Abstract
Background: The Cuban health-care system recommends the hospital admissions of patients with unspecified febrile syndrome (UFS) to rule out arboviral diseases and to prevent healthcare associated adverse outcomes. Aim: Evaluate the burden of unspecified febrile syndrome in a Cuban hospital. Methods: A cross-sectional study was carried out in the Hospital Joaquin Albarran (La Habana, Cuba) from 1 January 2017 to 31 December 2019. It was collected the admissions and patients days (total and UFS patients) and laboratory test for dengue diagnosis. Results: During the three-year period, the epidemic curve starts in April-May and decline in November, with the highest peak in August 2019. It was admitted 16964 patients with UFS representing 43% of the hospital admissions, and 43512 patients’ days were documented. In 2019 the 51.9% of the hospital admissions and 22.9% of patients’ days were related to UFS, and were performed 7492 IgM test (repeated test in 89 patients) and 46.2% were reactive. Conclusion: The hospital admission related to unspecified febrile syndrome constitute a challenge to the organization and the healthcare system to provide the best care for all and minimize its economic impact.
Highlights
In recent decades, the global incidence of dengue has increased dramatically in endemic countries according to the World Health Organization (WHO), from 2.2 cases in 2010 to 96 million cases annually in 2013 [1,2]
This study aimed to evaluate the burden of unspecified febrile syndrome in a Cuban hospital
The training achieve the highest importance and priority taking into consideration that many physicians related to patients care are non-clinical staff The hospital has across the year a 36 bed unit for the care of unspecified febrile syndrome (UFS) and during the dengue fever epidemic period this capacity is increased, on a step by step basis, to 120 beds
Summary
The global incidence of dengue has increased dramatically in endemic countries according to the World Health Organization (WHO), from 2.2 cases in 2010 to 96 million cases annually in 2013 [1,2]. The Cuban health-care system is public and recommends the admissions of patients with UFS to rule out dengue fever and to prevent any adverse outcomes related to the disease. The Cuban health-care system recommends the hospital admissions of patients with unspecified febrile syndrome (UFS) to rule out arboviral diseases and to prevent healthcare associated adverse outcomes. Methods: A cross-sectional study was carried out in the Hospital Joaquín Albarrán (La Habana, Cuba) from 1 January 2017 to 31 December 2019 It was collected the admissions and patients days (total and UFS patients) and laboratory test for dengue diagnosis. Results: During the three-year period, the epidemic curve starts in April-May and decline in November, with the highest peak in August 2019 It was admitted 16964 patients with UFS representing 43% of the hospital admissions, and 43512 patients’ days were documented. Conclusion: The hospital admission related to unspecified febrile syndrome constitute a challenge to the organization and the healthcare system to provide the best care for all and minimize its economic impact
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