Setting up hospital care provision to patients with COVID-19: lessons learnt at a 2400-bed academic tertiary center in São Paulo, Brazil

AUTOR(ES)

Perondi, Beatriz; Miethke-Morais, Anna; Montal, Amanda C.; Harima, Leila; Segurado, Aluisio C.

FONTE

Braz J Infect Dis

DATA DE PUBLICAÇÃO

2020-12

RESUMO

ABSTRACT As of August 30, 2020, Brazil ranked second among countries with the highest number of COVID-19 cases, with the city of São Paulo as the national epidemic epicenter. Local public healthcare institutions were challenged to respond to a fast-growing hospital demand, reengineering care provision to optimize clinical outcomes and minimize intra-hospital coronavirus infection. In this paper we describe how the largest public hospital complex in Latin America faced this unprecedented burden, managing severe COVID-19 cases while sustaining specialized care to patients with other conditions. In our strategic plan a 900-bed hospital was exclusively designated for COVID-19 care and continuity of care to those not infected with coronavirus ensured in other inpatient facilities. After 152 days, 4241 patients with severe COVID-19 were hospitalized, 70% of whom have already been discharged, whereas the remaining Institutes of the complex successfully maintained high complexity inpatient and urgent/emergency care to non-COVID-19 patients.

Documentos Relacionados

• Assessing screening practices among health care workers at a tertiary-care hospital in Sao Paulo, Brazil
• Profile of patients admitted to a triage dermatology clinic at a tertiary hospital in São Paulo, Brazil
• Ophthalmological findings in patients suspected with COVID-19 at a tertiary hospital in Pernambuco, Brazil
• Epidemiological profile of patients with preterm premature rupture of membranes at a tertiary hospital in São Paulo, Brazil
• Cutaneous sarcoidosis: clinico-epidemiological profile of 72 patients at a tertiary hospital in São Paulo, Brazil,