Evidence map›Paper›PMID 34016666›Full record

ArticleBMJ open2021

How patients with COVID-19 managed the disease at home during the first wave in Spain: a cross-sectional study.

María Romay-Barja, Mario Pascual-Carrasco, María José De Tena-Dávila, María Falcón, Carmen Rodriguez-Blazquez, Maria João Forjaz, Alba Ayala, Irene Molina-de la Fuente, Alfredo Burgos, Adolfo Muñoz and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  5. COVID-19 Medical and Pharmacological Management in the European Countries Compared to Italy: An Overview.International journal of environmental research and public health · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

María Romay-BarjaCentro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid, Spain mromay@isciii.es.ORCID 0000-0002-0177-6885
Mario Pascual-CarrascoUnidad de Investigación en Salud Digital, Instituto de Salud Carlos III, Madrid, Spain.
María José De Tena-DávilaUnidad de Investigación en Salud Digital, Instituto de Salud Carlos III, Madrid, Spain.
María FalcónDepartamento de Ciencias Sociosanitarias, Universidad de Murcia, Murcia, Spain.
Carmen Rodriguez-BlazquezCentro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain.
Maria João ForjazCentro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain.
Alba AyalaRed de Investigación en Servicios de Salud en Enfermedades Crónicas, Madrid, Spain.
Irene Molina-de la FuenteCentro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid, Spain.
Alfredo BurgosUnidad de Investigación en Salud Digital, Instituto de Salud Carlos III, Madrid, Spain.
Adolfo MuñozUnidad de Investigación en Salud Digital, Instituto de Salud Carlos III, Madrid, Spain.
Agustin BenitoCentro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid, Spain.
Instituto de Salud Carlos III · ESCentro de Investigación Biomédica en Red · ESUniversidad de Alcalá · ESUniversidad de Murcia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMost patients with mild COVID-19 had to stay at home trying to implement an optimal quarantine. The aim of this study was to describe the COVID-19 cases during the first wave of the pandemic in Spain, how they managed the disease at home, focusing on differences by age, as well as differences in knowledge, attitudes and preventive practices, compared with the uninfected population.

designAn online survey was used to conduct a cross-sectional study of individuals who were 14 years or older living in Spain during the COVID-19 lockdown. The main variable was a COVID-19 case. Logistic regression models for COVID-19 cases were obtained using a backward stepwise procedure to assess the association between social variables, disease knowledge, attitudes, prevention practices and emotional impact.

results3398 people completed the survey. Participants' mean age was 49.6 (SD=14.3). COVID-19 was significantly more prevalent among married people (5.3%) and those currently doing an on-site work (8.7%). Most of the COVID-19 cases stayed at home (84.0%) during the episode. There were significant age-based differences with regard to self-isolation conditions at home during the disease. COVID-19 cases showed better attitudes, practices and knowledge about disease symptoms and transmission than the uninfected population. COVID-19 cases also felt more depressed (adjusted OR: 3.46, 95% CI 1.45 to 8.26) and had better preventive behaviour than the uninfected population, such as always wearing a mask outside the home (adjusted OR 1.58, 95% CI 1.06 to 2.30).

conclusionCOVID-19 cases found it difficult to comply with recommended home self-isolation conditions, with differences by age group. COVID-19 had an important impact on care dependency in non-hospitalised patients, who were mostly dependent on their families for care. It is necessary to reinforce social and health services and to be ready to meet the care needs of populations during the different waves or in future epidemics.

Indexed as

COVID-19Communicable Disease ControlCross-Sectional StudiesHumansMiddle AgedSARS-CoV-2SpainSurveys and QuestionnairesCOVID-19epidemiologyinfectious diseasespublic healthsocial medicine

Identifiers

PMID34016666
PMCPMC8137165
OpenAlexW3163878099

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.