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Órgano de Difusión de la Asociación Académica Panamericana de Medicina Familiar A.C.

2023, Number 3

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Arch Med Fam 2023; 25 (3)

Clinical Evolution of Patients with COVID-19 under Ambulatory Surveillance

Hernández MA, Ovando DL

Language: Spanish
References: 13
Page: 127-133
PDF size: 370.42 Kb.


ABSTRACT

Objective: To identify the clinical evolution of patients with COVID-19 in outpatient ambulatory follow up. Methods: A descriptive cohort study was carried out from July 2021 to January 2022 of 60 patients with COVID-19 assigned to the Family Medicine Unit No. 66 of Xalapa, Veracruz. Mexico. An informed consent was signed, the clinical evolution and sociodemographic characteristics were documented through telephone follow-up. Results: Of the study group, 63.3% (38) were women with a mean age of 36.9 ± 10.6 years. The most frequent comorbidity was obesity. 70% (42) were vaccinated. The main clinical manifestations were: dry cough and headache in 80% (48), 75% (45) asthenia, 72% (43) myalgia, 68% (40) sore throat, 60% (36) arthralgia, 47% (28) thermal elevation, 45% (27) anosmia, 42% (25) diarrhea, 40% (24) anorexia, 37% (22) tachycardia, 35% (21) dysgeusia, 33% (20) dyspnea, 22% (13) hyposmia and 20% (12) presented productive cough. In the comparative analysis in the unvaccinated vs. vaccinated population, symptoms such as fever, dyspnea, and headache were prolonged in the unvaccinated. Conclusions: Currently, COVID-19 can be managed on an outpatient basis due to mild symptoms secondary to the immunization status of the majority of the population. However, follow-up of the disease is necessary to detect early risk of complications.


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