The Southeastern region of the Buenos Aires Province metropolitan area in the face of the pandemic: evaluation of the expansion of the health system in the framework of COVID-19

Authors

  • Martín Silberman Hospital de Alta Complejidad El Cruce “Néstor Kirchner”, Florencio Varela, provincia de Buenos Aires, Argentina. Universidad Nacional Arturo Jauretche, Florencio Varela, provincia de Buenos Aires, Argentina.
  • Alejandro Yacobitt Hospital de Alta Complejidad El Cruce “Néstor Kirchner”, Florencio Varela, provincia de Buenos Aires, Argentina.
  • Lisandro Otero Hospital de Alta Complejidad El Cruce “Néstor Kirchner”, Florencio Varela, provincia de Buenos Aires, Argentina.
  • Valeria Doldan Arruabarrena Hospital de Alta Complejidad El Cruce “Néstor Kirchner”, Florencio Varela, provincia de Buenos Aires, Argentina.
  • Juan Arano Hospital de Alta Complejidad El Cruce “Néstor Kirchner”, Florencio Varela, provincia de Buenos Aires, Argentina. Universidad Nacional Arturo Jauretche, Florencio Varela, provincia de Buenos Aires, Argentina.
  • Sergio Lage Hospital de Alta Complejidad El Cruce “Néstor Kirchner”, Florencio Varela, provincia de Buenos Aires, Argentina.
  • Martin Zubieta Hospital de Alta Complejidad El Cruce “Néstor Kirchner”, Florencio Varela, provincia de Buenos Aires, Argentina. Universidad Nacional Arturo Jauretche, Florencio Varela, provincia de Buenos Aires, Argentina
  • Gertrudis Baeck Hospital General Zonal de Agudos “Mi Pueblo”, Villa Vatteone, provincia de Buenos Aires, Argentina.
  • Virginia Vallejos Unidad de Pronta Atención N°5, Longchamps, provincia de Buenos Aires, Argentina.
  • Beatriz Rodera Hospital “Isidro Iriarte”, Quilmes, provincia de Buenos Aires, Argentina
  • Matías Gallastegui Hospital Subzonal Materno Infantil “Dr. Eduardo Oller”, San Francisco Solano, provincia de Buenos Aires, Argentina
  • Sandra Azcarate Hospital “Evita Pueblo”, Berazategui, provincia de Buenos Aires, Argentina
  • Viviana Heevel Hospital Zonal de Agudos “Dr. Lucio Meléndez”, Adrogué, provincia de Buenos Aires, Argentina.
  • Carolina Ricci Hospital Zonal General de Agudos “Dr. Arturo Oñativia”, Rafael Calzada, provincia de Buenos Aires, Argentina
  • Martín Vázquez Hospital Modular N° 9, Almirante Brown, provincia de Buenos Aires, Argentina
  • Karina Botana Hospital Modular N° 10, Quilmes, provincia de Buenos Aires, Argentina.
  • María de los Ángeles García 2 Hospital Modular N° 11, Florencio Varela, provincia de Buenos Aires, Argentina.
  • Lucas Ojeda Unidad de Pronta Atención N°17, Quilmes, provincia de Buenos Aires, Argentina.
  • Mariela Rapeski Unidad de Pronta Atención N°11, Gobernador Julio A. Costa, provincia de Buenos Aires, Argentina.
  • Antonio Hraste Unidad de Pronta Atención N°10, Berazategui, provincia de Buenos Aires, Argentina.
  • Silvia Kochen Hospital de Alta Complejidad El Cruce “Néstor Kirchner”, Florencio Varela, provincia de Buenos Aires, Argentina. Universidad Nacional Arturo Jauretche, Florencio Varela, provincia de Buenos Aires, Argentina.

Keywords:

Health system; Outcome Assessment, Health Care; Mortality

Abstract

The southeastern region of the Buenos Aires Province metropolitan area (GBA) reformulated the public health system due to the COVID19 pandemic. Among the measures that were taken, is the expansion of the number of beds through the construction and start-up of three hospitals. OBJECTIVE: To evaluate the impact of the expansion of the number of beds on the hospitalization results of patients assisted by public health providers during the study period (April 8, 2020 to September 11, 2020). METHODS: Descriptive study based on information registered in the COVID-19 Dashboard, management software developed by the Instituto del Cálculo of the Universidad de Buenos Aires in which data is obtained from each patient admitted to the network of health effectors; The results of the effect of the increase in installed capacity are evaluated. RESULTS: 2,306 hospitalized patients were registered, of which 266 (11.54%) required admission to the intensive care unit (ICU), 1,786 (77.4%) to intermediate care and 254 (11%) patients to ward general. The mean age was 50.63 and male patients represented 55.5% of the total. There were 253 deaths (10.97%), of which 64% were men. 58.3% of the total had pre-existing diseases, these have a 90% higher risk than those who did not have them. The total average occupancy of beds in ICU was 40.7%, while that of occupancy in intermediate care was 61.5%. Without the new hospitals, 169 patients (9.46%) would not have had beds in intermediate care and 31 patients (11.6%) would have had no beds in the ICU. DISCUSSION: The health system in the southeast region of the GBA was adequately prepared thanks to the expansion of the number of hospital beds.

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Published

29-03-2021

How to Cite

Silberman, M. ., Yacobitt, A. ., Otero, L. ., Doldan Arruabarrena, V. ., Arano, J. ., Lage, S. ., … Kochen, S. . (2021). The Southeastern region of the Buenos Aires Province metropolitan area in the face of the pandemic: evaluation of the expansion of the health system in the framework of COVID-19. Revista Argentina De Salud Pública, 13, e19. Retrieved from https://rasp.msal.gov.ar/index.php/rasp/article/view/523

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Section

Original Articles