Aaron, J. G., Claassen, J., Rabbani, L. E., Hastie, J., Hochman, B. R., Salazar-Schicchi, J., Yip, N. H., Brodie, D., & O’Donnell, M. R. (2020). Epidemiology, clinical course, and outcomes of critically ill adults with COVID-19 in New York City: a prospective cohort study. The Lancet, 395(10239), 1763–1770. https://doi.org/10.1016/S0140-6736(20)31189-2

Da Silva Junior, M. D., Da Silva, R. R., Santos, M. I. S., Ferreira, A. R. A., & Passos, J. P. (2023). Os efeitos da pandemia no bem-estar dos enfermeiros brasileiros no combate ao covid-19: uma revisão de escopo. Arquivos de Ciências da Saúde da UNIPAR, 27(2), 701–719. https://doi.org/10.25110/arqsaude.v27i2.2023-011

de Sousa, A. R., Moreira, W. C., da Silva Santana, T., Brito Teixeira, J. R., Meira Araújo, I. F., Almeida, É. S., de Santana Carvalho, E. S., Camargo, E. L. S., Tiago da Silva Souza, A., da Silva, H. L. L., Ferreira de Holanda, A., Batista, P. C. T., de Sousa, Á. F. L., Mendes, I. A. C., de Oliveira, M. A. F., da Cruz Sequeira, C. A., & Pereira, Á. (2022). SARS-CoV-2 in Brazil and Psychosocial Repercussions on Men’s Health: Health Literacy Is Important. American Journal of Men’s Health, 16(5), 155798832211190. https://doi.org/10.1177/15579883221119091

de Vargas, D., Volpato, R. J., dos Santos, L. C., Pereira, C. F., de Oliveira, S. R., da Silva, R. R., Maciel, M. E. D., Fernandes, I. L., de Oliveira Santana, K., & Aguilar, T. F. (2023). Prevalence of psychological and mental health symptoms among nursing professionals during the COVID‐19 pandemic in the Americas: Systematic review and meta‐analysis. International Journal of Mental Health Nursing. https://doi.org/10.1111/inm.13274

Docherty, A. B., Harrison, E. M., Green, C. A., Hardwick, H. E., Pius, R., Norman, L., Holden, K. A., Read, J. M., Dondelinger, F., Carson, G., Merson, L., Lee, J., Plotkin, D., Sigfrid, L., Halpin, S., Jackson, C., Gamble, C., Horby, P. W., Nguyen-Van-Tam, J. S., & Semple, M. G. (2020). Features of 20 133 UK patients in hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: prospective observational cohort study. BMJ, m1985. https://doi.org/10.1136/bmj.m1985

França, N. M. de A., Pinheiro, G. S., Barbosa, L. A. O., & Avena, K. de M. (2021). Síndrome respiratória aguda grave por covid‐19: perfil clínico e epidemiológico dos pacientes internados em unidades de terapia intensiva no Brasil. The Brazilian Journal of Infectious Diseases, 25, 101147. https://doi.org/10.1016/j.bjid.2020.101147

Gomes, S. F., & Egypto, L. e V. do. (2021). Prevalência das manifestações dermatológicas associadas ao COVID-19. Research, Society and Development, 10(9), e18710917895. https://doi.org/10.33448/rsd-v10i9.17895

Hu, B., Guo, H., Zhou, P., & Shi, Z.-L. (2021). Characteristics of SARS-CoV-2 and COVID-19. Nature Reviews Microbiology, 19(3), 141–154. https://doi.org/10.1038/s41579-020-00459-7

IBGE - Instituto Brasileiro de Geografia e Estatística. (2020). Itaquaquecetuba 2020. https://cidades.ibge.gov.br/brasil/sp/itaquaquecetuba/panorama

Kompaniyets, L., Pennington, A. F., Goodman, A. B., Rosenblum, H. G., Belay, B., Ko, J. Y., Chevinsky, J. R., Schieber, L. Z., Summers, A. D., Lavery, A. M., Preston, L. E., Danielson, M. L., Cui, Z., Namulanda, G., Yusuf, H., Mac Kenzie, W. R., Wong, K. K., Baggs, J., Boehmer, T. K., & Gundlapalli, A. V. (2021). Underlying Medical Conditions and Severe Illness Among 540,667 Adults Hospitalized With COVID-19, March 2020–March 2021. Preventing Chronic Disease, 18, 210123. https://doi.org/10.5888/pcd18.210123

