Plan de contingencia para los servicios de medicina intensiva frente a la pandemia COVID-19

Sedes, Pedro Rascado; Ballesteros, M.Á.; Saera, MA Bodi; Rodríguez-Rey, LF Carrasco; Castellanos-Ortega, Álvaro; González, Mercedes Catalán; López, Carmina; Santos, E Díaz; Barcena, A Escriba; Mera, MJ Frade; Cano, JC Igeño; Delgado, MC Martín; Estalella, Gemma Martínez; Raimondi, N.; Gas, Oriol Roca; Oviedo, Alejandro Rodríguez; Pío, E Romero San; Trenado, Josep

doi:10.1016/j.enfi.2020.03.001

Cited by 18 publications

(9 citation statements)

References 28 publications

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“…It is commonly accepted nowadays that respiratory diseases are amongst the most frequent causes of death and disability and, more specifically, they are ranked in the fifth position of the list of main causes of death [ 1 , 2 ]. Furthermore, it is necessary to mention the exceptional situation that the world population has been exposed to during the year 2020 because of a virus outbreak, with effects associated with respiratory pathologies, commonly known as coronavirus disease 2019 (COVID-19), first registered in December 2019 in Wuhan (China) [ 3 , 4 , 5 ]. The World Health Organization (WHO) declared the global outbreak to be a “Public Health Emergency of International Concern (PHEIC)” on 30 January 2020 and later, on 11 March, a “pandemic” situation [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

A Methodology Based on Expert Systems for the Early Detection and Prevention of Hypoxemic Clinical Cases

Comesaña-Campos

Casal-Guisande

Cerqueiro-Pequeño

et al. 2020

IJERPH

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Respiratory diseases are currently considered to be amongst the most frequent causes of death and disability worldwide, and even more so during the year 2020 because of the COVID-19 global pandemic. Aiming to reduce the impact of these diseases, in this work a methodology is developed that allows the early detection and prevention of potential hypoxemic clinical cases in patients vulnerable to respiratory diseases. Starting from the methodology proposed by the authors in a previous work and grounded in the definition of a set of expert systems, the methodology can generate alerts about the patient’s hypoxemic status by means of the interpretation and combination of data coming both from physical measurements and from the considerations of health professionals. A concurrent set of Mamdani-type fuzzy-logic inference systems allows the collecting and processing of information, thus determining a final alert associated with the measurement of the global hypoxemic risk. This new methodology has been tested experimentally, producing positive results so far from the viewpoint of time reduction in the detection of a blood oxygen saturation deficit condition, thus implicitly improving the consequent treatment options and reducing the potential adverse effects on the patient’s health.

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Section: Introductionmentioning

confidence: 99%

A Methodology Based on Expert Systems for the Early Detection and Prevention of Hypoxemic Clinical Cases

Comesaña-Campos

Casal-Guisande

Cerqueiro-Pequeño

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…In this scenario, based on international standards [3,4], the present program recommends NHE to conduct training for its employees with the use of training materials such as infographics, posters, etc. It is recommended that each NHE should organize training sessions with at least the following contents: COVID-19 epidemiology, impact on activity, transmission, COVID-19 diagnosis, individual protection measures, personal protective equipment (PPE), and isolation.…”

Section: Methodsmentioning

confidence: 99%

“…By March 16, 2020, 139 countries were affected [2]. Due to this, Medical Scientific Societies decided to elaborate a Contingency Plan to guide the response of the health services [3]. The objectives of this plan was to estimate the magnitude of the problem and to identify human and material resources needs.…”

Section: Introductionmentioning

confidence: 99%

Monitoring Program for nursing homes: Brazilian Municipal Proposal Based on International Standards

Zotarelli-Filho¹

2020

Preprint

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Introduction: On March 11, 2020, the World Health Organization (WHO) declared the coronavirus outbreak to be pandemic. By March 16, 2020, 139 countries were affected. In this situation, the Scientific Societies decided to prepare this Contingency Plan to guide the response of health services. 4,088,848 COVID-19 cases and 283,153 deaths were confirmed worldwide. Recent data presented by the Ministry of Health in Brazil show that 177,589 cases of coronavirus and 72,597 recovered people have already been registered. However, nursing homes usually are not counted in these statistical data, as people usually die in the Istitution. Thus, developing a monitoring program in medical services, such as in nursing homes for eldery people (NHE) with ideal care for possible patients infected with COVID-19, is essential to increase the protection of the most vulnerable, as well as professionals of health. Objective: To present the monitoring program of the Nursing homes in the city of São José do Rio Preto/SP, by Faceres Medica School, as an important strategy to identify, control and allocate patients infected by COVID-19. Methods:. All the NHE registered in the city council were raised , with data such as head nurse name, number of beds available and number of inpatients . According to the program's action plan, telephone calls was made daily by trained medical students with a professor tuition to all institutions and information was provided by the head nurse.Thus, when a resident or employee has symptoms, he was removed and tested for SARS-CoV-2. Subsequently, epidemiological surveillance was communicated and the case was monitored. Final Considerations: According to the world literature, elderly patients with COVID-19 are more likely to progress to severe disease. Therefore, extensive measures to reduce the transmission of COVID-19 from person to person are being implemented to control the current outbreak. The monitoring program at the NHE proposed in the present study aims to collaborate in this regard, especially to the most vulnerable.

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“…Most medical articles studied populations at risk and comorbidities, also provided recommendations and guidelines for medical personnel. Rascado Sedes et al (2020) developed a contingency plan that allows an optimal response of the intensive care units (ICU) to the pandemic. The plan considers possible scenarios, the need for human and technical resources, communication and information, optimized use of resources, and personal protective equipment (PPE).…”

Section: Medical Contributionsmentioning

confidence: 99%

Contributions of Latin American researchers in the understanding the novel coronavirus outbreak: A literature review

Fiesco-Sepúlveda

Serrano-Bermúdez

2020

Preprint

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This paper aimed to give the visibility of Latin American researchers' contributions to the comprehension of COVID-19; our method was a literature review. Currently, the world is facing a health and socioeconomic crisis caused by the novel coronavirus, SARS-CoV-2, and its disease COVID-19. Therefore, in less than four months, researchers have published a significant number of articles related to this novel virus. For instance, a search focused on the Scopus database on April 10, 2020, showed 1224 documents published by authors with 1797 affiliations from 80 countries. 25.4%, 24.0%, and 12.6% of these national affiliations were from China, Europe, and the USA, respectively, making these regions leaders in COVID-19 research. In the case of Latin America, on April 10, 2020, we searched different databases, such as Scopus, PubMed, and Web of Science, finding that the contribution of this region was 2.7% of the total publications found. In other words, we found 153 publications related to COVID-19 with at least one Latin American researcher. We summarized and processed the information from these 153 publications, finding active participation in topics like medical, social, and environmental considerations, bioinformatics, and epidemiology.

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Plan de contingencia para los servicios de medicina intensiva frente a la pandemia COVID-19

Cited by 18 publications

References 28 publications

A Methodology Based on Expert Systems for the Early Detection and Prevention of Hypoxemic Clinical Cases

A Methodology Based on Expert Systems for the Early Detection and Prevention of Hypoxemic Clinical Cases

Monitoring Program for nursing homes: Brazilian Municipal Proposal Based on International Standards

Contributions of Latin American researchers in the understanding the novel coronavirus outbreak: A literature review

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