Description of patients with severe covid-19 treated in a National Referral Hospital in Peru

• Main Authors: Giancarlo Acosta, Gerson Escobar, Gissela Bernaola, Johan Alfaro, Waldo Taype, Carlos Marcos, Jose Amado
• Format: Article
• Language: Spanish
• Published: Instituto Nacional de Salud 2020-04-01
• Series: Revista Peruana de Medicina Experimental y Salud Pública
• Subjects: síndrome respiratorio agudo grave; neumonía viral; servicios médicos de urgencias; virosis; infecciones por coronavirus; pandemias
• Online Access: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/5437

In order to describe manifestations from patients with coronavirus disease 2019 (COVID-19), sociodemographic variables such as, previous medical history, clinical and radiological manifestations, treatments and evolution of patients were evaluated. This took place from March 6th to 25th, 2020, in the “Edgardo Rebagliati Martins” National Hospital in Lima. Seventeen patients were registered: 76% were male, with an average age of 53.5 years (range 25-94); 23.5% had returned from abroad; 41.2% were referred from other health facilities; 41.2% were admitted to mechanical ventilation; 29.4% (5 patients) died. The risk factors detected were: advanced age, arterial hypertension and obesity. The main symptoms detected were: cough, fever and dyspnea. Frequent laboratory findings were: elevated C-reactive protein and lymphopenia. The predominant radiological presentation was bilateral interstitial lung infiltrate. A first experience in the management of patients diagnosed with severe COVID-19 in Peru is reported.