Hallazgos y complicaciones extrapulmonares en pacientes con neumopatía Covid-19: Experiencia local y revisión de la literatura

Venegas, I. Soledad; Valdés, Odalys; Palacios, Mónica; Soto, Fidela; Schiappacasse, Flavia; Vidal, Alain; Varela, Uzcátegui; Maldonado, Stanislao

doi:10.4067/s0717-93082021000200066

Cited by 2 publications

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“…The emerging variants Beta, Delta, Lambda, and, more recently, Omicron, together with people’s refusal to receive the vaccine, caused an alarming increase in COVID-19 cases at the beginning of 2022 [ 5 ]. COVID-19 results in personal and social consequences and leads to health complications, with the most feared complications being pulmonary, extrapulmonary, and psychiatric symptoms, some of which may persist on a long-term basis [ 6 , 7 , 8 ]. Due to vaccination, the incidence of COVID-19 is expected to decrease along with mortality, as stated by Watson [ 9 ], who found a significant decrease in mortality between December 2020 and 2021.…”

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confidence: 99%

Global Inequities in COVID-19 Vaccination: Associated Factors and Tools to Measure Inequality

et al. 2023

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Introduction: Socioeconomic factors have been recognized by the WHO as determinants of health, and it is important to consider these factors in decision making to curb existing inequality in vaccination for SARS-CoV-2, which causes COVID-19. Objective: We aimed to determine whether there is a correlation between socioeconomic factors and vaccination worldwide and measure inequality. Method: A study of secondary sources was carried out to assess inequality in vaccination against COVID-19 worldwide and its association with socioeconomic factors. For this assessment, 169 countries were chosen from January 2020 to March 2022 using LibreOffice and JASP 0.16.1.10. Several mathematical models and statistical tests were used, including a normality test, an analysis of frequencies and proportions, a Kruskal–Wallis test, Spearman’s correlations, a Lorenz curve, a Concentration Index, and a slope. Results: Correlations were found between socioeconomic factors and vaccination with one, two, and three doses. As the GDP showed correlations of 0.71 for one dose and 0.82 for three doses, we found that the greater the competitiveness of the countries, the higher the percentage of vaccinated individuals in their populations. According to the Concentration Index, there was greater inequality in vaccination with regard to receiving a higher number of doses, as reflected in the life expectancy indices of 0.16–0.19 and 0.50. The continent with the highest degree of inequality was Africa, and the continent with the lowest degree was America. South Americans were vaccinated with two doses at a rate of 6.19%/month, which was 4.3 times faster than Africans, with 72% of the population being vaccinated in South America, compared to only 16% in Africa. Conclusion: There is inequality in vaccination against COVID-19 with one, two, and three doses, which is associated with socioeconomic factors.

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Section: Introductionmentioning

confidence: 99%

Global Inequities in COVID-19 Vaccination: Associated Factors and Tools to Measure Inequality

et al. 2023

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“…(1,2) En cuanto a sus complicaciones post infección, estas se clasifican en pulmonares y extrapulmonares; las complicaciones extrapulmonares con mayor frecuencia se presentan a nivel cardiovascular y neurológico; estas complicaciones aparecen a lo largo de las doce semanas hasta un año post infección, son también denominadas como el "Síndrome Post COVID-19". (3,4) Las complicaciones extrapulmonares han sido descritas en los pacientes en quienes se ha hecho un seguimiento mediante estudios imagenológicos; las complicaciones que se han observado son el dolor de tipo opresivo torácico, insuficiencia cardíaca, taquicardia, miocarditis, trombosis, arritmias. (3,5) La finalidad de esta revisión es conocer las principales complicaciones cardíacas, los síntomas presentes para contribuir desde el punto de vista teórico a un manejo oportuno.…”

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Main cardiac complications in patients with Post COVID-19 Syndrome

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2022

Salud, Ciencia y Tecnología

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Antecedentes: Las complicaciones cardiacas a causa del virus SARS-CoV-2 han ocacionado grandes afecciones en la población adulta. Entre las complicaciones post infección estan las pulmonares y extrapulmoneres, también se las conoce como “Síndrome Post COVID-19”; se abordan a estos pacientes mediante exámenes complementarios ya que presentan una clínica poco específica. Objetivo: Determinar las principales complicaciones cardiacas en pacientes post infección por COVID-19.Métodos: Se realizó una búsqueda bibliográfica de artículos publicados en la base de datos Pubmed. Resultados: Se destaca la lesión cardiaca aguda como una de las más prevalentes; otro síntoma destacable son las arritmias, insuficiencia cardiaca, y en menor proporción, coagulación intravascular disemina. Los pacientes que llegaron a desarrollar shock tras una infección por coronavirus es resultado de la lesión miocárdica sumada a otros factores de riesgo como antecedentes de biomarcadores cardiacos elevados y estancia en unidades de cuidados intensivos a razón del padecimiento viral. Otra de las manifestaciones clínicas con alta prevalencia en estos pacientes es la disnea, síntoma que se encuentra estrechamente relacionado con una intolerancia al esfuerzo físico y a la fatiga evidenciado en periodos de tiempo inferiores a los 12 meses tras la infección. Conclusiones: Las complicaciones cardiacas fueron las arritmias, el síndrome coronario agudo, la insuficiencia cardiaca, el shock y la coagulación intravascular diseminada; manifestándose principalmente con fiebre y disnea, además que los pacientes mas vulnerables eran quieres presentaban distintas comorbilidades.

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Hallazgos y complicaciones extrapulmonares en pacientes con neumopatía Covid-19: Experiencia local y revisión de la literatura

Cited by 2 publications

References 20 publications

Global Inequities in COVID-19 Vaccination: Associated Factors and Tools to Measure Inequality

Global Inequities in COVID-19 Vaccination: Associated Factors and Tools to Measure Inequality

Main cardiac complications in patients with Post COVID-19 Syndrome

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