RESUMO
Objective: To investigate the pattern and prevalence of persistent symptoms of Post-COVID-19 Syndrome (PCS) at 3, 6, 9, and 18 months after discharge. Associated risk factors were further examined to potentially explain the persistence of these symptoms.Design and Setting: A cross-sectional cohort study was conducted at the primary health care facility of Aruba, Dr. Horacio E. Oduber Hospital (HOH).Participants: Inclusion criteria were adults hospitalized at HOH for at least one night between March and July 2021 and laboratory-confirmed COVID-19 diagnosis. Exclusion criteria were deceased before the follow-up, not able to mobilize before or after discharge, living outside of Aruba or in nursing homes, and patients with psychosis, dementia, or hospitalized due to unrelated diseases.Methods: Eligible and willing participants completed a 20-question survey: a self-reported symptoms questionnaire about symptoms during and after COVID-19 infection, level of dyspnea measurement (mMRC-scale), quality of life measurement (EQ-5D-5E with EuroQoL VAS), and mental well-being (WHO-5). Hospitalization related data were gathered via retrospective analysis of patient records. Chi-square test, logistic regression, and ANOVA analyses were conducted; P<0.05 was chosen as level of statistical significance for all analyses.Results: In total, 222 (34.5%) patients were eligible, consenting, and completed the survey. Most participants were interviewed a year or more after their initial COVID-19 infection. Fatigue (37.8%), new-onset dyspnea (38.7%), hair loss (20.3%), and muscle pain (18.0%) were the most frequently reported symptoms at any time post COVID-19 infection. Female participants were found more likely to experience fatigue (P<0.05, OR 2.135, 95% CI 1.154-3.949) and new-onset dyspnea (P<0.05, OR 2.026 95% CI 1.093-3.756) after initial infection. Participants with one or more respiratory comorbidity were more likely to experience new-onset dyspnea (P<0.05, OR 2.681, 95% CI 1.223-5.873). None of the predictor variables was associated with cognitive impairment.Conclusion: This study identified female sex and respiratory comorbidity as crucial risk factors for PCS. Females were also found to have significantly lower health scores. Female participants were more likely to experience fatigue and dyspnea after COVID-19 infection.
Assuntos
COVID-19 , Síndrome de COVID-19 Pós-Aguda , Adulto , Humanos , Feminino , Estudos Transversais , Qualidade de Vida , Aruba , Teste para COVID-19 , Estudos Retrospectivos , COVID-19/epidemiologia , Dispneia , Fadiga/diagnóstico , Fadiga/epidemiologiaRESUMO
A informação tem importância fundamental nas organizações. Atualmente os gestores vêm se deparando com grandes desafios para o gerenciamento da grande quantidade de informações geradas dentro das organizações. Antigamente cada setor desempenhava suas funções de forma individualizada, hoje em dia para garantir sua colocação no mercado cada vez mais competitivo é necessário que essas funções sejam integradas através de sistemas de informação (SI). O SI é o conjunto de componentes que são inter-relacionados e que coletam, processam, armazenam e distribuem informações, facilitando o controle e análises de processos e tomada de decisões. Esta realidade também está inserida na área da saúde, com a ampliação dos sistemas, a maior complexidade nos atendimentos faz com que os hospitais e laboratórios de análises clínicas utilizem os SI para gerenciar e integrar todas as informações produzidas, visando o melhor atendimento dos pacientes e a melhor qualidade dos processos. Assim o presente estudo tem por finalidade verificar a percepção dos colaboradores das unidades de um hospital e um laboratório de análises clínicas quanto ao acesso às informações.