Coronavirus y atención primaria

Llor, Carles; Moragas, Ana

doi:10.1016/j.aprim.2020.03.002

Cited by 17 publications

(12 citation statements)

References 8 publications

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“…The use of PC resources has scarcely been studied at all. There are studies that highlight the PC attention as a main player in the pandemic and its fast adaptation to the new assistance model: prioritizing phone call consults and creating separated paths to treat patients with covid19 infection (con rmed or suspected) from non COVID patients [21][22][23][24][25][26][27]. However, the burden it has meant to the healthcare providers and its costs have not been studied in detail.…”

Section: Resultsmentioning

confidence: 99%

Characteristics of a COVID19 confirmed case series in Primary Care (COVID19-PC Project): a cross-sectional study

Rogero-Blanco

González-García

Medina-García

et al. 2020

Preprint

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Background: To estimate the prevalence of symptoms and signs related to a COVID19 case series confirmed by polymerase chain reaction (PCR) for SARS-CoV-2. Risk factors and the associated use of health services will also be analysed. Methods. Observational, descriptive, retrospective case series study. The study was performed at two Primary Care Health Centres located in Madrid, Spain. The subjects studied were all PCR SARS-CoV-2 confirmed cases older than 18 years, diagnosed from the beginning of the community transmission (March 13) until April 15, 2020. We collected sociodemographic, clinical, health service utilization and clinical course variables during the following months. All data was gathered by their own attending physician, and electronic medical records were reviewed individually. Statistical analysis: A descriptive analysis was carried out and a Poisson regression model was adjusted to study associated factors to Health Services use.Results: Out of the 499 patients studied from two health centres, 55.1% were women and mean age was 58.2 (17.3). 25.1% were healthcare professionals. The most frequent symptoms recorded related to COVID19 were cough (77.9%; CI 95% 46.5-93.4), fever (77.7%; CI95% 46.5-93.4) and dyspnoea (54.1%; CI95% 46.6-61.4). 60.7% were admitted to hospital. 64.5% first established contact with their primary care provider before going to the hospital, with a mean number of 11.4 Healthcare Providers Encounters with primary care during all the follow-up period.The number of visit-encounters with primary care was associated with being male [IRR 1.072 (1.013, 1.134)], disease severity {from mild respiratory infection [IRR 1.404 (1.095, 1.801)], up to bilateral pneumonia [IRR 1.852 (1.437,2.386)]}, and the need of a work leave [IRR 1.326 (1.244, 1.413].Conclusion: Symptoms and risk factors in our case series are similar to those in other studies. There was a high number of patients with atypical unilateral or bilateral pneumonia. Care for COVID has required a high use of healthcare resources such as clinical encounters and work leaves.

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Section: Resultsmentioning

confidence: 99%

Characteristics of a COVID19 confirmed case series in Primary Care (COVID19-PC Project): a cross-sectional study

Rogero-Blanco

González-García

Medina-García

et al. 2020

Preprint

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“…En este sentido, los estudios sobre la atención primaria han documentado la importancia de la valoración médica adecuada considerando el riesgo de complicación y el ingreso hospitalario oportuno. [9][10][11] En este estudio, se observa una diferencia de tres días, en promedio, entre el inicio de síntomas y el ingreso hospitalario entre aquellos pacientes que tuvieron atención previa y los que no. Sin embargo, se desconocen los motivos del ingreso tardío, lo que puede ser consecuencia del enmascaramiento de síntomas, la falta de seguimiento y monitoreo de sín-Tabla 2: Análisis descriptivo del uso de medicamentos por grupo farmacológico, previo al ingreso hospitalario, positivos a SARS-CoV-2, Hidalgo.…”

Section: Wwwmedigraphicorgmxunclassified

“…8,9 Esta situación no ha sido ajena durante la pandemia por la COVID-19, por lo que se ha resaltado que la atención sea oportuna, su importancia en la contención de los casos, ya que la identificación a tiempo y la valoración adecuada impacta en su pronóstico y desenlace. [9][10][11] En este sentido, se ha mencionado la necesidad de fortalecer los servicios de atención primaria y el diseño y actualización de sus protocolos de respuesta, basados en evidencia disponible, para implementar estrategias prehospitalarias, por lo que se tienen lineamientos y flujogramas específicos. 8,12,13 También se han documentado las experiencias del manejo en atención primaria en pacientes con COVID-19.…”

Section: Introductionunclassified

El reto de la atención médica primaria previa y su asociación con la mortalidad por la COVID-19

Casillas-Enríquez¹,

Cenobio-García²,

Benítez-Herrera³

2021

NCT Neumología Y Cirugía De Tórax

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“…The social distancing guidelines adopted by many countries, including Brazil, were an efficient strategy to contain the spread of the virus 6 . However, they have also contributed to aggravating health inequalities due to worsening a lack of assistance, and vulnerabilities of women.…”

Section: Introductionmentioning

confidence: 99%

Access to contraception during the Covid-19 pandemic: barriers and perspectives

et al. 2022

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Background The SARS-CoV-2 pandemic, which started in December 2019, was declared by the World Health Organization (WHO) as an international public health emergency in January 2020, with an impact on access to sexual and reproductive health services for women. Objective To discuss contraception in the pandemic context, based on current public policies and the world and Brazilian scenario. Method This is an opinion article, which describes the barriers and possible solutions for access to qualified sexual and reproductive health care for women. Results Relevant topics were explored, such as: the change in the logistics of services, the reduction in the number of consultations, the difficulty in importing contraceptives, the lack of trained professionals, and the bureaucratization of access to contraceptives methods. The use of telemedicine and the strengthening of Primary Health Care are considered strategies to guarantee access and change the reality of women. Conclusion In this context, it is necessary to maintain the actions of sexual and reproductive planning services to prevent injuries from unplanned pregnancies and increase maternal morbidity and mortality.

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Coronavirus y atención primaria

Cited by 17 publications

References 8 publications

Characteristics of a COVID19 confirmed case series in Primary Care (COVID19-PC Project): a cross-sectional study

Characteristics of a COVID19 confirmed case series in Primary Care (COVID19-PC Project): a cross-sectional study

El reto de la atención médica primaria previa y su asociación con la mortalidad por la COVID-19

Access to contraception during the Covid-19 pandemic: barriers and perspectives

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