Hospitalized population diagnosed with Covid-19 in public health centers in the southeastern region of Greater Buenos Aires

Authors

  • Alejandro Yacobitti Dirección de Gestión de Pacientes en Red Hospital El Cruce de Florencio Varela
  • Lisandro j. Otero Área de Planificación, Hospital El Cruce
  • Valeria Soledad Doldan Arruabarrena Área de Planificación, Hospital El Cruce
  • Juan Arano Clínica médica, Hospital El Cruce
  • Sergio Lage Terapia intensiva, Hospital El Cruce
  • Martín Silberman Consejo de administración Hospital el Cruce
  • Martín Zubieta Laboratorio, Hospital El Cruce de Florencio Varela
  • Ilda Erbetta Área administrativa, Módulo Hospitalario N° 11 de Florencio Varela
  • Patricia Danei Área administrativa, UPA N° 11 de Florencio Varela
  • Gertrudis Baeck Ingreso de pacientes, Hospital Mi Pueblo de Florencio Varela
  • Virgina Vallejos Unidad de Atención Inmediata, UPA N° 5 Almirante Brown
  • Federico Cavalli Área administrativa, UPA N° 5 y Módulo N° 9 de Almirante Brown
  • Nicolás Calderón Hospital Oñativia de Almirante Brown
  • Maximiliano Di Gregorio Área administrativa, Hospital L. Meléndez de Almirante Brown
  • Viviana Hernández Hospital Oñativia de Almirante Brown
  • Daniela Bruno Área Estadística, Hospital Oñativia de Almirante Brown
  • Beatriz Rodera Clínica médica, Hospital Iriarte, Quilmes
  • David Parisi Unidad de Terapia Intensiva, Hospital Iriarte, Quilmes
  • Ignacio Macherett Hospital Iriarte, Quilmes
  • Matías Gallastegui Director Hospital Oller. Quilmes
  • Andrea Paz Área administrativa, UPA N° 17, Quilmes
  • Rubén Bernardi Unidad de Terapia Intensiva, Hospital Evita Pueblo, Berazategui
  • Sandra Azcárate Manejo de Pacientes, Hospital Evita Pueblo, Berazategui
  • A Hraste Hospital Evita Pueblo, Berazategui
  • Inés Caridi Instituto de Cálculo, FCEN, UBA y CONICET
  • Leonardo Boechi Instituto de Cálculo, FCEN, UBA y CONICET
  • Silvia Kochen ENyS, CONICET, Hosp. El Crucede Florencio Varela, Univ. Nacional A. Jauretche (UNAJ)

DOI:

https://doi.org/10.31053/1853.0605.v78.n1.31146

Keywords:

coronavirus infections, health services research, mortality

Abstract

Introduction: The present work describes the clinical characteristics and interventions to minimize morbidity and mortality in hospitalized patients diagnosed with COVID-19.

Methods: It is a prospective cohort investigation of patients who received a response from the Health Centers in the southeast region (RS) of the metropolitan area (AMBA) from April 8 to September 30, 2020. A Situation Room was used epidemiological with two monitoring and follow-up boards, one for bed management and the other for patient management.

Results: During the analyzed period, 2,588 patients with confirmed COVID-19 diagnosis were admitted, 1,943 with suspected COVID-19 pathology, and 1,464 subjects with other pathologies. 55% of the patients were men and the mean age was 51 years. There were 82.8% patients with pre-existing diseases, hypertension and diabetes were the most frequent. 14% were hospitalized in the Intensive Care Unit. The mortality of the cohort was 15.05%, mortality was higher for men, with a mean age of 60 years, 92.65% had some pre-existing disease.

Conclusion: Our cohort is younger than other published works. Older people, men, and people with comorbidities are at increased risk for COVID-19-related mortality. The public health system was able to respond to the demand without collapsing the hospital institutions.

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Author Biographies

Alejandro Yacobitti, Dirección de Gestión de Pacientes en Red Hospital El Cruce de Florencio Varela

  • MEDICO
  • ESPECIALISTAEN PEDIATRIA
  • MAGISTER EN GESTION DESISTEMAS Y SERVICIOS DE SALUD
  • DOCENTE DE LA UNIVERSIDAD DE NACIONAL DE ROSARIO

Ex DIRECTOR MUNICIPAL MATERNO INFANTIL de la Municipalidad de Lomas de Zamora

Ex SUPERVISOR Y AUDITOR DEL SEGURO PÚBLICO DE SALUD del Ministerio de Salud de la Provincia de Buenos Aires

ExCOORDINADOR DEL CENTRO DE SALUD PRESIDENTE IBAÑEZ de la Municipalidad de Morón

Ex GERENTE DEL AREA DE MONITOREO Y EVALUACION DE RESULTADOS del PROYECTO FUNCIONES ESENCIALES DE SALUD PÚBLICA del Ministerio de Salud de la Nación

Ex Asesor de la Dirección de Gestión de la Sub-Secretaría de Gestión de Servicios Asistenciales del Ministerio de Salud de la Nación

Ex COORDINADOR TÉCNICO DEL SERVICIO NACIONAL DE REHABILITACIÓN del Ministerio de Salud de la Nación

Ex sUB INTERVENTOR DEL hOSPITAL BALDOMERO SOMMER,dependiente del Ministerio de Salud de la Nación

ASESOR DE LA DIRECCIÓN DE SALUD de la de la Auditoria General de la Ciudad Autónoma de  Buenos Aires

