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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Braz+J+Infect+Dis 2020 ; 24 (6): 570-574 Nephropedia Template TP
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Setting up hospital care provision to patients with COVID-19: lessons learnt at a 2400-bed academic tertiary center in Sao Paulo, Brazil #MMPMID33157034
Perondi B; Miethke-Morais A; Montal AC; Harima L; Segurado AC
Braz J Infect Dis 2020[Nov]; 24 (6): 570-574 PMID33157034show ga
As of August 30, 2020, Brazil ranked second among countries with the highest number of COVID-19 cases, with the city of Sao Paulo as the national epidemic epicenter. Local public healthcare institutions were challenged to respond to a fast-growing hospital demand, reengineering care provision to optimize clinical outcomes and minimize intra-hospital coronavirus infection. In this paper we describe how the largest public hospital complex in Latin America faced this unprecedented burden, managing severe COVID-19 cases while sustaining specialized care to patients with other conditions. In our strategic plan a 900-bed hospital was exclusively designated for COVID-19 care and continuity of care to those not infected with coronavirus ensured in other inpatient facilities. After 152 days, 4241 patients with severe COVID-19 were hospitalized, 70% of whom have already been discharged, whereas the remaining Institutes of the complex successfully maintained high complexity inpatient and urgent/emergency care to non-COVID-19 patients.