[Factors associated with an unfavorable evolution in patients diagnosed with COVID-19 and followed up in primary care in 2020]. / Factores asociados con una evolución desfavorable en pacientes diagnosticados de COVID-19 y seguidos en atención primaria en 2020.
Aten Primaria
; 54(9): 102372, 2022 09.
Article
in Spanish
| MEDLINE | ID: covidwho-1914162
ABSTRACT
AIM:
To know the factors associated with an unfavorable evolution (UE) of patients diagnosed with COVID-19 with total or partial follow-up in primary care.DESIGN:
A case series.SETTING:
Urban health center.PARTICIPANTS:
By systematic sampling, patients ≥18 years, diagnosed with COVID-19, with analytical confirmation, in 2020 and followed up by their family doctors, were selected. MAIN MEASUREMENTS Dependent variable hospital admission or death due to COVID-19. INDEPENDENT VARIABLES age, sex, medical background, clinical data and treatments related to the disease. Statistical analysis, with SPSS 25.0 descriptive analysis, comparison of proportions (chi square) and medians (Mann-Whitney U). The analysis is completed with logistic regression.RESULTS:
610 patients were included in the study. The median age was 49 years (interquartile range 35-61); 51.8% were women; 14.9% presented UE (95% CI 12.0-17.8). The sociodemographic variables or the variables related to medical background that showed an independent association with UE were age (OR 1.066; 95% CI 1.038-1.095), sex (OR for men 3.277; 95% CI 1.304-8.235) and being a smoker or former smoker (OR 2.565; 95% CI 1.135-5.800). Regarding the clinical variables of the disease, an association was found for altered consciousness (OR 62.829; 95% CI 9.177-430.149), dyspnea (OR 14.339; 95% CI 6.046-34.009), expectoration (OR 4.764; 95% CI 1.858-12.213)) and asthenia (OR 3.993; 95% CI 1.705-9.351).CONCLUSIONS:
14.9% of the patients diagnosed with COVID-19 presented an UE. Older age, male sex and being a smoker or former smoker increased the probability of it. Altered consciousness, dyspnea, expectoration, and asthenia were the clinical data that best predicted UE.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19
Type of study:
Cohort study
/
Observational study
/
Prognostic study
/
Systematic review/Meta Analysis
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
Spanish
Journal:
Aten Primaria
Year:
2022
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS