B21-20R Group, Instituto Aragonés de Investigaciones Sanitarias, Universidad de Zaragoza, Zaragoza, Spain.
Las Cortes Health Centre, Madrid Health Service, Madrid, Spain.
Int J Public Health. 2022 Aug 30;67:1604747. doi: 10.3389/ijph.2022.1604747. eCollection 2022.
Isolation of suspected cases of COVID-19 has been shown effective in reducing disease transmission and monitoring these patients from primary care allows to detect complications. The objective of this study is to determine the evolution of a cohort of patients with suspected COVID-19, and to analyse the factors associated with hospital admissions due to their unfavourable evolution. Prospective cohort study. A cohort of 166 patients with COVID-19 symptoms was selected and was followed-up by telephone calls during 14 days of home isolation. By the end of the follow-up, a hospital admission had taken place in 14.7% of patients. The mean survival time until admission among diabetics was 12.6, 10.9 days for chronic kidney diseases, and 9.3 days in immunocompromised patients. Immunosuppression was a risk factor for admission over 50 years of age. Hospital admissions for suspected cases of COVID-19 are associated with diabetes, chronic kidney disease, and immunosuppression. Telephone monitoring of these patients from primary care allows for home isolation and early detection of disease complications.
对疑似 COVID-19 病例进行隔离已被证明可有效减少疾病传播,对这些患者进行初级保健监测可发现并发症。本研究的目的是确定一组疑似 COVID-19 患者的病情演变,并分析与因病情恶化而住院相关的因素。 前瞻性队列研究。选择了 166 名有 COVID-19 症状的患者进行队列研究,并在居家隔离的 14 天内通过电话进行随访。随访结束时,14.7%的患者住院。糖尿病患者的平均住院生存时间为 12.6 天,慢性肾脏病患者为 10.9 天,免疫功能低下患者为 9.3 天。免疫抑制是 50 岁以上患者住院的危险因素。疑似 COVID-19 病例住院与糖尿病、慢性肾脏病和免疫抑制有关。对这些患者进行初级保健的电话监测可进行居家隔离,并早期发现疾病并发症。