• Atencion primaria · Dec 2024

    [Clinical and sociodemographic characteristics and progression of SARS-CoV-2 patients in two health areas of Extremadura during the first six months of the pandemic].

    • Manuel Tejero-Mas, Alba Palmerín-Donoso, Francisco Buitrago-Ramírez, Francisco Luis Pérez-Caballero, and José Antonio Morales-Gabardino.
    • Consultorio Local de Trujillanos, Centro de Salud Mérida Norte (Mérida), Badajoz, España. Electronic address: mtejeromas@gmail.com.
    • Aten Primaria. 2024 Dec 16; 57 (6): 103155103155.

    ObjectiveTo describe clinical and sociodemographic characteristics as well as the outcome of patients infected with SARS-CoV-2 in first six months of the pandemic.DesignObservational and ambispective study. SITE: Primary Care (two Health Areas in Extremadura).ParticipantsA 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.InterventionsNot necessary.Main MeasurementsClinical and sociodemographic characteristics as well as outcome of patients (hospital visits, admissions and mortality).ResultsThe 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.ConclusionsSociodemographic 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.Copyright © 2024 The Authors. Publicado por Elsevier España S.L.U. All rights reserved.

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