Barroso López Karen Ruth, Peñasco García Paloma, Soria López Clara Isabel, Pérez Fernández María Carmen, Gómez Cruz José Generoso, González Silva Yolanda
Centro de Salud Sisinio de Castro, Gerencia de Atención Primaria de Salamanca, España.
Centro de Salud Sisinio de Castro, Gerencia de Atención Primaria de Salamanca, España.
Aten Primaria. 2021 Feb;53(2):101957. doi: 10.1016/j.aprim.2020.10.005. Epub 2020 Dec 13.
To evaluate SAR-COV-2 pacients' features. To analyse de diferences between those who required hospital care and those who didn't.
Observational, descriptive and retrospective study.
Twomedical practices of an urban health center in Salamanca (Spain).
≥18 years diagnosed with SAR-CoV-2 between March 11th and April 20th.
clinical-epidemiological chatacteristics, diagnosis, treatment and outcome at the end of study RESULTS: 122 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%).
Prevalence 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.
评估感染新型冠状病毒2（SARS-CoV-2）患者的特征。分析需要住院治疗的患者与不需要住院治疗的患者之间的差异。
观察性、描述性和回顾性研究。
西班牙萨拉曼卡市一家城市健康中心的两家医疗诊所。
年龄≥18岁，于3月11日至4月20日期间被诊断为感染SARS-CoV-2。
研究结束时的临床流行病学特征、诊断、治疗及转归
122例患者（63.9%为女性），19.7%为社会和医疗保健工作者，4.9%来自养老院。主要年龄组为46 - 60岁。67.2%无合并症。主要症状：低热（73.5%）、咳嗽（65.2%）和发热（43%）。需要住院治疗的患者平均年龄较高：59.85（标准差16.22）岁，而不需要住院治疗的患者为50.78（标准差17.88）岁，P = 0.013。在所有接受初级卫生保健监测的患者中，63.6%以及需要协助的患者中14.1%没有出现呼吸困难，P = 0.001。与61.5%接受初级卫生保健的患者相比，仅2.5%的住院治疗患者未接受检测，P = 0.0001。26例患者在急诊室就诊：11例（9%）留院，2例（1.6%）死亡。分别有52.5%和70.5%的患者未接受抗生素或吸入器治疗。最常用的退热治疗药物是对乙酰氨基酚（78.7%）。
女性、无合并症患者以及年龄在46 - 60岁之间的人群患病率较高。补充性和确诊性检测主要在住院治疗中进行。症状以轻症为主且病情转归良好。突出了初级卫生保健在重症病例检测、早期干预和监测中所起的作用。
