Telephone Monitoring of Isolated Patients With Suspected COVID-19 Disease in Primary Care: Prospective Cohort Study.
Author: Coronado Vázquez, Valle; Benito-Alonso, Elena; Holgado-Juan, Marina; Dorado-Rabaneda, Maria Silvia; Bronchalo-González, Cristina; Gómez-Salgado7, Juan
Abstract: Objective: Isolation of suspected cases of COVID-19 has been shown effective in
reducing disease transmission and monitoring these patients from primary care allows
to detect complications. The objective of this study is to determine the evolution of a cohort
of patients with suspected COVID-19, and to analyse the factors associated with hospital
admissions due to their unfavourable evolution.
Methods: Prospective cohort study. A cohort of 166 patients with COVID-19 symptoms
was selected and was followed-up by telephone calls during 14 days of home isolation.
Results: By the end of the follow-up, a hospital admission had taken place in 14.7% of
patients. The mean survival time until admission among diabetics was 12.6, 10.9 days for
chronic kidney diseases, and 9.3 days in immunocompromised patients.
Immunosuppression was a risk factor for admission over 50 years of age.
Conclusion: Hospital admissions for suspected cases of COVID-19 are associated with
diabetes, chronic kidney disease, and immunosuppression. Telephone monitoring of
these patients from primary care allows for home isolation and early detection of
disease complications.
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