Care management of overweight patients during covid-19 in the administrative region of the Federal District
observational study
DOI:
https://doi.org/10.51723/hrj.v7i34.983Keywords:
Obesity, Covid-19, Care management, Discharged from hospital, Continuity of careAbstract
Objective: to identify care management, across health care levels, for overweight patients in coping with the COVID-19 pandemic. Method: observational, retrospective cohort study with secondary data on COVID-19 cases confirmed in 2020, in Samambaia, Distrito Federal. Results: no significant difference was observed in health monitoring before and after hospitalization between the groups, however it is evident that almost 90% of patients were registered in primary care and that after hospital discharge, < 50% were not referred for continuity of care. Conclusion: Strategies that promote continuity of care, such as systematizing discharge, establishing care plans and post-discharge follow-up, prove to be crucial in reducing readmissions and deaths.
References
Organização Pan-Americana da Saúde. Histórico da pandemia de COVID-19 – OPAS/OMS | Organização Pan-Americana da Saúde [Internet]. www.paho.org. Disponível em: https://www.paho.org/pt/covid19/historico-da-pandemia-covid-19
Governo do Distrito Federal. Subsecretaria de Vigilância em Saúde. Secretaria de Estado da Saúde do Distrito Federal. Emergência de Saúde Pública COVID-19 no âmbito do Distrito Federal [Internet]. Disponível em: https://www.saude.df.gov.br/documents/37101/142730/Boletim-COVID_DF_304.pdf
Dunlop C, Howe A, Li D, Allen LN. The coronavirus out break: the central role of primary care in emergency prepared nessand response. BJGP Open. 2020 Jan 28;bjgpopen20X101041.
Kalligeros M, Shehadeh F, Mylona EK, Benitez G, Beckwith CG, Chan PA et al. Association of Obesity with Disease Severity among Patients with COVID-19. Obesity. 2020 Apr 30.
Sawadogo W, Tsegaye M, Gizaw A, Adera T. Overweight and obesity as risk factors for COVID-19-associated hospitalisations and death: systematic review and meta-analysis. BMJ Nutrition, Prevention& Health. 2022 Jan 19;e000375.
Luzi L, Radaelli MG. Influenza and obesity: its odd relationship and the lessons for COVID-19 pandemic. Acta Diabetologica. 2020 Apr 5.
Richardson S, Hirsch JS, Narasimhan M, Crawford JM, McGinn T, Davidson KW et al. The Northwell COVID-19 Research Consortium. Presenting characteristics, comorbidities, and out comes among 5700 patients hospitalized with COVID-19 in the New York City Area. JAMA. 2020;323(20):2052-9.
Cai Q, Chen F, Wang T, Luo F, Liu X, Wu Q, He Q, Wang Z, Liu Y, Liu L, Chen J, Xu L. Obesity and COVID-19 severity in a designated hospital in Shenzhen, China. Diabetes Care. 2020;43(7):1392-8.
Michalakis K, Ilias I. SARS-CoV-2 infection and obesity: Common inflammatory and metabolic aspects. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2020 Jul;14(4):469-71.
Bispo Júnior JP, Santos DB. COVID-19 como sindemia: modelo teórico e fundamentos para a abordagem abrangente em saúde. Cad Saude Publica. 2021;37(10).
Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Manual de atenção às pessoas com sobrepeso e obesidade no âmbito da Atenção Primária à Saúde (APS) do Sistema Único de Saúde [recurso eletrônico] / Departamento de Promoção da Saúde – Brasília: Ministério da Saúde, 2022. 55 p.: il.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis. Vigitel Brasil 2021 – Brasília: Ministério da Saúde, 2021. 128. : il.
Yu W, Rohli KE, Yang S, Jia P. Impact of obesity on COVID-19 patients. Journal of Diabetes and its Complications. 2020 Nov;35(3):107817.
Nielsen Jeschke K, Bonnesen B, Hansen EF, Jensen JUS, Lapperre TS, Weinreich UM et al. Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting. European Clinical Respiratory Journal. 2020 Jan 1;7(1):1761677
Governo do Distrito Federal. Agência Brasília. Subsecretaria de Divulgação. Secretaria de Estado de Comunicação do DF [Internet]. Disponível em: https://agenciabrasilia.df.gov.br/2020/07/09/acordo-entre-saude-e-rede-privada-gera-35-leitos-de-utidurante-a-pandemia/
Governo do Distrito Federal. Secretaria de Estado de Saúde. Subsecretaria de Atenção Integral à Saúde. Comissão Permanente de Protocolos de Atenção à Saúde [Internet]. Disponível em: https://www.saude.df.gov.br/documents/37101/87373/Protocolo+de+Desospitaliza%C3%A7%C3%A3o+de+Hospitais+e+UPAS+no+Distrito+Federal.pdf/9c7a948e-c6c7-c184-baee-fa4
Governo do Distrito Federal. Secretaria de Estado de Saúde. Organização regional da linha de cuidado para prevenção e tratamento do sobrepeso e da obesidade na rede de atenção à saúde das pessoas com doenças crônicas no Distrito Federal – Etapa 1 [Internet]. Disponível em: https://www.saude.df.gov.br/Linha_de_Cuidado_de_Sobrepeso_e_Obesidade__1_.pdf
Sistema de Vigilância Epidemiológica da Gripe (SIVEP-Gripe). SIVEP-GRIPE [Internet]. sivepgripe.saude. gov.br. Available from: https://sivepgripe.saude.gov.br/sivepgripe/login.html?0
Estratégia e-SUS Atenção Primária [Internet]. Disponível em: esus.saude.df.gov.br.