Morales, D. R., Conover, M. M., You, S. C., Pratt, N., Kostka, K., Duarte-Salles, T., Fernández-Bertolín, S., Aragón, M., DuVall, S. L., Lynch, K., Falconer, T., van Bochove, K., Sung, C., Matheny, M. E., Lambert, C. G., Nyberg, F., Alshammari, T. M., Williams, A. E., Park, R. W., … Suchard, M. A. (2021). Renin–angiotensin system blockers and susceptibility to COVID-19: an international, open science, cohort analysis. The Lancet Digital Health, 3(2), e98–e114. https://doi.org/10.1016/S2589-7500(20)30289-2

Mossadeghi, B., Caixeta, R., Ondarsuhu, D., Luciani, S., Hambleton, I. R., & Hennis, A. J. M. (2023). Multimorbidity and social determinants of health in the US prior to the COVID-19 pandemic and implications for health outcomes: a cross-sectional analysis based on NHANES 2017–2018. BMC Public Health, 23(1), 887. https://doi.org/10.1186/s12889-023-15768-8

Norman, F. F., Crespillo-Andújar, C., Pérez-Molina, J. A., Comeche, B., Chamorro, S., Monge-Maillo, B., Moreno-Guillén, S., López-Vélez, R., Vizcarra, P., Norman, F., Crespillo, C., Pérez-Molina, J., Comeche, B., Chamorro, S., Monge, B., Moreno, S., López-Vélez, R., Pérez-Elías, M. J., Fortún, J., & Vivancos, M. J. (2021). COVID-19 and geographical area of origin. Clinical Microbiology and Infection, 27(4), 632.e1-632.e5. https://doi.org/10.1016/j.cmi.2020.11.011

Noronha, K. V. M. de S., Guedes, G. R., Turra, C. M., Andrade, M. V., Botega, L., Nogueira, D., Calazans, J. A., Carvalho, L., Servo, L., & Ferreira, M. F. (2020). Pandemia por COVID-19 no Brasil: análise da demanda e da oferta de leitos hospitalares e equipamentos de ventilação assistida segundo diferentes cenários. Cadernos de Saúde Pública, 36(6). https://doi.org/10.1590/0102-311x00115320

Nussbaumer-Streit, B., Mayr, V., Dobrescu, A. I., Chapman, A., Persad, E., Klerings, I., Wagner, G., Siebert, U., Christof, C., Zachariah, C., & Gartlehner, G. (2020). Quarantine alone or in combination with other public health measures to control COVID-19: a rapid review. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD013574

Pontes, L., Danski, M. T. R., Piubello, S. M. N., Pereira, J. de F. G., Jantsch, L. B., Costa, L. B., Santos, J. de O. dos, & Arrué, A. M. (2022). Perfil clínico e fatores associados ao óbito de pacientes COVID-19 nos primeiros meses da pandemia. Escola Anna Nery, 26. https://doi.org/10.1590/2177-9465-ean-2021-0203

Rocha, T. O. C. da, Silva, T. C. S. da, Louzada, F. C. L., Gonzalez, A. I., Passos, M. P., Verlangieti, H. A. R., Ishida, C. Y. W., & Matsumoto, L. H. I. (2020). Manifestações dermatológicas como único sintoma em paciente com covid-19/dermatological disorders as the only symptom in patient with COVID-19. Brazilian Journal of Development, 6(11), 87710–87718. https://doi.org/10.34117/bjdv6n11-262

Rodríguez‐Huerta, M. D., Díez‐Fernández, A., Rodríguez‐Alonso, M. J., Robles‐González, M., Martín‐Rodríguez, M., & González‐García, A. (2022). Nursing care and prevalence of adverse events in prone position: Characteristics of mechanically ventilated patients with severe SARS‐CoV‐2 pulmonary infection. Nursing in Critical Care, 27(4), 493–500. https://doi.org/10.1111/nicc.12606

Silva, R. R. da, & Silva, L. A. da. (2021). Psychosocial load and burnout syndrome in healthcare professionals in the fight against COVID-19 pandemic / Carga psicossocial e síndrome de burnout em profissionais de saúde no combate a pandemia de COVID-19. Revista de Pesquisa Cuidado é Fundamental Online, 13, 1640–1646. https://doi.org/10.9789/2175-5361.rpcfo.v13.11097

Published

11/07/2024

How to Cite

SANTOS , Érika D. S. dos .; SCORZONI , L. .; CARVALHO , L. V. B. de .; PALUMBO , I. C. B. .; CARVALHO , V. F. de .; SANTOS, L. O. P.; NICOLOSI , J. T. . Clinical profile of patients admitted to a specialized COVID ICU of a reference public hospital in the metropolitan region of São Paulo. Research, Society and Development, [S. l.], v. 13, n. 7, p. e6813746321, 2024. DOI: 10.33448/rsd-v13i7.46321. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/46321. Acesso em: 17 jul. 2024.

Issue

Section

Health Sciences