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Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care

Diagnosis and home follow-up of patients affected by COVID-19 is being approached by primary health care professionals through telephone consultations. This modality of teleconsultation allows one to follow the evolution of patients and attend early to possible complications of the disease. The purp...

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Autores principales: Coronado-Vázquez, Valle, Ramírez-Durán, Maria del Valle, Gómez-Salgado, Juan, Dorado-Rabaneda, María Silvia, Benito-Alonso, Elena, Holgado-Juan, Marina, Bronchalo-González, Cristina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8224796/
https://www.ncbi.nlm.nih.gov/pubmed/34073666
http://dx.doi.org/10.3390/jpm11060459
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author Coronado-Vázquez, Valle
Ramírez-Durán, Maria del Valle
Gómez-Salgado, Juan
Dorado-Rabaneda, María Silvia
Benito-Alonso, Elena
Holgado-Juan, Marina
Bronchalo-González, Cristina
author_facet Coronado-Vázquez, Valle
Ramírez-Durán, Maria del Valle
Gómez-Salgado, Juan
Dorado-Rabaneda, María Silvia
Benito-Alonso, Elena
Holgado-Juan, Marina
Bronchalo-González, Cristina
author_sort Coronado-Vázquez, Valle
collection PubMed
description Diagnosis and home follow-up of patients affected by COVID-19 is being approached by primary health care professionals through telephone consultations. This modality of teleconsultation allows one to follow the evolution of patients and attend early to possible complications of the disease. The purpose of the study was to analyze the evolution of a cohort of patients with suspected SARS-CoV-2 disease followed by primary care professionals and to determine the factors that are associated with hospital admission. A prospective cohort study was carried out on 166 patients selected by consecutive sampling that showed symptoms compatible with COVID-19. The follow-up was approached via telephone for 14 days analyzing hospitalization and comorbidities of the patients. There were 75% of the hospitalized patients that were male (p = 0.002), and 70.8% presented comorbidities (p < 0.001). In patients with diabetes, the risk of hospitalization was 4.6-times larger, in hypertension patients it was 3.3-times, those suffering from renal insufficiency 3.8-times, and immunosuppressed patients 4.8-times (IC 95%: 1.9–11.7). In 86.7% of the cases, clinical deterioration was diagnosed in the first seven days of the infection, and 72% of healing was reached from day seven to fourteen. Monitoring from primary care of patients with COVID-19 allows early diagnosis of clinical deterioration and detection of comorbidities associated with the risk of poor evolution and hospital admission.
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spelling pubmed-82247962021-06-25 Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care Coronado-Vázquez, Valle Ramírez-Durán, Maria del Valle Gómez-Salgado, Juan Dorado-Rabaneda, María Silvia Benito-Alonso, Elena Holgado-Juan, Marina Bronchalo-González, Cristina J Pers Med Article Diagnosis and home follow-up of patients affected by COVID-19 is being approached by primary health care professionals through telephone consultations. This modality of teleconsultation allows one to follow the evolution of patients and attend early to possible complications of the disease. The purpose of the study was to analyze the evolution of a cohort of patients with suspected SARS-CoV-2 disease followed by primary care professionals and to determine the factors that are associated with hospital admission. A prospective cohort study was carried out on 166 patients selected by consecutive sampling that showed symptoms compatible with COVID-19. The follow-up was approached via telephone for 14 days analyzing hospitalization and comorbidities of the patients. There were 75% of the hospitalized patients that were male (p = 0.002), and 70.8% presented comorbidities (p < 0.001). In patients with diabetes, the risk of hospitalization was 4.6-times larger, in hypertension patients it was 3.3-times, those suffering from renal insufficiency 3.8-times, and immunosuppressed patients 4.8-times (IC 95%: 1.9–11.7). In 86.7% of the cases, clinical deterioration was diagnosed in the first seven days of the infection, and 72% of healing was reached from day seven to fourteen. Monitoring from primary care of patients with COVID-19 allows early diagnosis of clinical deterioration and detection of comorbidities associated with the risk of poor evolution and hospital admission. MDPI 2021-05-24 /pmc/articles/PMC8224796/ /pubmed/34073666 http://dx.doi.org/10.3390/jpm11060459 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Coronado-Vázquez, Valle
Ramírez-Durán, Maria del Valle
Gómez-Salgado, Juan
Dorado-Rabaneda, María Silvia
Benito-Alonso, Elena
Holgado-Juan, Marina
Bronchalo-González, Cristina
Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care
title Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care
title_full Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care
title_fullStr Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care
title_full_unstemmed Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care
title_short Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care
title_sort evolution of a cohort of covid-19 infection suspects followed-up from primary health care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8224796/
https://www.ncbi.nlm.nih.gov/pubmed/34073666
http://dx.doi.org/10.3390/jpm11060459
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