000123898 001__ 123898
000123898 005__ 20240319081029.0
000123898 0247_ $$2doi$$a10.3389/fmed.2022.1040062
000123898 0248_ $$2sideral$$a132359
000123898 037__ $$aART-2022-132359
000123898 041__ $$aeng
000123898 100__ $$0(orcid)0000-0001-6565-9699$$aOliván-Blázquez, Bárbara$$uUniversidad de Zaragoza
000123898 245__ $$aRelationship between initial symptoms and the prognosis, sex, and demographic area of patients with COVID-19
000123898 260__ $$c2022
000123898 5060_ $$aAccess copy available to the general public$$fUnrestricted
000123898 5203_ $$aA method of determining the initial symptoms and main prognostic identifiers for COVID-19 can be a key tool for physicians, especially primary care physicians. Therefore, the objective of this study was to examine the prognosis of patients with COVID-19 from two different demographic regions according to baseline and main symptoms, age, and sex.MethodsAll individuals selected from both urban and rural health centers were over 18 years of age, had COVID-19 before 2 March 2021, and were followed up with a primary care physician. All patients included in this study were recruited in terms of sex, age at the time of infection, type of contact, baseline symptoms, primary and secondary symptomatology, emergency assistance, hospitalization, intensive care unit (ICU) admission, and death.ResultsA total of 219 and 214 subjects were recruited from rural and urban health centers, respectively. Subjects with COVID-19 from rural areas were significantly older in age, with a higher proportion of men, and had significantly lower baseline and main symptoms than those from urban areas. In addition, the presence of both fever and dyspnea as the initial or main symptom is significantly associated with emergency assistance, hospitalization, and death, regardless of sex, age, and demographic area. This type of illness was reported to be significantly less frequent in the rural population than in the urban population.ConclusionThe presence of both fever and dyspnea as both initial and main symptoms is a poor prognostic factor for COVID-19, regardless of age, sex, and demographic areas. In addition, women reported lower levels of fever and dyspnea, requiring minimal emergency assistance and fewer hospitalization, and a lower rate of mortality than men. During a COVID-19 infection follow-up, subjects in rural areas seem to have less access to medical care than those in urban areas.
000123898 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/COV20-00634$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0001
000123898 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000123898 590__ $$a3.9$$b2022
000123898 592__ $$a0.926$$b2022
000123898 591__ $$aMEDICINE, GENERAL & INTERNAL$$b58 / 169 = 0.343$$c2022$$dQ2$$eT2
000123898 593__ $$aMedicine (miscellaneous)$$c2022$$dQ1
000123898 594__ $$a3.6$$b2022
000123898 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000123898 700__ $$0(orcid)0000-0001-8820-9105$$aBartolomé-Moreno, Cruz$$uUniversidad de Zaragoza
000123898 700__ $$aGericó-Aseguinolaza, Junkal
000123898 700__ $$0(orcid)0000-0002-6409-9041$$aMéndez-López, Fátima
000123898 700__ $$aLerma-Irureta, David
000123898 700__ $$0(orcid)0000-0002-9647-0108$$aLamiquiz-Moneo, Itziar$$uUniversidad de Zaragoza
000123898 700__ $$aFernández-Martínez, Selene
000123898 700__ $$0(orcid)0000-0002-5494-6550$$aMagallón-Botaya, Rosa$$uUniversidad de Zaragoza
000123898 7102_ $$14009$$2740$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Social
000123898 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000123898 7102_ $$11003$$2027$$aUniversidad de Zaragoza$$bDpto. Anatom.Histolog.Humanas$$cArea Anatom.Embriol.Humana
000123898 773__ $$g9 (2022), [10 pp.]$$pFront. med.$$tFrontiers in Medicine$$x2296-858X
000123898 8564_ $$s237277$$uhttps://zaguan.unizar.es/record/123898/files/texto_completo.pdf$$yVersión publicada
000123898 8564_ $$s2416084$$uhttps://zaguan.unizar.es/record/123898/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000123898 909CO $$ooai:zaguan.unizar.es:123898$$particulos$$pdriver
000123898 951__ $$a2024-03-18-16:59:36
000123898 980__ $$aARTICLE