RESPONSABLE DEL AREA DE GESTIÓN DE REDES del Hospital de Alta Complejidad en Red (SAMIC) El Cruce Néstor Carlos Kirchner

AUDITOR MÉDICO de la Dirección de la Obra Social de la Universidad de Buenos Aires

Lisandro j. Otero, Área de Planificación, Hospital El Cruce

Bachelor of Administration, National University of La Plata

Valeria Soledad Doldan Arruabarrena , Área de Planificación, Hospital El Cruce

Degree in Administration National University of La Plata

Juan Arano, Clínica médica, Hospital El Cruce

Specialist Physician in Medical Clinic

Sergio Lage, Terapia intensiva, Hospital El Cruce

Medical Specialist in Intensive Therapy

Martín Silberman, Consejo de administración Hospital el Cruce

Doctor. Master in Public Health from the Faculty of Medicine of the National University of La Plata, Argentina. Doctor in Health Policy and Management from UNAM, Mexico.

Martín Zubieta, Laboratorio, Hospital El Cruce de Florencio Varela

Biochemical. Specialist in Health Economics and Management. Isalud University

Ilda Erbetta, Área administrativa, Módulo Hospitalario N° 11 de Florencio Varela

Medical Specialist in Pediatrics

Patricia Danei, Área administrativa, UPA N° 11 de Florencio Varela

University Technician in Clinical Information and Patient Management, Universidad Arturo Jauretche de Florencio Varela, Province of Buenos Aires.

Gertrudis Baeck, Ingreso de pacientes, Hospital Mi Pueblo de Florencio Varela

Specialist Physician in Medical Clinic

Virgina Vallejos, Unidad de Atención Inmediata, UPA N° 5 Almirante Brown

Medical Specialist in Intensive Therapy

Federico Cavalli, Área administrativa, UPA N° 5 y Módulo N° 9 de Almirante Brown

A degree in Journalism

Nicolás Calderón, Hospital Oñativia de Almirante Brown

Hospital Oñativia de Almirante Brown

Maximiliano Di Gregorio, Área administrativa, Hospital L. Meléndez de Almirante Brown

Lucio Meléndez Hospital Administrative

Viviana Hernández, Hospital Oñativia de Almirante Brown

Hospital Oñativia de Almirante Brown

Daniela Bruno, Área Estadística, Hospital Oñativia de Almirante Brown

Administrative, Statistical Area, Hospital Oñativia de Almirante Brown

Beatriz Rodera, Clínica médica, Hospital Iriarte, Quilmes

Medical Specialist in Infectology

David Parisi, Unidad de Terapia Intensiva, Hospital Iriarte, Quilmes

Medical Specialist in Intensive Therapy

Ignacio Macherett, Hospital Iriarte, Quilmes

Hospital Iriarte, Quilmes

Matías Gallastegui, Director Hospital Oller. Quilmes

General practitioner. Director Hospital Oller. Quilmes

Andrea Paz, Área administrativa, UPA N° 17, Quilmes

Administrative, UPA N ° 17, Quilmes

Rubén Bernardi, Unidad de Terapia Intensiva, Hospital Evita Pueblo, Berazategui

Medical Specialist in Intensive Therapy. Professor at the Clinical Simulation Training Center

Sandra Azcárate, Manejo de Pacientes, Hospital Evita Pueblo, Berazategui

Medical Specialist in Medical Clinic

A Hraste, Hospital Evita Pueblo, Berazategui

Hospital Evita Pueblo, Berazategui

Inés Caridi, Instituto de Cálculo, FCEN, UBA y CONICET

Doctor in Physical Sciences from the University of Buenos Aires. CONICET Adjunct Researcher in Social Systems as Complex Systems. Institute of Calculus, Faculty of Exact and Natural Sciences, University of Buenos Aires.

Leonardo Boechi, Instituto de Cálculo, FCEN, UBA y CONICET

Doctor in Inorganic, Analytical and Physical Chemistry from the Faculty of Exact and Natural Sciences of the National University of Buenos Aires and Bachelor of Biological Sciences in the area of ​​Molecular Biology from the Faculty of Exact and Natural Sciences of the University of Buenos Aires.

Silvia Kochen, ENyS, CONICET, Hosp. El Crucede Florencio Varela, Univ. Nacional A. Jauretche (UNAJ)

Medical Researcher, National Council for Scientific and Technical Research (CONICET). Prof. Faculty of Medicine of the National University of Buenos Aires (UBA). Director of the Executive Unit in Neurosciences and Complex Systems (ENyS), CONICET - Univ. Nacional A. Jauretche (UNAJ) - Hospital. El Cruce "N. Kirchner", F. Varela, Province of Buenos Aires.

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Published

2021-03-23

How to Cite

1.
Yacobitti A, Otero L j., Doldan Arruabarrena VS, Arano J, Lage S, Silberman M, Zubieta M, Erbetta I, Danei P, Baeck G, Vallejos V, Cavalli F, Calderón N, Di Gregorio M, Hernández V, Bruno D, Rodera B, Parisi D, Macherett I, Gallastegui M, Paz A, Bernardi R, Azcárate S, Hraste A, Caridi I, Boechi L, Kochen S. Hospitalized population diagnosed with Covid-19 in public health centers in the southeastern region of Greater Buenos Aires. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2021 Mar. 23 [cited 2024 Jul. 17];78(1):17-24. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/31146

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Section

Original Papers