Clinical Features of Patients with COVID-19 Admitted to the Dedicated Service of CUF Infante Santo Hospital: A Series of Clinical Cases Características Clínicas de Doentes com COVID-19 num Internamento Dedicado do Hospital CUF Infante Santo: Série de Casos

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Fátima Grenho - Corresponding Author

Maria de Fátima Grenho [maria.grenho@jmellosaude.pt]
Trav Castro, Nº 3, 1350-070, Lisboa, Portugal

Ana Lourenço
Sofia Ventura
Isabel Bogalho
Inês Bargiela
Catarina Santos Silva
Fábio Martins
Luciano Hatchbach
Nuno Lopes
Alicia Prades
Maria João Gomes

Abstract

INTRODUCTION: On 18th March, CUF Group made the CUF Infante Santo Hospital (HCIS) available as the reference hospital for patients with COVID-19, in Lisbon area. The dedicated medical team (DMT) formed by doctors from the Tejo Cluster, under the coordination of Internal Medicine, was responsible for the non-critical patients’ hospitalization (NCPH). This study reports the main demographic and clinical features of the admitted population.
MATERIAL AND METHODS: Retrospective study that analysis the features of NCPH, between 27th March and 7th May 2020. The diagnosis criteria for COVID-19 were based on laboratorial confirmation and/or imaging criteria. The non-critical patient was defined as the patient that presented a Modified Early Warning Score (MEWS) between 0 and 2. Data was collected from patient’s electronic clinical files and from the database created for the follow-up of these specific patients. Demographic and clinical features, complementary exams, therapy and results are presented in this paper.
RESULTS: We included 44 patients in the study, the mean age was 67 years old, 52.3% were male. Patients were divided in groups according to the presence of Pneumonia (75%) or not (25%). Origin of the patients: home 81.8%, nursing home 11.4% and other hospital 8%. Distribution according to risk factors of severe disease was: Age >65 years old (56.8%), high blood pressure (59%), chronic respiratory disease (15.9%), obesity (15.9%), active cancer (13.6%), diabetes (11.4%), ischemic heart disease (11.4%), heart failure (6.8%), immunosuppression (6.8%), with a mean score of Charlson’s comorbidity index of 3.6. There was an increase on the severity of the clinical status of 3 patients (6.8%) requiring an escalation of the clinical care, leading to 2 (4.5%) patients requiring assisted ventilation and 1 death (2.3%). Mean length of stay was 10 days, 3 (6.8%) patients were transferred to another hospital and 40 (91%) were discharged.
DISCUSSION: The sample presented in this study, represents the first group of non-critical patients admitted with COVID-19 into CUF Health care units in Lisbon region. Taking into account the admitted population (namely risk factors for severe disease and an elevated comorbidity index), evolution and in-hospital mortality were better than expected.
CONCLUSION: Interpretation of these results is conditioned by the small size of this sample and the existing uncertainties with this new disease.

Keywords: COVID-19; Coronavirus Infections; Hospitalization; Pandemics; Pneumonia; SARS-CoV-2

Article Details

1.
Grenho F, Lourenço A, Ventura S, Bogalho I, Bargiela I, Silva CS, Martins F, Hatchbach L, Lopes N, Prades A, Gomes MJ. Clinical Features of Patients with COVID-19 Admitted to the Dedicated Service of CUF Infante Santo Hospital: A Series of Clinical Cases: Características Clínicas de Doentes com COVID-19 num Internamento Dedicado do Hospital CUF Infante Santo: Série de Casos. Gaz Med [Internet]. 2020 Jun. 30 [cited 2022 Aug. 13];7(2). Available from: https://www.gazetamedica.pt/index.php/gazeta/article/view/367
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ORIGINAL