<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7523</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cubana med]]></abbrev-journal-title>
<issn>0034-7523</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75232022000100009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización clínica de los pacientes con COVID-19 moderado]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical characterization of patients with moderate COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Osma Farnum]]></surname>
<given-names><![CDATA[Sharomay Jassandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Carmenate]]></surname>
<given-names><![CDATA[Martha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro Machado]]></surname>
<given-names><![CDATA[Víctor Rene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno Del Sol]]></surname>
<given-names><![CDATA[Oneida Edilena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Curbelo López]]></surname>
<given-names><![CDATA[Michel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carles Freire]]></surname>
<given-names><![CDATA[Tatiana Helena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Integral Provisional de Figali  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Panamá</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Dirección Municipal de Higiene y Epidemiología  ]]></institution>
<addr-line><![CDATA[ Cienfuegos]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General &#8220;Enrique Cabrera Cossío&#8221;  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75232022000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75232022000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75232022000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  En Panamá, para asumir la masiva demanda de casos con COVID-19, fueron creados centros temporales para atención médica en algunos establecimientos públicos.  Objetivo:  Caracterizar clínicamente a pacientes ingresados con COVID-19 moderado.  Métodos:  Estudio descriptivo, ambispectivo, de serie de casos, realizado entre febrero y abril del 2021. Incluyó todos los ingresos en los 5 primeros meses del Centro de Atención Integral para Casos Moderados por COVID-19 en Figali. Se diseñó un cuestionario para cada paciente con datos recogidos de las historias clínicas individuales electrónicas.  Resultados:  De 628 pacientes ingresados, el 58,1 % eran hombres y 41,6 % del grupo etario de &#8805; 60 años. El 54,94 % ingresó luego de 7 días de síntomas, procedentes principalmente de hoteles de aislamiento (39,65 %) y hospitales (26,43 %). Los síntomas más frecuentes fueron la tos, disnea, fiebre y debilidad. El 84,39 % fueron clasificados como COVID-19 moderados. El 51,75 % requirió del ingreso en la Unidad de Cuidados Respiratorios Especiales y de estos el 3,82 % necesitó ventilación mecánica invasiva. El 67,70 % fue dado de alta al hogar y 14,59 % fue transferido a hospitales de tercer nivel luego de la intubación orotraqueal.  Conclusiones:  El Centro-Figali brindó atención médica a pacientes con COVID-19 moderados, severos y críticos. Prevalecieron los síntomas generales y respiratorios altos, que se intensificaron en la fase pulmonar de la enfermedad y motivaron el ingreso. Entre los hombres, adultos mayores y pacientes con enfermedades crónicas no transmisibles estuvieron la mayoría de los ingresados y fallecidos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  In Panama, temporary centers for medical care were created in some public establishments to meet the massive demand for cases with COVID-19.  Objective:  To clinically describe hospitalized patients with moderate COVID-19. Methods: A descriptive, ambispective, case series study was conducted from February to April 2021. It included all admissions in the first 5 months of the Comprehensive Care Center for Moderate Cases due to COVID-19 in Figali. A questionnaire was designed for each patient with data collected from individual electronic medical records.  Results:  Out of 628 admitted patients, 58.1% were men and 41.6% were in the age group &#8805;60 years. 54.94% were admitted after 7 days of symptoms, mainly from isolation hotels (39.65%) and hospitals (26.43%). The most frequent symptoms were cough, dyspnea, fever and weakness. 84.39% were classified as moderate COVID-19. 51.75% required admission to the Special Respiratory Care Unit, and out of these 3.82% required invasive mechanical ventilation. 67.70% were discharged and 14.59% were transferred to third level hospitals after orotracheal intubation.  Conclusions:  Centro Figali provided medical care to patients with moderate, severe and critical COVID-19. General and upper respiratory symptoms prevailed, which intensified in the pulmonary phase of the disease and led to admission. Among men, older adults and patients with chronic non-communicable diseases were the majority of those admitted and deceased.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[infecciones por coronavirus]]></kwd>
<kwd lng="es"><![CDATA[signos y síntomas]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia respiratoria]]></kwd>
<kwd lng="en"><![CDATA[coronavirus infections]]></kwd>
<kwd lng="en"><![CDATA[signs and symptoms]]></kwd>
<kwd lng="en"><![CDATA[respiratory insufficiency]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<collab>Organización Panamericana de la Salud, Organización Mundial de la Salud</collab>
<source><![CDATA[Reporte de Situación COVID-19 Panamá. Reporte No. 52 Abril 20 de 2021]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Washington, D.C. ]]></publisher-loc>
<publisher-name><![CDATA[OPS/OMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guan]]></surname>
<given-names><![CDATA[WJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ni]]></surname>
<given-names><![CDATA[ZY]]></given-names>
</name>
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Liang]]></surname>
<given-names><![CDATA[WH]]></given-names>
</name>
<name>
<surname><![CDATA[Ou]]></surname>
<given-names><![CDATA[CQ]]></given-names>
</name>
<name>
<surname><![CDATA[He]]></surname>
<given-names><![CDATA[JX]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical characteristics of coronavirus disease 2019 in China]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2020</year>
<volume>382</volume>
<numero>18</numero>
<issue>18</issue>
<page-range>1708-20</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<collab>Organización Panamericana de la Salud, Organización Mundial de la Salud</collab>
<source><![CDATA[Actualización epidemiológica: Enfermedad por Coronavirus (COVID-19). 14 de abril de 2021]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Washington, D.C. ]]></publisher-loc>
