Impacto de la pandemia en la atención primaria. Informe SESPAS 2022

Velasco, Eduardo Satué de; Fernández, Manuel Gayol; Riera, María Teresa Eyaralar; Botaya, Rosa Magallón; Ferrer, Francisco Abal

doi:10.1016/j.gaceta.2022.05.004

Cited by 17 publications

(14 citation statements)

References 9 publications

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“…In the first wave of the pandemic, mortality was 21.5% in a PHC cohort conducted on people aged over 65 years. In another study conducted in the same period, age was observed to be the main factor associated with mortality in patients with COVID-19, along with male sex, diabetes, dyslipidemia, and heart failure ( 21 , 51 ).…”

Section: Discussionmentioning

confidence: 90%

“…Several studies reported the impact that the COVID-19 pandemic has had on the PHC ( 19 , 20 ). SESPAS 2022 ( 21 ) reports on the major and important changes that the PHC in Spain has undergone. A battery of measures, such as the lack of accessibility, the implementation of telephone consultation, telematic remote care, access to medical records, the promotion of electronic prescriptions, and the electronic issuance of sick leave and high work, were introduced.…”

Section: Introductionmentioning

confidence: 99%

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Relationship between initial symptoms and the prognosis, sex, and demographic area of patients with COVID-19

et al. 2022

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BackgroundA 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.

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Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Relationship between initial symptoms and the prognosis, sex, and demographic area of patients with COVID-19

et al. 2022

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“…Al igual que otros centros sanitarios urbanos o rurales, el CAPS y los consultorios auxiliares (Departamento de Salud 21, Orihuela), que atienden a 26.195 habitantes, con su precaria preparación para una pandemia, procedieron a un cambio de modelo asistencial, consensuando protocolos no exentos de problemas por su improvisación 2 , 3 . A ello se añadió la distancia, factor predisponente conocido del uso de la atención sanitaria 4 , pues la escasez de recursos, especialmente en los consultorios auxiliares, provocó que quienes sospechaban padecer COVID-19 debieran recorrer entre 5 y 10 km hasta el CAPS, o que ni siquiera acudieran, para la realización de una prueba de reacción en cadena de la polimerasa.…”

Section: Desarrollo De La Experienciaunclassified

“…Desde la primera ola de la pandemia de COVID-19, los servicios sanitarios y sus profesionales se sobrecargaron de trabajo, debiendo afrontar responsabilidades que han sido reconocidas en medios de comunicación, en ámbitos políticos y por la propia población 1 . Sobre todo, fueron los/las profesionales de atención primaria quienes se sometieron a una variedad de factores estresantes de la asistencia sanitaria, su organización y gestión, incluyendo el daño colateral por la reasignación de recursos a la COVID-19 2 .…”

Section: Introductionunclassified

Vías y lugares de atención primaria durante la pandemia en una zona rural de Alicante

Pérez-Fernández¹,

Rico²,

Ruiz-Cantero³

2023

Gaceta Sanitaria

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“…The EAP initially assesses the severity of the patient, establishing who requires follow-up from primary care or transfer to hospital care [5]. However, primary healthcare underwent changes during the pandemic, mostly in relation to the digitization of assistance through telephone consultation, telematics assistance, electronic prescription, or telematics work disability reports [8].…”

Section: Introductionmentioning

confidence: 99%

COVID-19 epidemiology and rural healthcare: a survey in a Spanish village

Rodríguez-del-Río,

Barroso,

Fernández-de-Mera

et al. 2023

Epidemiol. Infect.

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We used primary care data to retrospectively describe the entry, spread, and impact of COVID-19 in a remote rural community and the associated risk factors and challenges faced by the healthcare team. Generalized linear models were fitted to assess the relationship between age, sex, period, risk group status, symptom duration, post-COVID illness, and disease severity. Social network and cluster analyses were also used. The first six cases, including travel events and a social event in town, contributed to early infection spread. About 351 positive cases were recorded and 6% of patients experienced two COVID-19 episodes in the 2.5-year study period. Five space–time case clusters were identified. One case, linked with the social event, was particularly central in its contact network. The duration of disease symptoms was driven by gender, age, and risk factors. The probability of suffering severe disease increased with symptom duration and decreased over time. About 27% and 23% of individuals presented with residual symptoms and post-COVID illness, respectively. The probability of developing a post-COVID illness increased with age and the duration of COVID-associated symptoms. Carefully registered primary care data may help optimize infection prevention and control efforts and upscale local healthcare capacities in vulnerable rural communities.

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Impacto de la pandemia en la atención primaria. Informe SESPAS 2022

Cited by 17 publications

References 9 publications

Relationship between initial symptoms and the prognosis, sex, and demographic area of patients with COVID-19

Relationship between initial symptoms and the prognosis, sex, and demographic area of patients with COVID-19

Vías y lugares de atención primaria durante la pandemia en una zona rural de Alicante

COVID-19 epidemiology and rural healthcare: a survey in a Spanish village

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