CUIDADO INTENSIVO COVID-19 A MUY ALTA ALTITUD
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Rev. Méd. La Paz
Abstract
Objetivo: Describir la casuística de los pacientes críticamente enfermos COVID-19 atendidos en la Unidad de Cuidados Intensivos del Hospital del Norte, primer Hospital del Tercer Nivel de Complejidad de la ciudad de El Alto y Centro de Referencia Departamental. Metodología: Estudio retrospectivo transversal observacional. Se incluyen todos los pacientes residentes permanentes a muy alta altitud, ingresados en el periodo 25 Marzo 2020-25 Noviembre 2021. Para el análisis de los datos se utilizó estadística descriptiva y creación de una base de datos en el programa Excel v18. Resultados: Se ingresaron 373 pacientes, 212 (57%) varones, así como 161 (43%) mujeres. Se tiene una mortalidad corregida del 48%, la estancia promedio en la UCI es de 18 días, 26 (± 4) en el grupo de supervivientes y 11 (± 2) en el grupo de fallecidos. La edad promedio de supervivientes es de 47.25 años (± 12 años) y la edad promedio de fallecidos 56.58 años (± 14 años) con valor de p por t de Student de 0.004. La comorbilidad más frecuentemente encontrada fue la hipertensión arterial sistémica en 157 (42%) casos. Únicamente 2 casos contaban con vacuna anti- COVID-19. Discusión: La mortalidad corregida es similar a la casuística reportada en la literatura internacional en Unidades de Cuidados Intensivos. El presente estudio apoya el hecho que la altitud no afecta la evolución de los pacientes críticos COVID-19. Conclusión: Resulta imperativo describir la casuística concerniente a nuestros Centros Asistenciales.
Objective: To describe the casuistry of critically iIl COVID-19 patients treated in the Intensive Care Unit of the Hospital del Norte, the first Hospital of the Third Level of Complexity of the city of El Alto and the Departmental Reference Center for La Paz (Bolivia). Methodology: Retrospective cross-sectional observational study. All permanent resident patients at very high altitude, admitted in the period 25th March 202025th November 2021 are included. For the analysis of the data, descriptive statistics and the creation of a database were used in the Excel v18 program. Results: 373 patients were admitted, 212 (57%) men as well as 161 (43%) women. There is a corrected mortality of 48%, the mean stay in the ICU is 18 days, 26 (± 4) in the group of survivors and 11 (± 2) in the group of deceased patients. The mean age of survivors is 47.25 years (± 12 years) and the mean age of deceased is 56.58 years (± 14 years), p 0.004. The most frequently found comorbidity was hypertension in 157 (42%) cases. Only 2 cases had an anti-COVID-19 vaccine. Discussion: Corrected mortality is similar to the casuistry reported in the international literature. This tsudy supports the fact that altitude does not affect the evolution of critical COVID-19 patients. Conclusion: It is imperative to describe the casuistry concerning our Care Centers. Keywords: COVID-19, intensive care, altitude.
Objective: To describe the casuistry of critically iIl COVID-19 patients treated in the Intensive Care Unit of the Hospital del Norte, the first Hospital of the Third Level of Complexity of the city of El Alto and the Departmental Reference Center for La Paz (Bolivia). Methodology: Retrospective cross-sectional observational study. All permanent resident patients at very high altitude, admitted in the period 25th March 202025th November 2021 are included. For the analysis of the data, descriptive statistics and the creation of a database were used in the Excel v18 program. Results: 373 patients were admitted, 212 (57%) men as well as 161 (43%) women. There is a corrected mortality of 48%, the mean stay in the ICU is 18 days, 26 (± 4) in the group of survivors and 11 (± 2) in the group of deceased patients. The mean age of survivors is 47.25 years (± 12 years) and the mean age of deceased is 56.58 years (± 14 years), p 0.004. The most frequently found comorbidity was hypertension in 157 (42%) cases. Only 2 cases had an anti-COVID-19 vaccine. Discussion: Corrected mortality is similar to the casuistry reported in the international literature. This tsudy supports the fact that altitude does not affect the evolution of critical COVID-19 patients. Conclusion: It is imperative to describe the casuistry concerning our Care Centers. Keywords: COVID-19, intensive care, altitude.
Description
Vol. 27, No. 2