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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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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. |
format | Online Article Text |
id | pubmed-8224796 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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