58 research outputs found
Impact of COVID-19 infection among heart transplant recipients : a southern brazilian experience
Purpose: The coronavirus-2019 (COVID-19) infection is associated with a high risk of complications and death among heart transplant recipients. However, most cohorts are from high-income countries, while data from Latin America are sparse. Methods: This is a retrospective cohort of heart transplant recipients followed at a hospital in Rio Grande do Sul, Brazil, between March 1st 2020 and October 1st 2021. Results: Of the 62 heart transplant recipients on follow-up, 21 (34%) were infected by COVID-19, 58 (36-63) years of age, 67% male, body mass index of 26 (23-29) kg/m2, 48% with hypertension, 43% with chronic kidney disease, 5% with diabetes, within 2 (1-4) years of post-transplant follow-up. At presentation, the main symptoms were fever (62%), myalgia (33%), cough (33%), headache (33%), and dyspnea (19%). Hospitalization was required for 13 (62%) patients, with a time from first symptoms to the admission of 5 (1-12) days. In 38%, supplementary oxygen was needed, 19% required intensive care, and 10% mechanical ventilation. Three (14%) were infected after at least a first dose of COVID-19 vaccine. The main complications were bacterial pneumonia (38%), renal replacement therapy (19%), sepsis (10%) and venous thromboembolism (10%). Immunosuppression therapy was modified in 48%, with a reduction in the majority (89%). Two (10%) patients died in the hospital due to refractory hypoxemia and multiple organ dysfunction. The incidence of COVID-19 among transplant patients was comparable to the general population in the State of Rio Grande do Sul with a peak in December 2020. Conclusion: Heart transplant recipients shown a high rate of COVID-19 infection in Southern Brazil, with typical symptom presentation in most cases. There was an elevated rate of hospitalization, supplementary oxygen support, and complications. In-hospital lethality among infected heart transplanted recipients was similar to previously reported data worldwide despite the high rates of infection in Latin America
Aplicação do Nursing Activities Score para medida de carga de trabalho de enfermagem em unidade de terapia intensiva de pós-operatório de cirurgia cardíaca
Efeito de um algoritmo de diurético e manejo não farmacológico em pacientes com insuficiência cardíaca : resultados preliminares de um ensaio clínico randomizado
Desenvolvimento e implementação de um protocolo de inotrópico intravenoso para uso em pacientes com insuficiência cardíaca avançada em unidade de internação com telemetria
Biópsia endomiocárdica por técnica de biótomo rígido Scholten™ e risco de insuficiência tricúspide em pacientes transplantados cardíacos
Checklist em laboratório de hemodinâmica : uma ferramenta para segurança do paciente e qualidade da assistência
Implementação de protocolo de inotrópico intravenoso em unidade de internação com telemetria : experiência inicial
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