一个初级医疗保健计划和COVID-19. 对住院和死亡率的影响
Cristina García-Marichal1, Manuel Francisco Aguilar-Jerez2, Luciano Jonathan Delgado-Plasencia3
1Gerencia de Atención Primaria de Tenerife, San Cristóbal De La Laguna, Spain.
埃德科计划有效监测初级保健中的COVID-19患者,导致7.2%的入院率和0.7%的死亡率. 这凸显了对弱势个体的远程监督的成功.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 远程医疗远程医疗
背景情况:
- 大多数患有轻度至中度症状的COVID-19患者不需要住院治疗,但需要医疗监督.
- 初级保健监测计划对于监测这些患者至关重要.
- 西班牙特内里费岛的EDCO计划从2021年2月至2022年3月间远程监测了易受伤害的COVID-19患者,以减少住院和死亡率.
研究的目的:
- 描述EDCO计划中患者的临床过程.
- 确定与COVID-19患者住院和死亡风险增加相关的因素.
主要方法:
- 追溯的队列研究.
- 包括3848名60岁以上或18岁以上的COVID-19患者,至少有一个脆弱性因素.
- 住院或死亡风险的初级结果评估.
主要成果:
- 7.2%的患者需要住院治疗.
- 与增加住院风险相关的因素包括低氧和度 (≤92%),高呼吸率 (≥22/分钟),肥胖,慢性病和年龄≥60.
- 死亡率为0.7%,与高呼吸率,多种脆弱因素,低氧和,慢性呼吸道疾病和活跃恶性瘤相关的风险更高.
结论:
- 在易受伤害的COVID-19患者中,EDCO初级保健计划实现了7.2%的入院率和0.7%的死亡率.
- 初级保健监督证明有效,91.7%的患者经历了完全症状的消失.
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