Revista Cubana de Medicina Militar (May 2021)
Clinical, humoral and epidemiological characterization of serious and critically ill patients with COVID-19
Abstract
Introduction: Researchers warn of people with severe forms of COVID-19. It is notable the report of these patients, the existence of complications favoring life-threatening situations and the hemogasometric differences and in other biochemical parameters. Objective: To characterize clinical, epidemiological and humoral aspects of patients with COVID-19 during their stay in the intensive care unit. Methods: A descriptive and cross-sectional study was carried out in 9 patients with COVID-19 admitted to the intensive care unit from March to May 2020. Data were obtained from medical records. The processed information was expressed in absolute frequencies and percentages and the results were reflected in tables and graphs. Among the variables analyzed were: age, sex, clinical status and at discharge of the patients and fatality. Results: Men predominated (77,8 %), women evolved better (33,3 % serious, no critical). 88,8 % of the patients had at least one associated chronic disease. 33,3 % of the patients were asymptomatic upon admission, severe pneumonia and acute respiratory distress syndrome were the most frequent cause of complication. Conclusions: Most of the patients were male and all the critics were male; with similar proportions in age groups; with comorbidities the highest percentage, mainly hypertension; on admission they presented cough, fever, dyspnea and decay; all critical patients took 4 days or more to request medical assistance. The reason for admission to the intensive care unit was severe pneumonia/adult respiratory distress syndrome.