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MEDISAN

On-line version ISSN 1029-3019

Abstract

FERRER CASTRO, Jacno Erik et al. Clinical and epidemiological characterization of patients confirmed with COVID-19 in Santiago de Cuba. MEDISAN [online]. 2020, vol.24, n.3, pp.473-485.  Epub June 12, 2020. ISSN 1029-3019.

Introduction:

The exponential increment of confirmed cases with the new coronavirus SARS-CoV-2 forced the authorities of the Health World Organization to declare as pandemic this health emergency.

Objective:

to characterize children and adults confirmed with the COVID-19 from the clinical and epidemiological points of view.

Methods:

An observational, descriptive and cross-sectional study of 74 patients confirmed with the COVID-19 who were admitted to Dr. Joaquín Castillo Duany Teaching Clinical Surgical Hospital was carried out in Santiago de Cuba, from March to May, 2020. The data were obtained from the medical records of the affected patients. Among the analyzed variables we have: age, sex, lethality, discharge state, place of origin of the cases and beginning of COVID-19 symptoms before admission to hospital.

Results:

A prevalence of the male sex (52.7 %) was found. There was a tendency to the hospital admission of confirmed asymptomatic patients, of them 50.0 % of the 1 to 17 age group; 94.5 % of the affected patients were alive when discharged of the institution. No kids were notified in serious or critical condition. Cough (60.0 %), fever (34.5 %) and breathlessness (21.8 %) were the most referred clinical features.

Conclusions:

With a biosocial approach a first experience is informed in the care to confirmed patients with COVID-19 in Santiago de Cuba. The clinical and epidemiological diagnosis favored to register the highest incidence in this disease in symptomatic young adults and to identify other patients that transmitted the virus without manifesting symptoms.

Keywords : child; adult; coronavirus; pandemic; COVID-19; asymptomatic cases; secondary health care.

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