<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022021000400217</article-id>
<article-id pub-id-type="doi">10.51481/amc.v63i4.1126</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características demográficas y clínicas de pacientes con infección por SARS-CoV2]]></article-title>
<article-title xml:lang="en"><![CDATA[Demographic and clinical charac teristics of patients with SARS-CoV-2 infection]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dobles-Ramírez]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Boza-Hernández]]></surname>
<given-names><![CDATA[Marco Vinicio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chacón-Prado]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Catarinella-Gómez]]></surname>
<given-names><![CDATA[Claudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Cordero]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas-Segura]]></surname>
<given-names><![CDATA[Donato A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Caja Costarricense de Seguro Social Hospital Rafael Ángel Calderón Guardia Unidad de Cuidados Intensivos]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Caja Costarricense de Seguro Social Hospital Rafael Ángel Calderón Guardia Unidad de Cuidados Intensivos]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Caja Costarricense de Seguro Social Hospital Rafael Ángel Calderón Guardia Unidad de Cuidados Intensivos]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Caja Costarricense de Seguro Social Hospital Rafael Ángel Calderón Guardia Unidad de Cuidados Intensivos]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Caja Costarricense de Seguro Social Hospital Rafael Ángel Calderón Guardia Unidad de Cuidados Intensivos]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Caja Costarricense de Seguro Social Hospital Rafael Ángel Calderón Guardia Unidad de Cuidados Intensivos]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>63</volume>
<numero>4</numero>
<fpage>217</fpage>
<lpage>222</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022021000400217&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022021000400217&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022021000400217&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  La pandemia por la infección SARS-CoV-2 ha tenido un fuerte impacto internacional y nacional. La Unidad de Cuidados Intensivos del Hospital R.A. Calderón Guardia ha recibido pacientes críticos con COVID-19 desde marzo 2020. El propósito de este estudio es describir las principales características clínicas y de evolución de esta población.  Métodos:  Se trata de un estudio observacional descriptivo, que abarcó un periodo de 7 meses de marzo a septiembre de 2020. La información se tomó de 2 bases de datos de la UCI, una de las cuales se diseñó para tal fin.  Resultados:  Se recolectó la información de 120 pacientes, de los cuales 91 (76%) eran hombres con una edad promedio general de 60 años. La letalidad promedio fue similar para hombres y mujeres, situándose en 52%. Se trató de una población fundamentalmente con sobrepeso u obesidad con un índice de masa corporal promedio de 31,3. Ochenta y un pacientes (67,5%) requirieron de ventilación mecánica asistida y 72 pacientes (60%) desarrollaron insuficiencia renal aguda. La ventilación mecánica aumentó el riesgo de fallecer en 14,7 veces y la lesión renal lo incrementó en 10, 6 veces. Aproximadamente la mitad de los pacientes desarrolló al menos una infección nosocomial.  Conclusión: La infección severa por SARS-CoV-2 tiene una carga de morbimortalidad alta y se asocia con frecuencia a mayores requerimientos ventilatorios y a falla renal. Estas dos últimas condiciones aumentan de forma importante el riesgo de fallecimiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: The SARS-CoV-2 pandemic has had a strong international and national impact. The Intensive Care Unit of the Dr. R.A. Calderón Guardia Hospital has received critically ill patients with COVID-19 since March 2020. The purpose of this study was to describe the main clinical and evolution characteristics of this population.  Methods:  This is a descriptive, observational study covering a 7-month period from March to September 2020. Information was taken from 2 ICU databases, one of which was designed for this purpose.  Results: Information was collected from 120 patients, 91 (76%) male with a mean age of 60 years, mean mortality was similar for men and women standing at 52%. The population was primarily overweight or obese with an average body mass index of 31.3. Eighty-one patients (67.5%) required mechanical ventilation and 72 patients (60%) developed acute renal failure. Mechanical ventilation increased the risk of death by 14.7 times and renal injury by 10.6 times. Approximately half of the patients developed at least one nosocomial infection.  Conclusion:  Severe SARS-CoV-2 infection has a high morbidity and mortality burden and is frequently associated with increased ventilatory requirements and renal failure. The latter two conditions significantly increase the risk of death.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Covid-19]]></kwd>
<kwd lng="es"><![CDATA[infección por el Coronavirus]]></kwd>
<kwd lng="es"><![CDATA[neumonía]]></kwd>
<kwd lng="es"><![CDATA[mortalidad.]]></kwd>
<kwd lng="en"><![CDATA[Covid-19]]></kwd>
<kwd lng="en"><![CDATA[Coronavirus Infections]]></kwd>
<kwd lng="en"><![CDATA[pneumonia]]></kwd>
<kwd lng="en"><![CDATA[mortality.]]></kwd>
</kwd-group>
</article-meta>
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