| Revista: | Revista médica de Chile |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000454956 |
| ISSN: | 0034-9887 |
| Autors: | Riquelme, Raúl1 Rioseco, María Luisa1 Riquelme, Mauricio1 Riquelme, Javier1 Caro, José Oyarzún, Daniela Rincón, Marieliz Bahamonde, Camila Gallardo, Daniela Bedoya, Julian Medina, Cristian1 Inzunza, Carlos1 |
| Institucions: | 1Hospital de Puerto Montt, Puerto Montt. Chile |
| Any: | 2022 |
| Volum: | 150 |
| Número: | 3 |
| Paginació: | 316-323 |
| País: | Chile |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Background: In a decade, we faced two pandemic viruses, influenza A H1N1pdm09 and SARS CoV-2, whose most serious manifestation is pneumonia. Aim: To compare the clinical, epidemiological and management aspects of pneumonias caused by each pandemic virus in adults requiring hospitalization. Material and Methods: Comparative, observational study carried out at a regional Chilean hospital, including 75 patients with influenza A H1N1pdm09 prospectively studied in 2009 and 142 patients with SARS-CoV-2 studied in 2020. Results: Patients with SARS-CoV-2 pneumonia were older (56 and 39.7 years respectively, p < 0.01) and had significantly more comorbidities. Cough, fever and myalgias were more frequent in influenza. Dyspnea was more frequent in COVID-19. Patients with COVID-19 had more extensive lung involvement and a longer hospitalization (13.6 and 8.6 days respectively, p = 0.01). There was no difference on ICU admission requirements and mortality attributable to pneumonia. Patients with influenza had greater APACHE scores and a higher frequency of a PaO2/FiO2 ratio ≤ 200. During COVID-19pandemic chest sean replaced x-ray examination. Also high-flow nasal cannulas and awake prone position ventilation were added as treatments. Conclusions: COVID-19 patients were older, had fewer classic flu symptoms but more dyspnea and longer hospitalization periods than patients with influenza |
| Disciplines | Medicina |
| Paraules clau: | Neumología, Virus, Infección adquirida en la comunidad, Neumonía, Influenza A H1N1, COVID-19 |
| Keyword: | Pneumology, Virus, Community acquired infection, Pneumonia, COVID-19, Influenza A H1N1 |
| Text complet: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
