The COVID-19 Comprehensive Case Assessment Team in Home Admission Care
Keywords:
COVID-19, home admission, multidisciplinary medical team.Abstract
Introduction: In 2021, as a strategy to support the work of the community physician and nurse, the multidisciplinary medical teams for the care of patients with COVID-19 in home admission were created.
Objective: To describe the results of the work of the multidisciplinary medical team in the health area of the Raúl Gómez García Polyclinic, in the period August-October 2021.
Methods: A cross-sectional descriptive study of the individual and clinical variables of the cases analyzed and of the work of the multidisciplinary medical team, created at the Raúl Gómez García Polyclinic, was carried out. The universe was comprised by the 174 patients attended, during the period August-October 2021, by this work team.
Results: There was a predominance of female gender in the cases evaluated. The most frequent comorbidities were arterial hypertension (36.2 %), obesity (33.3 %) and ischemic heart disease (30 %), while the most frequently observed diagnosis was inflammatory pneumopathy (49 %). The 87.2 % of patients had oxygen saturation above 95 and respiratory frequency between 21 and 24 breaths per minute; and the clinical assessment, allowed treatment and follow-up in the community.
Conclusions: The multidisciplinary medical team proved to be an alternative to support primary health care in epidemic situations that exceed the response capacity of the basic health team and require the availability of hospital beds for other cases. The community provided care, treatment and follow-up to patients identified as positive for COVID-19, preventing them from progressing to seriousness or death, without the need to refer them to the hospital level. This initiative, due to its results, should remain on the list of action alternatives learned to be used in similar events.
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