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Article

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

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Group B21-20R, Health Research Institute of Aragon (IIS), 50009 Zaragoza, Spain
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Centro de Salud de Illescas, Servicio de Salud de Castilla-La Mancha, 45200 Toledo, Spain
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Department of Health Sciences, Universidad Católica Santa Teresa de Jesús de Ávila, 05005 Ávila, Spain
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Department of Nursing, Universidad de Extremadura, 10600 Plasencia, Spain
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Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21071 Huelva, Spain
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Safety and Health Postgraduate Programme, Universidad Espíritu Santo, 092301 Guayaquil, Ecuador
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Consultorio Yuncos, ZBS Illescas, Servicio de Salud de Castilla-La Mancha, 45210 Toledo, Spain
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Consultorio El Viso de San Juan, Servicio de Salud de Castilla-La Mancha, 45215 Toledo, Spain
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Author to whom correspondence should be addressed.
Academic Editors: Paraskevi Katsaounou, Dimitrios B. Georgopoulos and Nikoletta Rovina
J. Pers. Med. 2021, 11(6), 459; https://doi.org/10.3390/jpm11060459
Received: 13 April 2021 / Revised: 20 May 2021 / Accepted: 22 May 2021 / Published: 24 May 2021
(This article belongs to the Special Issue Personalized Medicine for Covid-19 Patients-Clinical Considerations)
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. View Full-Text
Keywords: COVID-19; epidemiology; telemedicine; teleconsultation; primary health care; management per site/severity COVID-19; epidemiology; telemedicine; teleconsultation; primary health care; management per site/severity
MDPI and ACS Style

Coronado-Vázquez, V.; Ramírez-Durán, M.d.V.; Gómez-Salgado, J.; Dorado-Rabaneda, M.S.; Benito-Alonso, E.; Holgado-Juan, M.; Bronchalo-González, C. Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care. J. Pers. Med. 2021, 11, 459. https://doi.org/10.3390/jpm11060459

AMA Style

Coronado-Vázquez V, Ramírez-Durán MdV, Gómez-Salgado J, Dorado-Rabaneda MS, Benito-Alonso E, Holgado-Juan M, Bronchalo-González C. Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care. Journal of Personalized Medicine. 2021; 11(6):459. https://doi.org/10.3390/jpm11060459

Chicago/Turabian Style

Coronado-Vázquez, Valle, Maria d.V. Ramírez-Durán, Juan Gómez-Salgado, María S. Dorado-Rabaneda, Elena Benito-Alonso, Marina Holgado-Juan, and Cristina Bronchalo-González. 2021. "Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care" Journal of Personalized Medicine 11, no. 6: 459. https://doi.org/10.3390/jpm11060459

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