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. 2020 Nov-Dec;24(6):570-574.
doi: 10.1016/j.bjid.2020.09.005. Epub 2020 Oct 31.

Setting up hospital care provision to patients with COVID-19: lessons learnt at a 2400-bed academic tertiary center in São Paulo, Brazil

Beatriz Perondi  1 , Anna Miethke-Morais  1 , Amanda C Montal  1 , Leila Harima  1 , Aluisio C Segurado  2 ; Hospital das Clinicas COVID-19 Crisis Management Committee  1
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Setting up hospital care provision to patients with COVID-19: lessons learnt at a 2400-bed academic tertiary center in São Paulo, Brazil

Beatriz Perondi et al. Braz J Infect Dis. 2020 Nov-Dec.

Abstract

As of August 30, 2020, Brazil ranked second among countries with the highest number of COVID-19 cases, with the city of São 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.

Keywords: Brazil; COVID-19; Hospital care services; Inpatients.

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Figures

Fig. 1
Fig. 1
COVID-19 confirmed cases. São Paulo city, São Paulo, Brazil, February-August 2020. Source/Notes: SOURCE – Fundação SEADE. Bars show number of new COVID-19 confirmed cases per day. Line shows 7-day moving average of new COVID-19 confirmed cases.
See this image and copyright information in PMC

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