Complicaciones en pacientes con infección por COVID 19 severo en unidad de cuidados intensivo en un centro de cuarto nivel en Bogotá, Colombia
Objective: To analyze the complications experienced by patients admitted to the ICU with severe COVID-19 at a fourth-level hospital in Bogotá, Colombia.Materials and Methods: This retrospective, descriptive, cross-sectional study included 181 patients aged over 18 years with severe COVID-19 admitted...
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Asociación Colombiana de Infectología
2024-09-01
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| Series: | Infectio |
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| author | Andy Dieter Schreiber |
| author_facet | Andy Dieter Schreiber |
| author_sort | Andy Dieter Schreiber |
| collection | DOAJ |
| description | Objective: To analyze the complications experienced by patients admitted to the ICU with severe COVID-19 at a fourth-level hospital in Bogotá, Colombia.Materials and Methods: This retrospective, descriptive, cross-sectional study included 181 patients aged over 18 years with severe COVID-19 admitted to the ICU at Fundación Cardioinfantil from August 2020 to May 2021. Results: Infections were the most prevalent complication, occurring in 72.9% of patients, with pulmonary superinfections and tracheitis being the most common. Neuropathy was observed in 18.7% of patients. Swallowing disorders were noted in 74% of patients, with 52.5% continuing to experience swallowing difficulties at discharge, leading to gastrostomy in 4.9%. Acute kidney injury was present in 26.5% of patients; 7.1% required de novo renal replacement therapy, and 2.8% needed renal replacement therapy at discharge. Myocardial injury was documented in 13.8% of patients. Discussion: The study highlights the extensive range of complications affecting post-COVID-19 patients, particularly those with severe infections. Polyneuropathy and myopathy are reported in 25-45% of critically ill patients, whereas our study documented neuropathy in 18.7%. Swallowing disorders, occurring in 74% of pa-tients, led to a gastrostomy rate of 4.9%, slightly above the literature range of 1.9%-4.8%. Tracheostomy, used as an alternative to reduce sedation and mechanical ventilation time, was performed in 21.5% of patients, resulting in reduced ICU and ward stays. Conclusions: The most frequent ICU complications were healthcare-associated infections, underscoring the importance of early detection and preventive strategies. Neuromuscular sequelae, such as neuropathy, are significant factors affecting patient outcomes, highlighting the need for targeted rehabilitation methods. |
| format | Article |
| id | doaj-art-70cb84d7b9ac4ea4979dfac18438cc53 |
| institution | OA Journals |
| issn | 0123-9392 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Asociación Colombiana de Infectología |
| record_format | Article |
| series | Infectio |
| spelling | doaj-art-70cb84d7b9ac4ea4979dfac18438cc532025-08-20T01:57:36ZengAsociación Colombiana de InfectologíaInfectio0123-93922024-09-01283164172https://doi.org/10.22354/24223794.1187Complicaciones en pacientes con infección por COVID 19 severo en unidad de cuidados intensivo en un centro de cuarto nivel en Bogotá, ColombiaAndy Dieter Schreiber0https://orcid.org/0000-0002-5607-3626Internal Medicine Department - Fundación Cardioinfantil Bogotá, Colombia.Objective: To analyze the complications experienced by patients admitted to the ICU with severe COVID-19 at a fourth-level hospital in Bogotá, Colombia.Materials and Methods: This retrospective, descriptive, cross-sectional study included 181 patients aged over 18 years with severe COVID-19 admitted to the ICU at Fundación Cardioinfantil from August 2020 to May 2021. Results: Infections were the most prevalent complication, occurring in 72.9% of patients, with pulmonary superinfections and tracheitis being the most common. Neuropathy was observed in 18.7% of patients. Swallowing disorders were noted in 74% of patients, with 52.5% continuing to experience swallowing difficulties at discharge, leading to gastrostomy in 4.9%. Acute kidney injury was present in 26.5% of patients; 7.1% required de novo renal replacement therapy, and 2.8% needed renal replacement therapy at discharge. Myocardial injury was documented in 13.8% of patients. Discussion: The study highlights the extensive range of complications affecting post-COVID-19 patients, particularly those with severe infections. Polyneuropathy and myopathy are reported in 25-45% of critically ill patients, whereas our study documented neuropathy in 18.7%. Swallowing disorders, occurring in 74% of pa-tients, led to a gastrostomy rate of 4.9%, slightly above the literature range of 1.9%-4.8%. Tracheostomy, used as an alternative to reduce sedation and mechanical ventilation time, was performed in 21.5% of patients, resulting in reduced ICU and ward stays. Conclusions: The most frequent ICU complications were healthcare-associated infections, underscoring the importance of early detection and preventive strategies. Neuromuscular sequelae, such as neuropathy, are significant factors affecting patient outcomes, highlighting the need for targeted rehabilitation methods.post-acute covid-19 syndromecovid long-haulcovid-19 syndromepost-acutepost acute covid 19 syndromepost-acute sequelae of sars-cov-2 infectionpost-covid conditionpost-covid conditions. |
| spellingShingle | Andy Dieter Schreiber Complicaciones en pacientes con infección por COVID 19 severo en unidad de cuidados intensivo en un centro de cuarto nivel en Bogotá, Colombia Infectio post-acute covid-19 syndrome covid long-haul covid-19 syndrome post-acute post acute covid 19 syndrome post-acute sequelae of sars-cov-2 infection post-covid condition post-covid conditions. |
| title | Complicaciones en pacientes con infección por COVID 19 severo en unidad de cuidados intensivo en un centro de cuarto nivel en Bogotá, Colombia |
| title_full | Complicaciones en pacientes con infección por COVID 19 severo en unidad de cuidados intensivo en un centro de cuarto nivel en Bogotá, Colombia |
| title_fullStr | Complicaciones en pacientes con infección por COVID 19 severo en unidad de cuidados intensivo en un centro de cuarto nivel en Bogotá, Colombia |
| title_full_unstemmed | Complicaciones en pacientes con infección por COVID 19 severo en unidad de cuidados intensivo en un centro de cuarto nivel en Bogotá, Colombia |
| title_short | Complicaciones en pacientes con infección por COVID 19 severo en unidad de cuidados intensivo en un centro de cuarto nivel en Bogotá, Colombia |
| title_sort | complicaciones en pacientes con infeccion por covid 19 severo en unidad de cuidados intensivo en un centro de cuarto nivel en bogota colombia |
| topic | post-acute covid-19 syndrome covid long-haul covid-19 syndrome post-acute post acute covid 19 syndrome post-acute sequelae of sars-cov-2 infection post-covid condition post-covid conditions. |
| work_keys_str_mv | AT andydieterschreiber complicacionesenpacientesconinfeccionporcovid19severoenunidaddecuidadosintensivoenuncentrodecuartonivelenbogotacolombia |