Multicenter study of Health Care in patients with COVID-19: monitoring at three levels of complexity

COVID-19 is a disease caused by SARS-CoV-2. The World Health Organization points out that the majority of patients with COVID-19 (about 80%) may be asymptomatic and about 20% of cases may require hospital care because they have difficulty breathing. The objective of this research will be to analyze the clinical, sociodemographic risks, the trajectory of health care and to identify the respiratory parameters and risk indicators for dysphagia during hospitalization and after discharge to analyze the complications in hearing, smell, taste, oral communication, voice , hearing and swallowing of the critically ill patient, diagnosed with COVID-19, from public and private hospital networks, in the Federal District and in the states of Rio de Janeiro and São Paulo. It will be a cohort, quantitative and multicenter study, with the participation of Unicamp's Hospital das Clínicas, Vera Cruz Campinas Hospital, Emílio Ribas (SP), National Cancer Institute (RJ), Asa Norte Regional Hospital and Santa Lúcia Hospital (DF). Adult patients, aged 18 years or over, female and male, admitted by COVID-19 to public and private hospitals will participate in the study. Data collection will be performed through medical records, collection of clinical and sociodemographic data (PHASE 1), data collection of information from the speech-language assessment of swallowing, respiratory and clinical parameters of the hospitalization period (PHASE 2), and filling a questionnaire to be carried out by call center after hospital discharge (PHASE 3). Data collection during the hospitalization period will be carried out by collecting data from medical records (PHASE 1 and PHASE 2), due to the impossibility of contact with the patient and circulation in the hospital due to the risk of contamination and unnecessary use of PPE. Phase 3 data collection will be performed after hospital discharge and contact with the patient and / or family member / caregiver will be carried out remotely, in which a questionnaire will be applied to identify the sequelae of sensory pathways (taste, smell, hearing) , cognition, communication, voice and swallowing.