Intensive care inequity in Rio de Janeiro: the effect of spatial distribution of
            health services on severe acute respiratory infection

Bedoya-Pacheco, Sandro Javier; Emygdio, Romeu Ferreira; Nascimento, Janaína Santos; Bravo, Jorge André Marques; Bozza, Fernando A.

doi:10.5935/0103-507x.20200012

Cited by 5 publications

(4 citation statements)

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“…Food restriction (in quantity and/or quality) can reduce immune response cells, making these individuals more susceptible to transmission and serious clinical injuries from infectious diseases [12]. In addition, the distribution of intensive-care units in RJ presents a high heterogenicity across different areas of the city, with minor coverage in those less privileged, resulting in a greater number of deaths from the severe acute respiratory syndrome in 2020 for low-income families [13]. Also, the disparities in the population distribution reflect the results obtained.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Pandemic in Rio de Janeiro, Brazil: A Social Inequality Report

2021

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Background and Objectives: To perform a retrospective report on the lethality of COVID-19 in different realities in the city of Rio de Janeiro (RJ). Materials and Methods: We accomplished an observational study by collecting the data about total confirmed cases and deaths due to COVID-19 in the top 10 high social developed neighborhoods and top 10 most populous favelas in RJ to determine the case-fatality rate (CFR) and compare these two different realities. Results: CFR was significatively higher in poverty areas of RJ, reaching a mean of 9.08% in the most populous favelas and a mean of 4.87% in the socially developed neighborhoods. Conclusions: The social mitigation measures adopted in RJ have benefited only smaller portions of the population, excluding needy communities.

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Section: Discussionmentioning

confidence: 99%

COVID-19 Pandemic in Rio de Janeiro, Brazil: A Social Inequality Report

2021

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“…This observation was not surprising considering the situation of the health system in the city of Rio de Janeiro and the transmission rate of the SARS-CoV-2. 5,21 Curiously, it was observed that hospital D had no ICU beds, possibly because it is a cancer treatment institute.…”

Section: Discussionmentioning

confidence: 99%

Covid-19 in Rio de Janeiro/Brazil: efforts of hospital pharmacy services

Silva¹,

Landgraf²,

Sena³

et al. 2021

Rev Bras Farm Hosp Serv Saude

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Objective: To investigate the efforts of hospital pharmacy services in Brazilian public hospitals during the coronavirus pandemic. Methods: A cross-sectional study about practical and routine hospital pharmacy services in hospitals in the city of Rio de Janeiro (Brazil) was developed. The online survey consisted of 22 questions (3 multiple choice questions, 14 yes/no questions and 5 open-response questions) and the instrument was applied to 20 frontline pharmacists of 6 different hospitals from September 15th to 30th of 2020. Descriptive analysis was made by means of estimation of proportions. Results: We observed that 12 of the 20 participating pharmacists were trained about the new protocols and practice. Two hospitals have altered their Pharmacy Department, creating two groups: (1) services supply of COVID-19 and (2) services supply for others disease or complications. It was found that 3 of the 6 hospitals implemented an exclusively electronic medical prescription system and all of them used individualized dispensing system. At least one pharmacist of each hospital reported a lack or shortage of one or more drugs used in the COVID-19 treatment. Six main causes of drug scarcity were cited and 5 hospitals pointed two of them: increased cost of drug manufacturing and insufficient quantities of raw materials. In addition, we found out that essential ICU drugs, such as ceftriaxone, azithromycin, fentanyl and midazolam were the most prescribed ones, being cited by 5 hospitals (each one). Conclusion: This study showed that pharmaceutical services from six public hospitals of the city of Rio de Janeiro have been adjusted and redesigned to fight the COVID-19. Furthermore, this work can contribute to a more comprehensive vision of the pharmaceutical community about their challenges in the fight against COVID-19 and to provide positive suggestions for improving pharmacy practices.

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“…Nesse aspecto, é importante pontuar que o Brasil já convivia com uma série de desafios, como demanda de leitos maior que a oferta ; alta concentração de leitos nas regiões mais desenvolvidas do país, Sul e Sudeste (BEDOYA-PACHECO et al, 2020), maior déficit de leitos nas regiões Nordeste e Norte (NORONHA et al, 2020), e, ainda, problemas de regulação de leitos (PINHEIRO et al, 2020).…”

Section: Conclusãounclassified

Covid-19 - O Vírus Que Movimentou a Ciência - Volume 1

Almeida¹,

Araújo²,

Brandão³

et al. 2021

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A pandemia do COVID-19, deflagrada no início de 2020, foi acompanhada por rápida disseminação, taxas de mortalidade sem barreiras sociais e uma corrida científica sem precedentes.Neste cenário mundial o Brasil tem lugar de destaque, pois é o 11º país que mais produziu artigos sobre o assunto. Este e-book tenho o objetivo de expor as pesquisas epidemiológicas, revisões científicas, estudos experimentais pré-clínicos, observacionais e clínicos sobre o assunto COVID-19 -O VÍRUS QUE MOVIMENTOU A CIÊNCIA.Esperamos que tenha uma leitura agradável e possa desfrutar ao máximo o conhecimento transmitido por nossos autores.

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Intensive care inequity in Rio de Janeiro: the effect of spatial distribution of health services on severe acute respiratory infection

Cited by 5 publications

References 0 publications

COVID-19 Pandemic in Rio de Janeiro, Brazil: A Social Inequality Report

COVID-19 Pandemic in Rio de Janeiro, Brazil: A Social Inequality Report

Covid-19 in Rio de Janeiro/Brazil: efforts of hospital pharmacy services

Covid-19 - O Vírus Que Movimentou a Ciência - Volume 1

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