Características y evolución de los pacientes COVID-19 en un centro de salud urbano al inicio de la pandemia

Abstract

ObjetiveTo evaluate SAR-COV-2 pacients’ features. To analyse de diferences between those who required hospital care and those who didn’t. DesignObservational, descriptive and retrospective study. SettingTwomedical practices of an urban health center in Salamanca (Spain). Participants≥18 years diagnosed with SAR-CoV-2 between March 11th and April 20th. Main measurementsclinical-epidemiological chatacteristics, diagnosis, treatment and outcome at the end of study Results122 patients (63.9% female), 19.7% social and health care workers y 4.9% from nursing homes. Predominant age group: 46-60 years. 67.2% without comorbility. Predomint symptoms: low-grade fever (73.5%), cough (65.2%) y fever (43%). Average age of the patients requiring hospital care was higher: 59.85 (DE16.22) versus 50.78 (DE17.88) P=.013. 63.6% of all the patients monitored by Primary Health Care and 14.1% of patients that required assistance did not present dyspnea P=.001. Only 2.5% of the hospital-assisted patients, compared to 61.5% of Primary Health Care, were not tested P=.0001. 26 patients were attendedn at an emergency room: 11(9%) stayed and 2 (1.6%) passed away. No antibiotic or inhaler treatment for 52.5% and 70.5% respectively. The most used antipyretic treatment was paracetamol (78.7%). ConclusionsPrevalence in females, comorbility-free patients and in age range: 46-60 years. Complementary and confirmatory test were performed mainly in hospital care. Predominance of mild symptoms and favourable evolution. Highliting the role played by Primary Health Care in detection, early intervention and monitoring of severe cases.