ABSTRACT
Objectives: Hypertension (HTN), defined as persistence of blood pressure higher than 140/90 mmHg, is considered an important cause of mortality, disability and high sanitary costs. In this paper we propose to evaluate the impact of Social Preventive and Mandatory Isolation (ASPO by its acronym in Spanish) in the control of HTN patients according to socioeconomic level. Materials and methods: a descriptive cross-sectional study was conducted, based on data from a self-generated survey by Google forms with 25 questions;the inclusion criteria were diagnosed HTN, being older than 18 years, living in Bahía Blanca and agreeing to answer the survey. Results: 143 answers were evaluated, the average age was 58 years, 50.3 % of those surveyed were women. Seventy percent follows a treatment for HTN indicated by a health professional;33.6% should have had controls studies done during the ASPO;11.2% had to assist to cardiologic control and couldn’t do it;10.48% of the sample couldn’t undergo all control tests during the quarantine. Conclusions: According to socioeconomic level, we could see that all the people with high income obtained access to all the tests;while none of the people with low income could do it, this could be telling us about the differences in opportunities to achieve a maximum health status due to inequities in access.
ABSTRACT
Objectives: Acute ischemic stroke patients with severe acute respiratory syndrome coronavirus maybe candidates for acute revascularization treatments (intravenous thrombolysis and/or mechanical thrombectomy). Materials and Methods: We analyzed the data from 62 healthcare facilities to determine the odds of receiving acute revascularization treatments in severe acute respiratory syndrome coronavirus infected patients and odds of composite of death and non-routine discharge with severe acute respiratory syndrome coronavirus infected and non-infected patients undergoing acute revascularization treatments after adjusting for potential confounders. Results: Acute ischemic stroke patients with severe acute respiratory syndrome coronavirus infection were significantly less likely to receive acute revascularization treatments (odds ratio 0.6, 95% confidence interval 0.5-0.8, p=0.0001). Among ischemic stroke patients who received acute revascularization treatments, severe acute respiratory syndrome coronavirus infection was associated with increased odds of death or non-routine discharge (odds ratio 3.0, 95% confidence interval 1.8-5.1). The higher odds death or non-routine discharge (odds ratio 2.1, 95% confidence interval 1.9-2.3) with severe acute respiratory syndrome coronavirus infection were observed in all ischemic stroke patients without any modifying effect of acute revascularization treatments (interaction term for death (p=0.9) or death or non-routine discharge (p=0.2). Conclusions: Patients with acute ischemic stroke patients with severe acute respiratory syndrome coronavirus infection were significantly less likely to receive acute revascularization treatments. Severe acute respiratory syndrome coronavirus infection was associated with a significantly higher rate of death or non-routine discharge among acute ischemic stroke patients receiving revascularization treatments.