InterSystemsTrakcare [Internet]. Disponível em: www.portaldeexames.saude.df.gov.br/trakcare
Soul-MV [Internet]. Disponível em: igesdf.org.br/tag/soul-mv
WORLD HEALTH ORGANIZATION. Physical Status: the use and interpretation of anthropometry. Geneva, Switzerland: WHO, 1995. (WHO TechnicalReport Series, n. 854).
Stata Corp. (2017). Stata 15. Structural Equation Modeling: Reference Manual. College Station, TX: Stata Press.
Garg S et al. Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019 — COVID-NET, 14 States, March 1-30, 2020. MMWR Morbidity and Mortality Weekly Report [Internet]. 2020;69(15). Available from: https://www.cdc.gov/mmwr/volumes/69/wr/mm6915e3.htm?s_cid=mm6915e3_w
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet [Internet]. 2020 Jan 24;395(10223):497-506. Available from: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30183-5/fulltext
Guan W, Liang W, Zhao Y, Liang H, Chen Z, Li Y et al. Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis. European Respiratory Journal [Internet]. 2020 Mar 26;55(5):2000547. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098485/
Zheng Z, Peng F, Xu B, Zhao J, Liu H, Peng J et al. Risk factors of critical & mortal COVID-19 cases: A systematic literature review and meta-analysis. The Journal of Infection [Internet]. 2020 Apr 23;81(2). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7177098/
Huang R, Zhu L, Xue L, Liu L, Yan X, Wang J et al. Clinical findings of patients with coronavirus disease 2019 in Jiangsu province, China: a retrospective, multi-center study. PLoS Negl Trop Dis. 2020 May 8;14(5):e0008280.
Acosta AM, Lima MADS. Frequent users of emergency services: associated factors and reasons for seeking care. Rev Latino-Am Enfermagem. 2015 Apr;23(2):337-44.
Lima MADS, Magalhães AMM, Oelke ND, Marques GQ, Lorenzini E, Weber LAF et al. Care transition strategies in Latin American countries: an integrative review. Rev Gaucha Enferm. 2018 Nov 29;39(0).
Gheno J, Weis AH. Care transtion in hospital discharge for adult patients: integrative literature review. Texto & Contexto – Enfermagem. 2021;30.
Rodrigues R, Cardinali DJM. A COVID-19 na atenção primária à saúde: mais um desafio. Health Residencies Journal – HRJ [Internet]. 2021 Feb 10;2(9):3-10. Disponível em: https://escsresidencias.emnuvens.com.br/hrj/article/view/160
Governo do Distrito Federal. Secretaria de Estado de Saúde. Subsecretaria de Atenção Integral à Saúde. Coordenação de Atenção Primária à Saúde. Carteira de serviços essenciais para a atenção primária à saúde durante a pandemia de COVID-19 [Internet]. Disponível em: https://www.saude.df.gov.br/documents/Carteira-de-Servicos-COVID_v1_2309_final.pdf
Governo do Distrito Federal. Secretaria de Estado de Saúde. Subsecretaria de Atenção Integral à Saúde. Critérios e fluxos de encaminhamento para ambulatórios especializados dos pacientes egressos de internação por COVID-19 na SES-DF [Internet]. Disponível em: https://www.saude.df.gov.br/documents/37101/85026/Nota-Tecnica-criterios-e-fluxos-deencaminhamentopara-ambulatorios-covid-19-na-ses-df.pdf
Governo do Distrito Federal. Secretaria de Estado de Saúde. Diretrizes de apoio clínico e organizacional para a APS no enfrentamento à COVID-19. Fluxograma de internação e alta para pacientes da COVID-19 [Internet]. Disponível em: https://www.saude.df.gov.br/NOTA_TECNICA_COVID_APS.pdf
Ronca DB, Mosquita LO, Oliveira D, Figueiredo ACMG, Song J, Guedes KMB. Excess weight is associated with neurological and neuropsychiatric symptoms in post-COVID-19 condition: a systematic review and meta-analysis. PLoS One. 2025;20(5):e0314692.
Pasini E, Corsetti G, Romano C, Scarabelli TM, Chen-Scarabelli C, Saravolatz L et al. Serum Metabolic Profile in Patients With Long-Covid (PASC) Syndrome: Clinical Implications. Frontiers in Medicine [Internet]. 2021;8:714426. Available from: https://pubmed.ncbi.nlm.nih.gov/34368201/
Hirschman KB, Shaid E, McCauley K, Pauly MV, Naylor MD. Continuity of Care: The Transitional Care Model. Online Journal of Issues in Nursing [Internet]. 2015 Sep 30;20(3):1. Available from: https://pubmed.ncbi.nlm.nih.gov/26882510/
Jeffs L, Kuluski K, Law M, Saragosa M, Espin S, Ferris E et al. Identifying Effective Nurse-Led Care Transition Interventions for Older Adults With Complex Needs Using a Structured Expert Panel. World views on Evidence-Based Nursing. 2017 Jan 10;14(2):136-44.
Wang W, Yan Y. Suboptimal health: a new health dimension for translational medicine. Clinical and Translational Medicine. 2012;1:28.
Lipschitz DA. Screening for nutritional status in theelderly. Primary Care: Clinics in Office Practice. 1994 Mar;21(1):55-67.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Sabrina Souza Martins dos Santos, Thaís Gontijo Ribeiro, Melina Mafra Toledo, Débora Barbosa Ronca
This work is licensed under a Creative Commons Attribution 4.0 International License.
Esta licença permite que outros distribuam, remixem, adaptem e desenvolvam seu trabalho, mesmo comercialmente, desde que atribuam crédito à revista pela criação original.
