Ambulatory patients with coronavirus disease-19

Abstract

In 2020, we are living one of the most severe pandemics in history. A virus is able to generate alterations such as inflammation, viral replication, plungers in the pulmonary circuit, and low T lymphocytes, affecting hemodynamics and gas exchange, so that the patient has a clinical state of gravity. In the present work, we present a group of patients managed from home, we monitored some variables with medical equipment and clinical parameters directly and indirectly, for the high demands of hospitalization and based on the criteria of international protocols.

Two years after COVID-19

“…Elevation of D-dimer presents in 46% of hospitalized patients and elevation of troponin turns out to be markers of poor prognosis. In addition to the above, elevations of lactic dehydrogenase, lactate, and aminotransferases have been described 5 .…”

“…The disease cycle can be divided into two parts, the first in which viral replication takes place and the second in which inflammation predominates 5 .…”

“…As the disease developed, many patients with suspected COVID-19 and who did not require an emergent need for hospital management could be managed at home with close follow-up by telephone. It was observed that the greatest care was between days 11 and 16 from the onset of the disease, which is when patients begin to have signs of pulmonary inflammation, oxygen desaturation, tachycardia, rapidly evolving dyspnea on exertion, and general malaise 5 .…”

“…The systemic management of the patient in the two phases mentioned is important, although it becomes difficult, since there is still no robust experience in the management of some antivirals. The late phases then require the use of steroidal anti-inflammatory drugs, anticoagulants, nutrition, and antibiotics, however, more research is required and to think that what is valid today probably will not be tomorrow 5 .…”

“…All branches of medicine and various specialties have seen the need to rapidly investigate this disease, its nosology and its propaedeutic. In addition, since it is a new disease, the information behaves in a changing way with respect to the time it is published 3,5 .…”