Tejero-Mas Manuel, Palmerín-Donoso Alba, Buitrago-Ramírez Francisco, Pérez-Caballero Francisco Luis, Morales-Gabardino José Antonio
Consultorio Local de Trujillanos, Centro de Salud Mérida Norte (Mérida), Badajoz, España.
Centro de Salud Urbano III (Mérida), Badajoz, España.
Aten Primaria. 2024 Dec 16;57(6):103155. doi: 10.1016/j.aprim.2024.103155.
To describe clinical and sociodemographic characteristics as well as the outcome of patients infected with SARS-CoV-2 in first six months of the pandemic.
Observational and ambispective study. SITE: Primary Care (two Health Areas in Extremadura).
A total of 1,422 patients were included (mean age 45.6 years; 53.2% women) who had the ICPC-2 diagnostic code for "confirmed SARS-CoV-2 infection" recorded in their clinical history during the first six months of the pandemic.
Not necessary.
Clinical and sociodemographic characteristics as well as outcome of patients (hospital visits, admissions and mortality).
The mean age (50.8 vs. 42.3 years, p<0.001), and prevalence of most of the comorbidities, dependent patients (13.8% vs. 4.0%), and residents in social care institutions (15.4% vs. 3.1%) were higher in the Don Benito-Villanueva area than in Badajoz. The predominant age group was 19-49 years (44.4%). 41.4% of patients were actively employed, mainly in National Classification of Occupations groups 2, 5, and 9, while 16.5% were social healthcare professionals. 16.5% of patients visited the hospital, 13.4% required hospitalization. Among those who consulted in hospital emergency departments independently, 46.2% were hospitalized, compared to 78.8% of those referred from primary care (p=0.000). The overall mortality rate was 2.0% (3.1% in Don Benito-Villanueva versus 1.3% in Badajoz; p=0.016) increasing to 8.9% among hospitalized patients.
Sociodemographic and clinical differences were noted between the two health areas. Most infections were managed in primary care, while those referred to the hospital had a higher hospitalization rate.
描述疫情头六个月感染新型冠状病毒肺炎（SARS-CoV-2）患者的临床和社会人口学特征以及结局。
观察性和双向性研究。
初级保健机构（埃斯特雷马杜拉的两个卫生区）。
共纳入1422例患者（平均年龄45.6岁；53.2%为女性），这些患者在疫情头六个月的临床病历中有“确诊SARS-CoV-2感染”的国际初级保健分类-2（ICPC-2）诊断代码。
无需干预。
患者的临床和社会人口学特征以及结局（医院就诊、住院和死亡率）。
唐贝尼托-比利亚努埃瓦地区患者的平均年龄（50.8岁对42.3岁，p<0.001）以及大多数合并症、依赖患者（13.8%对4.0%）和社会护理机构居民（15.4%对3.1%）的患病率均高于巴达霍斯地区。主要年龄组为19-49岁（44.4%）。41.4%的患者为在职人员，主要从事国际职业分类第2、5和9组工作，而16.5%为社会医疗保健专业人员。16.5%的患者前往医院就诊，13.4%需要住院治疗。在独立前往医院急诊科就诊的患者中，46.2%住院治疗，而初级保健转诊患者的住院率为78.8%（p=0.000）。总死亡率为2.0%（唐贝尼托-比利亚努埃瓦地区为3.1%，巴达霍斯地区为1.3%；p=0.016），住院患者死亡率增至8.9%。
两个卫生区在社会人口学和临床方面存在差异。大多数感染在初级保健机构得到处理，而转诊至医院的患者住院率较高。
