Causas de admisión en el Hospital Cayetano Heredia durante la pandemia de COVID-19

Abstract

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Multimorbidity analysis and hospitalizations for diabetes before and after lockdown due to the COVID-19 pandemic in Peru

“…We then perform a network analysis to evaluate the frequency of co-occurrence of diagnosis for hospital admissions according to demographic characteristics and before and after the mandatory lockdown in response to the COVID-19 pandemic. To do this, CIE-10 codes from E100 to E149 were grouped just as diabetes, and the dataset was split according to various criteria: whether the hospitalization was before (from January 2017 to March 2020) or after the pandemic lockdown (from March to December 2020), whether the patient lived or died after admission to a hospital, and by sex and age group [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , and 60+ years) of the patient. In each study interest group a network analysis was carried out, in which pairs of diagnoses that were repeated in a frequency greater than 10% of the total records were selected; the most frequent admission codes were chosen in cases in which the number of admission code pairs was greater than 20.…”

“…The demographic variables included sex (male or female) and age (18-39 years / 40-59 years / 60 years or more). We chose these cut-off points to: better characterize early-onset adult type 2 diabetic patients [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , specify the largest group of working people with diabetes [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , and include the definition of an elderly person in Peru (≥ 60) [24] , [25] , [26] , [27] . Clinical characteristics were the presence of other comorbidities of the individual.…”

“…With the nation-wide lockdown implemented in March 2020, patients with chronic diseases were unattended [19] . A case series conducted in Lima concluded that 7 out of every 10 non-COVID-19-related hospitalizations were due to not receiving timely treatment, with 1 of every 5 of these patients dying, suggesting that these measures have caused excess death among people with NCDs [20] . Nevertheless, a formal analysis of the impact that lockdown has had on hospitalization and death rates due to diabetes has yet to be conducted.…”

Some lessons that Peru did not learn before the second wave of COVID‐19

“…The already deficient follow-up of patients with noncommunicable diseases decreased even more, 3,7 potentially contributing to an increased rate of COVID-19 hospitalizations. Also, there was a decrease in vaccination coverage 8, increasing the risk of outbreaks due to preventable diseases.…”

Impacto de la pandemia por Covid-19 en la evolución clínica y resultados postoperatorios de pacientes intervenidos por apendicitis aguda. Hospital Nacional Arzobispo Loayza, 2019-2021

“…En el Perú, específicamente en el Hospital Nacional Cayetano Heredia, entre el 1 y 20 de mayo del 2020, reportó en 7 de 25 pacientes retardo de la atención por temor al contagio, presentando casos de automedicación por dolor abdominal y complicaciones de los cuadros de apendicitis aguda con plastrón (17) En el Hospital Nacional Arzobispo Loayza la pandemia ha generado cambios en la atención médica. Los cirujanos deben lidiar con emergencias quirúrgicas críticas y cirugía de emergencia para evitar desventajas pronósticas sustanciales, donde la apendicitis representa el diagnóstico de emergencias común.…”