ABSTRACT
Objective: to identify the prevailing symptom leading patients to look for health assistance initially and, subsequently, the symptom causing more discomfort while they were hospitalized. Methods: a study was conducted on a patient cohort admitted to hospital for COVID-19 during March and April 2020 (first wave), at the Internal Medicine Hospitalization Unit of the Hospital Clínico Lozano-Blesa (Zaragoza, Spain). The study included >18- year old persons, conscious and oriented, and able to communicate coherently during the interview for evaluation and hospital admission. Sociodemographic and clinical variables were studied, as well as the symptom which led to the consultation and the one causing higher discomfort, the healthcare resource contacted, reason for discharge, and days of hospital stay, among others. Descriptive analysis was conducted. Results: out of the 70 persons included in the study, 61.4% (n= 43) were male, 55.7% (n= 39) came from an urban setting, and their mean age was 60.5 (14.9) years. The mean number of days at home since start of symptoms until admission was 6.9 (4.9). The more prevailing symptom generating the first consultation was fever (47.1%, n= 33), and 50% (n= 35) of patients presented at Primary Care. The symptoms generating higher discomfort during hospitalization were dyspnea (17.1%, n= 12), fever (14.3%, n= 10) and cough (12.9%, n= 9). Conclusions: the most prevailing symptom generating the first consultation was fever. The symptoms which generated higher discomfort during hospitalization were dyspnea, fever and cough. © 2022 DAE Editorial, Grupo Paradigma. All rights reserved.
ABSTRACT
TRASCIENDE, as a research team, arose from the need to articulate a collaborative project between Full Inclusion-CLM and the UCLM for social, scientific, academic, and professional transformation in the field of disability, inclusion, and citizenship. As a result of the socio-health situation provoked by COVID-19, the TRASCIENDE team has been involved in the social change produced by confinement, necessarily developing a role of observer of the change. This global situation leads us to ask ourselves questions that aim to initiate research processes in practice: how has this confinement affected practices in early care? To answer this question we decided to adopt a qualitative research perspective to explore the perceptions of families and professionals (speech therapists, physiotherapists, stimulators and coordinators) of Early Care teams, their difficulties and their strengths in this situation of change. The work describes a process of exploring practices during the first months of confinement, practices that have been directed, in many cases, towards tele-intervention. Data has been collected through ethnographic interviews (families) and focus groups (professionals) and has been processed through thematic analysis (Attride-Stirling, 2001). The results show the perception of families and professionals articulated in three thematic network focuses: the personal and collective reaction to the new situation, what can remain of the tele-intervention (with its nuances) and what underlies the practices in this modality. The study also opens new lines of future research which evidence the difficulty of the process of transformation towards actual family-centred models. © 2021 University of Salamanca. All rights reserved.
ABSTRACT
ntroduction: Since the COVID 19 infection has been declared a pandemic by the World Health Organization, the spectrum of symptoms have been described, however, the presence of digestive symptoms as part of the probable sequelae of the disease has not been well studied. Objective: To determine the variables present during the active stage period of the COVID 19 infection and their association with symptoms of dyspepsia during the recovery period. Material and methods: An online survey was conducted to patients recovered from COVID 19 infection during the months of May and June 2020, evaluating the demographic variables of age, sex and comorbidities, the presence of COVID 19 infection symptoms during the disease active stage and digestive symptoms during recovery. Using SPSS version 22, univar-iate and multivariate logistic regression analysis was performed to determine the variables associated with the presence of dyspeptic symptoms such as early satiety, epigastric pain and postprandial fullness during recovery from the disease (4 weeks after the infection resolved). Results: A total of 315 patients recovered from COVID 19 infection were evaluated, mainly 59.6% from Baja California, 12.2% from Sonora, 7.8% CDMX, 6% Sinaloa, 3% Veracruz with an average age of 35.7 ±11.5 years of age, 65.4% female, with obesity comorbidities in 19.6% of cases, high blood pressure in 10.9%, asthma in 7.1% and diabetes mellitus in 2.2%. The most frequent symptoms reported of the disease were headache 79.5 %, myalgias 64.1%, diarrhea 60.9%, anosmia 62.2%, fever 57.1%, ageusia 58.7%, odynophagia 56.1%, arthralgias 54.7%, anorexia 52.6%, cough 49.7%, chest pain 39.4%, dyspnea 28.5%. Dyspep-sia in the recovery period was reported with pain in 18.6%, postprandial fullness 34.3%and early satiety in 52.2%. It was found that the variables independently associated with the presence of postprandial fullness during recovery from the disease are male (OR 0.544,IC 0.309-0.958, P = 0.035), anorexia (OR 3.07, IC 1.73-5.45, P <.001) and diarrhea (OR 1.87. IC 1.04-3.34, P = 0.034). The variable associated with the presence of satiety during recovery from the disease is the presence of anorexia (OR 6.65, CI 3.75-11.79, P <0.001). The presence of epigastric pain after COVID 19 infection is associated with diarrhea (OR 3.32, IC 1.42-7.79, P = 0.006), arthralgia (OR 3.15, IC 3.15-1.16-8.55, P = 0.026), treatment with azithromycin ( OR 2.29, IC 1.13-4.64, P = 0.021), chlorine dioxide treatment (OR 11.35, IC 2.69-47.9, P = 0.001).Conclusions: The presence of dyspepsia after infection by COVID 19 is frequent, some of the associated variables are similar to those reported in other cases of post-infectious dyspep-sia, the use of medications has an important relationship with the presence of epigastric pain.
ABSTRACT
The clinical features of Covid-19 have been described in adults and infants younger than 1 year of age, although there is little data on the characteristics and the potential of intrauterine transmission in newborns. A case of infection was identified in a baby born in Cancún Quintana Roo, in a regional hospital at the beginning of the epidemic. The patient did not require intensive care, nor were there any serious complications. The mother was infected with SARSCoV-2, showing mild respiratory symptoms. Although 10 mothers with symptoms of SARS-CoV-2 have been observed to date, only one case of a positive newborn has been identified in the hospital. In summary, newborns are susceptible to SARS-CoV-2 infection. The SARS-CoV-2 PCR-positive newborn had no symptoms, and so SARS-Cov2 may be considered less severe in neonates than in adults. Vertical intrauterine transmission in women who develop COVID-19 pneumonia is possible, although evidence is still lacking in Latin America and around the world.