Challenges for the care delivery for critically ill COVID-19 patients in developing countries: The Brazilian perspective

Detalhes bibliográficos
Autor(a) principal: Salluh, Jorge I. F.
Data de Publicação: 2020
Outros Autores: Lisboa, Thiago, Bozza, Fernando A.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/44408
Resumo: D'Or Institute for Research and Education Department of Critical Care and Postgraduate Program in Translational Medicine. Rio de Janeiro, RJ, Brazil / Universidade Federal do Rio de Janeiro. Programa de Pós-Graduação em Clínica Médica. Rio de Janeiro, RJ, Brasil.
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spelling Salluh, Jorge I. F.Lisboa, ThiagoBozza, Fernando A.2020-11-14T13:57:08Z2020-11-14T13:57:08Z2020SALLUH, Jorge I. F. et al. Challenges for the care delivery for critically ill COVID-19 patients in developing countries: the Brazilian perspective. Critical care, v. 24, n. 1, p. 1-3, 2020.1364-8535https://www.arca.fiocruz.br/handle/icict/4440810.1186/s13054-020-03278-7engBMCChallenges for the care delivery for critically ill COVID-19 patients in developing countries: The Brazilian perspectiveinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleD'Or Institute for Research and Education Department of Critical Care and Postgraduate Program in Translational Medicine. Rio de Janeiro, RJ, Brazil / Universidade Federal do Rio de Janeiro. Programa de Pós-Graduação em Clínica Médica. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio Grande do Sul. Hospital de Clinicas de Porto Alegre. Departamento de Cuidados intensivos. Programa de Pós-Graduação em Ciências Pneumologicas. Porto Alegre, RS, Brasil / Instituto de Pesquisa Hospital do Coração. São Paulo, SP, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / D'Or Institute for Research and Education Department of Critical Care and Postgraduate Program in Translational Medicine. Rio de Janeiro, RJ, Brazil.The delivery of critical care is a major challenge for developing countries. The inequity of access to an ICU bed, heterogeneous triage policies, a low staff/patient ratio and suboptimal adherence to evidence-based practices contribute to disproportionally high mortality of sepsis and acute respiratory distress syndrome in these countries. In addition, limited step-down and specialized ward beds’ availability further widens the gap between critical and non-critical care inside hospitals. As the COVID-19 pandemic spreads through the world, developing countries are challenged with the surge of pneumonia cases where up to 30% of all hospitalized cases will require ICU admission. In August 2020, Brazil is a hotspot of COVID-19 with more than 100,000 deaths. Other Latin American countries such as Mexico, Peru, Colombia, and Chile are also among the 10 countries with most cases worldwide. Several factors seem to have contributed to the dramatic progress of the epidemic in the country. Initial measures of social distancing were adopted at the beginning of the epidemic in several states. However, the lack of central coordination and, at a certain point, the denial of the pandemic by a populist government meant that more effective measures such as lockdown were not adopted whereas use of unproven therapies such as hydroxychloroquine was encouraged. Also, the low availability of tests and progression towards the interior and peripheries of large cities made the epidemic hard to control causing overwhelming hospitals and ICUs.COVID-19ICU bedsBrazilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/44408/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALChallenges_Fernando_Bozza_etal_INI_2020_COVID-19.pdfChallenges_Fernando_Bozza_etal_INI_2020_COVID-19.pdfapplication/pdf759573https://www.arca.fiocruz.br/bitstream/icict/44408/2/Challenges_Fernando_Bozza_etal_INI_2020_COVID-19.pdfbc16e4d243c0eb3870eac3d55c9893c4MD52TEXTChallenges_Fernando_Bozza_etal_INI_2020_COVID-19.pdf.txtChallenges_Fernando_Bozza_etal_INI_2020_COVID-19.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Challenges for the care delivery for critically ill COVID-19 patients in developing countries: The Brazilian perspective
title Challenges for the care delivery for critically ill COVID-19 patients in developing countries: The Brazilian perspective
spellingShingle Challenges for the care delivery for critically ill COVID-19 patients in developing countries: The Brazilian perspective
Salluh, Jorge I. F.
COVID-19
ICU beds
Brazil
title_short Challenges for the care delivery for critically ill COVID-19 patients in developing countries: The Brazilian perspective
title_full Challenges for the care delivery for critically ill COVID-19 patients in developing countries: The Brazilian perspective
title_fullStr Challenges for the care delivery for critically ill COVID-19 patients in developing countries: The Brazilian perspective
title_full_unstemmed Challenges for the care delivery for critically ill COVID-19 patients in developing countries: The Brazilian perspective
title_sort Challenges for the care delivery for critically ill COVID-19 patients in developing countries: The Brazilian perspective
author Salluh, Jorge I. F.
author_facet Salluh, Jorge I. F.
Lisboa, Thiago
Bozza, Fernando A.
author_role author
author2 Lisboa, Thiago
Bozza, Fernando A.
author2_role author
author
dc.contributor.author.fl_str_mv Salluh, Jorge I. F.
Lisboa, Thiago
Bozza, Fernando A.
dc.subject.en.pt_BR.fl_str_mv COVID-19
ICU beds
Brazil
topic COVID-19
ICU beds
Brazil
description D'Or Institute for Research and Education Department of Critical Care and Postgraduate Program in Translational Medicine. Rio de Janeiro, RJ, Brazil / Universidade Federal do Rio de Janeiro. Programa de Pós-Graduação em Clínica Médica. Rio de Janeiro, RJ, Brasil.
publishDate 2020
dc.date.accessioned.fl_str_mv 2020-11-14T13:57:08Z
dc.date.available.fl_str_mv 2020-11-14T13:57:08Z
dc.date.issued.fl_str_mv 2020
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv SALLUH, Jorge I. F. et al. Challenges for the care delivery for critically ill COVID-19 patients in developing countries: the Brazilian perspective. Critical care, v. 24, n. 1, p. 1-3, 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/44408
dc.identifier.issn.pt_BR.fl_str_mv 1364-8535
dc.identifier.doi.none.fl_str_mv 10.1186/s13054-020-03278-7
identifier_str_mv SALLUH, Jorge I. F. et al. Challenges for the care delivery for critically ill COVID-19 patients in developing countries: the Brazilian perspective. Critical care, v. 24, n. 1, p. 1-3, 2020.
1364-8535
10.1186/s13054-020-03278-7
url https://www.arca.fiocruz.br/handle/icict/44408
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
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