Background. SARS-CoV-2 infection was analyzed according to previous metabolic status and its association with mortality and post-acute COVID-19. Methods. A population-based observational retrospective study was conducted on a cohort of 110,726 patients aged 12 years or more who were diagnosed with COVID-19 infection between June 1st, 2021, and 28 February 2022 on the island of Gran Canaria, Spain. Results. In the 347 patients who died, the combination of advanced age, male sex, cancer, immunosuppressive therapy, coronary heart disease, elevated total cholesterol and reduced high-density lipoprotein cholesterol (HDL-C) was strongly predictive of mortality (p < 0.05). In the 555 patients who developed post-acute COVID-19, the persistence of symptoms was most frequent in women, older subjects and patients with obstructive sleep apnea syndrome, asthma, elevated fasting glucose levels or elevated total cholesterol (p < 0.05). A complete vaccination schedule was associated with lower mortality (incidence rate ratio (IRR) 0.5, 95%CI 0.39–0.64; p < 0.05) and post-acute COVID-19 (IRR 0.37, 95%CI 0.31–0.44; p < 0.05). Conclusions. Elevated HDL-C and elevated total cholesterol were significantly associated with COVID-19 mortality. Elevated fasting glucose levels and elevated total cholesterol were risk factors for the development of post-acute COVID-19.

A possible protective effect of influenza vaccination was observed in the general population, as well as an influence of Primary Healthcare workers on the patients regarding this. Even so, the low coverages registered point to a need to implement measures that may lead to a more favourable attitude towards influenza vaccination.

Sosiosanitario ESTOPMAPCA study, is a geriatric research program to establish the map of the first level of care in these patients, in order to propose strategies to improve the efficiency and quality of care.Objetives: 1) To assist decision making at all levels: prevention, diagnosis, treatment and monitoring, 2) To facilitate clinical reasoning, 3) Develop a reasoned guide, to avoid problems of RAM, especially in patients with postmenopausal osteoporosis (OPM) pluripatológicas and polymedicated.Methodology: Descriptive, transversal, through structured questionnaire, conducted in a single day, through structured and validated based on data from the last query from a patient with (OPM) questionnaire study. AP Canary field. sampling error of ± 4.4% and a confidence level of 95.5%, assuming p=q=50%.Results: 156 responded to the survey care physicians (13.39%), each doctor sees an average of 36.8 days patients, 4 of 10 OPM diagnostic x-rays, and 30% referred to a specialist MF, 3 of 10 OPM respond associate with arthrosis diagnosis and Lumbargia in 8 out of 10 drug treatment performed (Alendronate and calcium), 8-9 in 10 MF recommend dietary measures and regular exercise. 35.6% believe that failure is 15-20%, 33.8% more than 7 patients take drugs, cost effectiveness is the selection criteria for treatment (79.8%). Conclusions:The results obtained suggest the need to improve the knowledge and hone the skills of PHC physicians in patient care with OPM.