Article ; Online: Setting up hospital care provision to patients with COVID-19: lessons learnt at a 2400-bed academic tertiary center in São Paulo, Brazil.
2020 Volume 24, Issue 6, Page(s) 570–574
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 ... ...
| 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. |
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| MeSH term(s) | Brazil ; COVID-19 ; Cities ; Continuity of Patient Care ; Coronavirus Infections/epidemiology ; Hospitals, Public ; Humans ; Latin America ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-10-31 |
| Publishing country | Brazil |
| Document type | Journal Article |
| ZDB-ID | 2041400-6 |
| ISSN | 1678-4391 ; 1413-8670 |
| ISSN (online) | 1678-4391 |
| ISSN | 1413-8670 |
| DOI | 10.1016/j.bjid.2020.09.005 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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