scholarly journals SARS-COV-2 INFECTION IN PRIMARY CARE: A SINGLE-CENTERED, RETROSPECTIVE, OBSERVATIONAL STUDY

Author(s):  
Pilar Galicia ◽  
Juan Jose Gutierrez Cuevas ◽  
Fang Fang Chen Chen ◽  
Laura Santos Larregola ◽  
Alberto Manzanares Briega ◽  
...  

Purpose: to describe the clinical characteristics of patients with confirmed SARS-CoV-2 infection in primary care and to analyze the predictive role of different risk factors on prognosis, especially living conditions. Methods: Retrospective longitudinal observational retrospective study by reviewing medical records from a primary care center since March 1 to April 30, 2020. Case definition of confirmed SARS-CoV-2 infection, sociodemographic data, clinical characteristics, comorbidity and living conditions were collected. The statistical analysis consisted in description of the sample, comparison of prognosis groups and analysis of prognostic factors. Results. A sample of 70 patients with confirmed SARS-CoV-2 infection was obtained, with comorbidity mainly related to arterial hypertension, overweight/obesity, hypercholesterolemia, diabetes and chronic pulmonary pathology. Pneumonia was present in 66%. Exitus occurred in 14% of the sample. Factors associated with mortality were advanced age (84 vs 55; p<0.0001), arterial hypertension (78% vs 41%; p=0.040), asthma-COPD (56% vs 13%; p=0.008) and atrial fibrillation (56% vs 5%; p=0.001). Conclusions. The study reflects the clinical practice of a primary care center. This kind of studies are essential to strengthen and reorganize the Health System and to try to anticipate the medium- to long-term consequences of COVID-19 on global health.

1987 ◽  
Vol 9 (4) ◽  
pp. 99-100
Author(s):  
Michael Weitzman

In the past year a number of my adolescent patients have had children of their own. Many of these adolescents had been patients of mine for as many as 10 years prior to their becoming pregnant. My own transition in caring for their children has been surprisingly difficult. Working in a hospital-based primary care center, I have cared for many children of teenaged parents, but only recently have patients whom I have known for most of their childhood reached an age at which they are becoming parents. In subtle but certain ways, I have had more difficulty with teenaged parents with whom I have a long-term relationship than I have had with teenaged parents with whom I have had no prior experience.


2016 ◽  
Vol 65 (2) ◽  
pp. 174-178
Author(s):  
Nádia Cristina Pinheiro Rodrigues ◽  
Mônica Kramer de Noronha Andrade ◽  
Gisele O’Dwyer ◽  
Regina Paiva Daumas ◽  
Regina Dias Neves ◽  
...  

ABSTRACT Objective The objective of this study was to evaluate the long-term effects of a Brazilian smoking cessation support program and the factors that are associated with its success. Methods A longitudinal study was conducted from 2012 to 2014 with 84 patients enrolled in smoking cessation support groups in a Primary Care Center from a poor community in Rio de Janeiro (Brazil). Support was provided according to Brazilian Tobacco Control Program and consisted of cognitive behavioral therapy in addition to nicotine replacement therapy. Logistic regression and the Cox proportional hazard models were used in the analysis. Results There was an increase of 34%, 48% and 97% in the chances of patients stop smoking for at least six months, 12 months and 24 months, respectively, for each new session that the patient participated. Patients that attended three or more meetings had a 79% lower risk of returning to smoking than those who went to less than three meetings. Conclusions Although not all patients who were enrolled in the program could be contacted for the study, our results indicate that about 40% of patients are able to stay smoke-free for at least three months due to the smoking cessation program, but less than 20% are able to remain smoke-free for two years. Initiatives to improve adherence to cognitive behavioral therapy meetings according to the specificity of the population may increase the effectiveness of the program.


2020 ◽  
Author(s):  
Esther Hernandez Castilla ◽  
Lucia Vallejo Serrano ◽  
Monica Saenz Ausejo ◽  
Beatriz Pax Sanchez ◽  
Katharina Ramrath ◽  
...  

2020 ◽  
Vol 76 (3) ◽  
Author(s):  
Maha Aldraimly ◽  
Sayed Azhar Suliman ◽  
Ahmed Ibrahim Nouri ◽  
Manahel Mohammed Alshaer ◽  
Norah Mohammed Almaghrabi ◽  
...  

2020 ◽  
Vol 2 (3) ◽  
pp. 018-035
Author(s):  
Maturos Na Badalung Kanin ◽  
Bosittipichet Tatree ◽  
Leesri Thanakamon

2011 ◽  
Author(s):  
William H. Sledge ◽  
Melissa Wieland ◽  
David Sells ◽  
David Walden ◽  
Christine Holmberg ◽  
...  

PEDIATRICS ◽  
1978 ◽  
Vol 62 (3) ◽  
pp. 359-364
Author(s):  
Melvin Lewis

The results of a three-month study of the incidence of child psychiatric consultation requests in three different locations (emergency room, primary care center, and pediatric wards) within a pediatric service in a teaching hospital are reported here. Future trends and roles for child psychiatry and pediatric collaboration are discussed.


Sign in / Sign up

Export Citation Format

Share Document