CARACTERÍSTICAS CLÍNICO-EPIDEMIOLÓGICAS EN USUARIOS ADULTOS CON COVID 19. UNIDAD DE CUIDADOS INTENSIVOS, HOSPITAL GENERAL MANTA

Abstract

COVID-19 is a disease without a specific pharmacological treatment. Its transmission and mortality mechanisms are poorly understood. This disease presents great clinical variability, from the absence of symptoms to an acute and severe respiratory disease. The clinical-epidemiological characteristics were analyzed in adult users confirmed positive for SARS-CoV-2 by RT-PCR that were admitted to the intensive care unit at the General Manta Hospital from March to September of 2020. A descriptive study was carried out. Retrospective and cross-sectional, in 80 adult confirmed positive for COVID 19 by RT- PCR who were admitted to the intensive care unit of the General Manta Hospital from March 15 to September 15 of 2020. The epidemiological characteristics found were: sex male (68.75%), age group 55 to 59 years (30%), urban origin (63.5%), Manta residents (63.75%), health workers (3.75%), days in ICU from 3 to 7 days (37.5%) and condition of discharge deceased (68.75%). The main comorbidity found was Arterial Hypertension with 38.75%. The main symptom found was dyspnea (93.75%); the pulmonary characteristics presented: oxygen saturation less than 80 (91.25%), pulmonary infiltrate (77.5%), OVE (73.75%) and consolidation (15%). The laboratory parameters that presented results outside the normal limit were: elevated D-dimer (35%), lymphopenia less than 1000 / mm3 (75%) and coagulopathy (31.25%). The comorbidity with thevhighest mortality was chronic renal failure with (64%).