COVID-19 sequelae in patients aged 20 and 60 years attending the "Tulcán Sur" Health Center in Ecuador
Keywords:
COVID-19, HEALTH CENTERS, AFTERCARE, COMPLICATIONS.Abstract
Introduction: although the care of patients with COVID-19 has led to increasing research activity in health care, studies on long-term follow-up and sequelae are still scarce in Ecuador.
Objective: to characterize patients with COVID-19 treated at the "Tulcán Sur" Health Center and their sequelae.
Methods: observational, descriptive and prospective study in patients between 20 and 60 years of age with COVID-19 treated at the "Tulcán Sur" Health Center in Ecuador. We studied variables such as: age, history, complications, sequelae and their duration, subsequent measures and rehabilitation performed. Descriptive statistics were used.
Results: patients between 51 and 60 years of age (53,85 %) and a history of Diabetes Mellitus (32,87 %) predominated. 27,8 % required hospitalization in an Intensive Care Unit. The main complications were respiratory (36,36 %) and the sequelae were pulmonary fibrosis (27,98 %) and respiratory distress (22,38 %). In 51,05 % of the patients the sequelae lasted between one and three months, while 11,89 % did not experience sequelae. 72,72 % of the patients did not undergo any rehabilitative therapy after COVID-19.
Conclusions: among patients with COVID-19 there was a predominance of those past the fourth decade of life, with a high incidence of comorbidities, and low hospitalization rates. The main complications and sequelae were of the respiratory system, where they were mainly experienced between the first and third month. Attendance at health services for periodic check-ups was irregular, and the use of rehabilitative therapy was low.
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1. Gómez-Tejeda J, Hernández-Pérez C, Aguilera-Velázquez Y. Afectación del sistema cardiovascular en la infección por SARS-CoV-2. Univ Méd Pinareña [Internet]. 2020 [citado 20/10/2022]; 16(3): e521. Disponible en: http://revgaleno.sld.cu/index.php/ump/article/view/521
2. Acosta G, Escobar G, Bernaola G, Alfaro J, Taype W, Marcos C, et al. Description of patients with severe COVID-19 treated in a national referral hospital in Peru. Rev Peru Med Exp Salud Publica [Internet]. 2020 [citado 20/10/2022]; 37(2): 253–8. Disponible en: https://www.scielosp.org/article/rpmesp/2020.v37n2/253-258/en/
3. Luis P, Martínez V, Rodríguez YS. Caracterización clínica y epidemiológica de la enfermedad COVID-19 en el municipio Sandino, año 2020. Rev Cub. Salud Pub [Internet]. 2023 [citado 20/10/2022]; 49(1): e3635. Disponible en: https://revsaludpublica.sld.cu/index.php/spu/article/view/3635
4. Medina Gamero A, Regalado Chamorro M, Guillen Rojas N. The aftermath of COVID-19: between anosmia and ageusia. Acta Otorrinolaringol Esp [Internet]. 2022 [citado 20/10/2022]; 73(3): 200. Disponible en: https://doi.org/10.1016/j.otorri.2021.07.002
5. Mastrorosa I, Del Duca G, Pinnetti C, Lorenzini P, Vergori A, Brita AC, et al. What is the impact of post-COVID-19 syndrome on health-related quality of life and associated factors: a cross-sectional analysis. Health Qual Life Outcomes [Internet]. 2023 [citado 20/10/2022]; 21(1): 28. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36949439/#article-details
6. Jiménez-Blas R, Alvarado-Toledo E. Afectaciones físicas y psicológicas en personas pos-COVID-19 en Oaxaca, México. Rev. inf. cient. [Internet]. 2022 [citado 20/10/2022]; 101(3): e3797. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-99332022000300002&lng=es
7. Rosales-Castillo A, García de los Ríos C, Mediavilla García JD. Persistent symptoms after acute COVID-19 infection: importance of follow-up. Med Clin (Barc) [Internet]. 2021 [citado 20/10/2022]; 156(1): 35–6. Disponible en: https://doi.org/10.1016/j.medcli.2020.08.001
8. Molina MM. Secuelas y consecuencias de la Covid-19. Med Respir [Internet]. 2020 [citado 20/10/2022]; 13(2): 71–77. Disponible en: http://www.neumologiaysalud.es/descargas/R13/R132-8.pdf
9. Cecilia-Paredes EE, Echevarria-Cruz A, Cecilia-Paredes E, Rico-Santos A, Rodríguez-Cabrera Y, Prieto-Suárez M, et al. Caracterización de pacientes con COVID-19 en Pinar del Río, marzo 2020 – marzo 2021. Univ Médica Pinareña [Internet]. 2022 [citado 20/10/2022]; 18(3): e878. Available from: https://revgaleno.sld.cu/index.php/ump/article/view/878
10. Harriete-González F, Betancourt-Pulsan A, Perera-García Y, Peña Lobaina I. Perfil epidemiológico de la COVID-19 en municipio Yateras, Guantánamo. Revista Información Científica [Internet]. 2021 [citado 20/10/2022]; 100(2): 12. Available from: https://www.redalyc.org/articulo.oa?id=551766749006
11. Núñez-Cortés R, Leyton-Quezada F, Pino MB, Costa-Costa M, Torres-Castro R. Secuelas físicas y emocionales en pacientes post hospitalización por COVID-19. Rev Med Chil [Internet]. 2021 [citado 20/10/2022]; 149(7): 1031–5. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000701031
12. Guapisaca Gaona JS, Guartambel Cajamarca EB, Muñoz Palomeque DG, Angamarca Coello MF. Factores de riesgo asociados al desarrollo de tromboembolismo pulmonar en pacientes adultos con diagnóstico de COVID-19. Salud, Cienc y Tecnol [Internet]. 2022 Dec 31 [citado 20/10/2022]; 2(S1): 212. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/212
13. Llamosas LS. Secuelas a largo plazo de COVID-19. Rev Esp Salud Publica [Internet]. 2020 Dec 31 [citado 20/10/2022]; 94(1): 1–4. Disponible en: https://medes.com/publication/158017
14. Xiong Q, Xu M, Li J, Liu Y, Zhang J, Xu Y, et al. Clinical sequelae of COVID-19 survivors in Wuhan, China: a single-centre longitudinal study. Clin Microbiol Infect [Internet]. 2021 Jan [citado 20/10/2022]; 27(1): 89–95. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1198743X20305759
15. Tak CR. The health impact of long COVID: a cross-sectional examination of health-related quality of life, disability, and health status among individuals with self-reported post-acute sequelae of SARS CoV-2 infection at various points of recovery. J Patient-Reported Outcomes [Internet]. 2023 [citado 20/10/2022]; 7(1). Available from: https://doi.org/10.1186/s41687-023-00572-0
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