<publisher-name><![CDATA[OPS/OMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ge]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Wuan]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Yuan]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Xiao]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The epidemiology and clinical information about COVID-19]]></article-title>
<source><![CDATA[Eur J Clin Microbiol Infect Dis]]></source>
<year>2020</year>
<volume>39</volume>
<page-range>1011-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saldías]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Peñaloza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Farías]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Farcas]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cortés]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manifestaciones clínicas y predictores de gravedad en pacientes adultos con infección respiratoria aguda por coronavirus SARS-CoV-2]]></article-title>
<source><![CDATA[RevMed Chile]]></source>
<year>2020</year>
<volume>148</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1387-97</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marín Sánchez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Características clínicas básicas en los primeros 100 casos fatales de COVID-19 en Colombia]]></article-title>
<source><![CDATA[Rev Panam Salud Pública]]></source>
<year>2020</year>
<volume>44</volume>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[León Álvarez]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Calderón Martínez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez Rojas]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis de mortalidad y comorbilidad por COVID-19 en Cuba]]></article-title>
<source><![CDATA[Rev Cub Med]]></source>
<year>2021</year>
<volume>60</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud</collab>
<source><![CDATA[Recomendaciones de atención de pacientes COVID-19 hospitalizados]]></source>
<year>2020</year>
<edition>4th</edition>
<publisher-loc><![CDATA[Cuidad Panamá ]]></publisher-loc>
<publisher-name><![CDATA[MINSA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zuccone]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Albornoz]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Ibáñez]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Betancur]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Matute]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Características clínicas y epidemiológicas del COVID-19 en la Unidad de Emergencia del Hospital Barros Luco: los primeros 164 pacientes]]></article-title>
<source><![CDATA[Rev Med Chile]]></source>
<year>2020</year>
<volume>148</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1096-104</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Villagrán]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Torrontegui]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Entzana]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Características clínico-epidemiológicas de pacientes de COVID-19 en un Hospital de Sinaloa, México]]></article-title>
<source><![CDATA[Rev Med UAS]]></source>
<year>2020</year>
<volume>10</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>65-79</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hannawi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hannawi]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Naeem]]></surname>
<given-names><![CDATA[KB]]></given-names>
</name>
<name>
<surname><![CDATA[Elemam]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
<name>
<surname><![CDATA[Hachim]]></surname>
<given-names><![CDATA[MY]]></given-names>
</name>
<name>
<surname><![CDATA[Hachim]]></surname>
<given-names><![CDATA[IY]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical and laboratory profile of hospitalized symptomatic COVID-19 patients case series study from the first COVID-19 Center in the UAE]]></article-title>
<source><![CDATA[Front Cell Infect Microbiol]]></source>
<year>2021</year>
<volume>11</volume>
<numero>732965</numero>
<issue>732965</issue>
<page-range>1-10</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dos Santos]]></surname>
<given-names><![CDATA[WG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Natural history of COVID-19 and current knowledge on treatment therapeutic options]]></article-title>
<source><![CDATA[Biomed Pharmacother]]></source>
<year>2020</year>
<volume>129</volume>
<page-range>110493</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sinha]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Matthay]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Calfee]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Is a "Cytokine Storm" Relevant to COVID-19]]></article-title>
<source><![CDATA[JAMA Intern Med]]></source>
<year>2020</year>
<volume>180</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1152-4</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Seidu]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gillies]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Zaccardi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Kunutsor]]></surname>
<given-names><![CDATA[SK]]></given-names>
</name>
<name>
<surname><![CDATA[Hartmann-Boyce]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Yates]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The impact of obesity on severe disease and mortality in people with SARS-CoV-2 A systematic review and meta-analysis]]></article-title>
<source><![CDATA[Endocrinol Diab Metab]]></source>
<year>2020</year>
<volume>00</volume>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sheppard]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Nicholson]]></surname>
<given-names><![CDATA[BD]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[McGagh]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sherlock]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Koshiaris]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Association between blood pressure control and coronavirus disease 2019 outcomes in 45 418 symptomatic patients with hypertension an observational cohort study]]></article-title>
<source><![CDATA[Hypertension]]></source>
<year>2021</year>
<volume>77</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>846-55</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Carrera]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Madera Silva]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Marín]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Contreras]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[COVID-19 y diabetes mellitus: una relación bidireccional]]></article-title>
<source><![CDATA[Clin Investig Arterioscler]]></source>
<year>2020</year>
<numero>20</numero>
<issue>20</issue>
<page-range>30105-4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
