Clinical features of a series of patients in life-threatening situations at a COVID-19 pandemic field hospital, evaluated by teleconsultation: evidence for Telemedicine expansion

Accorsi, Tarso Augusto Duenhas; Brígido, Alexandra Régia Dantas; Lima, Karine De Amicis; Belfort, Deborah de Sá Pereira; Habrum, Fábio Cetinic; Scarpanti, Fernando Garcia; Magalhães, Iuri Resedá; Filho, José Roberto de Oliveira Silva; Sampaio, Leon Pablo Cartaxo; Lira, Maria Tereza Sampaio de Sousa; Morbeck, Renata Albaladejo; Pedrotti, Carlos Henrique Sartorato; Racy, Fabio de Castro Jorge; Cordioli, Eduardo

doi:10.31744/einstein_journal/2021ce6370

Cited by 1 publication

(1 citation statement)

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“…Thus, to address new and evolving challenges, several large public hospitals were restructured, becoming centers dedicated to acute respiratory syndrome care. Additionally, to meet the increasing need for hospital beds, field hospitals were set up in locations such as parks and sports venues to provide initial care and hospitalization for patients with pneumonia due to the new coronavirus ( 7 – 9 ).…”

Section: Introductionmentioning

confidence: 99%

COVID-19 pneumonia assessed at a private hospital, a field hospital, and a public-referral hospital: population analysis, chest computed tomography findings, and outcomes

Yokoo,

Castro,

Fonseca

et al. 2024

Front. Public Health

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ObjectiveTo compare a private quaternary referral hospital, a public tertiary hospital, and a field hospital dedicated to patients with COVID-19, regarding patients’ characteristics, clinical parameters, laboratory, imaging findings, and outcomes of patients with confirmed diagnosis of COVID-19.MethodsRetrospective multicenter observational study that assessed the association of clinical, laboratory and CT data of 453 patients with COVID-19, and also their outcomes (hospital discharge or admission, intensive care unit admission, need for mechanical ventilation, and mortality caused by COVID-19).ResultsThe mean age of patients was 55 years (±16 years), 58.1% of them were male, and 41.9% were female. Considering stratification by the hospital of care, significant differences were observed in the dyspnea, fever, cough, hypertension, diabetes mellitus parameters, and CT score (p < 0.05). Significant differences were observed in ward admission rates, with a lower rate in the private hospital (40.0%), followed by the public hospital (74.1%), and a higher rate in the field hospital (89.4%). Regarding intensive care unit admission, there was a higher rate in the public hospital (25.2%), followed by the private hospital (15.5%), and a lower rate in the field hospital (9.9%). In the analysis of the discharge and death outcomes, it was found that there was a higher number of patients discharged from the private hospital (94.2%), compared to the field hospital (90.1%) and public hospital (82.3%) and a higher number of deaths in the public hospital (17.7%) compared to the private hospital and field hospital (5.8 and 0% respectively).ConclusionThe analysis of the data regarding the population treated with COVID-19 during the first wave in different levels of care in the public and private health systems in the city of São Paulo revealed statistically significant differences between the populations, reflecting distinct outcomes.

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Section: Introductionmentioning

confidence: 99%