000106166 001__ 106166
000106166 005__ 20230519145517.0
000106166 0247_ $$2doi$$a10.3390/ijerph18073842
000106166 0248_ $$2sideral$$a124063
000106166 037__ $$aART-2021-124063
000106166 041__ $$aeng
000106166 100__ $$0(orcid)0000-0002-5494-6550$$aMagallón-Botaya, R.$$uUniversidad de Zaragoza
000106166 245__ $$aGeographic factors associated with poorer outcomes in patients diagnosed with covid-19 in primary health care
000106166 260__ $$c2021
000106166 5060_ $$aAccess copy available to the general public$$fUnrestricted
000106166 5203_ $$aBackground: The prognosis of older age COVID-19 patients with comorbidities is associated with a more severe course and higher fatality rates but no analysis has yet included factors related to the geographical area/municipality in which the affected patients live, so the objective of this study was to analyse the prognosis of patients with COVID-19 in terms of sex, age, comorbidi-ties, and geographic variables. Methods: A retrospective cohort of 6286 patients diagnosed with COVID-19 was analysed, considering demographic data, previous comorbidities and geographic variables. The main study variables were hospital admission, intensive care unit (ICU) admission and death due to worsening symptoms; and the secondary variables were sex, age, comorbidities and geographic variables (size of the area of residence, distance to the hospital and the driving time to the hospital). A comparison analysis and a multivariate Cox model were performed. Results: The multivariate Cox model showed that women had a better prognosis in any type of analysed prog-nosis. Most of the comorbidities studied were related to a poorer prognosis except for dementia, which is related to lower admissions and higher mortality. Suburban areas were associated with greater mortality and with less hospital or ICU admission. Distance to the hospital was also associated with hospital admission. Conclusions: Factors such as type of municipality and distance to hospital act as social health determinants. This fact must be taken account in order to stablish specifics prevention measures and treatment protocols.
000106166 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/COV20-00519$$9info:eu-repo/grantAgreement/ES/ISCIII/COV20-00634$$9info:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0001$$9info:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0005
000106166 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000106166 590__ $$a4.614$$b2021
000106166 592__ $$a0.814$$b2021
000106166 594__ $$a4.5$$b2021
000106166 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b45 / 183 = 0.246$$c2021$$dQ1$$eT1
000106166 593__ $$aPollution$$c2021$$dQ1
000106166 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b71 / 210 = 0.338$$c2021$$dQ2$$eT2
000106166 593__ $$aHealth, Toxicology and Mutagenesis$$c2021$$dQ1
000106166 591__ $$aENVIRONMENTAL SCIENCES$$b100 / 279 = 0.358$$c2021$$dQ2$$eT2
000106166 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000106166 700__ $$0(orcid)0000-0001-6565-9699$$aOliván-Blázquez, B.$$uUniversidad de Zaragoza
000106166 700__ $$aRamírez-Cervantes, K.L.
000106166 700__ $$0(orcid)0000-0002-6409-9041$$aMéndez-López-de-La-manzanara, F.
000106166 700__ $$0(orcid)0000-0001-7293-701X$$aAguilar-Palacio, I.$$uUniversidad de Zaragoza
000106166 700__ $$aCasajuana-Closas, M.
000106166 700__ $$aAndrés-Esteban, E.
000106166 7102_ $$14009$$2740$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Social
000106166 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000106166 7102_ $$11011$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Medic.Prevent.Salud Públ.
000106166 773__ $$g18, 7 (2021), 3842 [11 pp]$$pInt. j. environ. res. public health$$tInternational journal of environmental research and public health$$x1661-7827
000106166 8564_ $$s1077803$$uhttps://zaguan.unizar.es/record/106166/files/texto_completo.pdf$$yVersión publicada
000106166 8564_ $$s2698923$$uhttps://zaguan.unizar.es/record/106166/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000106166 909CO $$ooai:zaguan.unizar.es:106166$$particulos$$pdriver
000106166 951__ $$a2023-05-18-15:17:34
000106166 980__ $$aARTICLE