Evidence map›Paper›PMID 36590935›Full record

ArticleFrontiers in medicine2022

Relationship between initial symptoms and the prognosis, sex, and demographic area of patients with COVID-19.

Bárbara Oliván-Blázquez, Cruz Bartolomé-Moreno, Junkal Gericó-Aseguinolaza, Fátima Méndez-López, David Lerma-Irureta, Itziar Lamiquiz-Moneo, Selene Fernández-Martínez, Rosa Magallón-Botaya

Abstract read
In one paragraph

Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Bárbara Oliván-BlázquezDepartment of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain.
Cruz Bartolomé-MorenoGroup B21-20R, Health Research Institute of Aragon (IISA), Zaragoza, Spain.
Junkal Gericó-AseguinolazaOsakidetza-Basque Health Service, San Sebastian, Spain.
Fátima Méndez-LópezGroup B21-20R, Health Research Institute of Aragon (IISA), Zaragoza, Spain.
David Lerma-IruretaDepartment of Medicine, Psychiatry and Dermatology, Faculty of Medicine, University of Zaragoza, Zaragoza, Spain.
Itziar Lamiquiz-MoneoMiguel Servet University Hospital, Health Research Institute of Aragon (IISA), Zaragoza, Spain.
Selene Fernández-MartínezGroup B17-20R, Health Research Institute of Aragon (IISA), Zaragoza, Spain.
Rosa Magallón-BotayaGroup B21-20R, Health Research Institute of Aragon (IISA), Zaragoza, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A method of determining the initial symptoms and main prognostic identifiers for COVID-19 can be a key tool for physicians, especially primary care physicians. Therefore, the objective of this study was to examine the prognosis of patients with COVID-19 from two different demographic regions according to baseline and main symptoms, age, and sex. Methods: All individuals selected from both urban and rural health centers were over 18 years of age, had COVID-19 before 2 March 2021, and were followed up with a primary care physician. All patients included in this study were recruited in terms of sex, age at the time of infection, type of contact, baseline symptoms, primary and secondary symptomatology, emergency assistance, hospitalization, intensive care unit (ICU) admission, and death. Results: A total of 219 and 214 subjects were recruited from rural and urban health centers, respectively. Subjects with COVID-19 from rural areas were significantly older in age, with a higher proportion of men, and had significantly lower baseline and main symptoms than those from urban areas. In addition, the presence of both fever and dyspnea as the initial or main symptom is significantly associated with emergency assistance, hospitalization, and death, regardless of sex, age, and demographic area. This type of illness was reported to be significantly less frequent in the rural population than in the urban population. Conclusion: The presence of both fever and dyspnea as both initial and main symptoms is a poor prognostic factor for COVID-19, regardless of age, sex, and demographic areas. In addition, women reported lower levels of fever and dyspnea, requiring minimal emergency assistance and fewer hospitalization, and a lower rate of mortality than men. During a COVID-19 infection follow-up, subjects in rural areas seem to have less access to medical care than those in urban areas.

Indexed as

COVID-19demographic areaprimary healthcareprognosissexsigns and symptoms

Identifiers

PMID36590935
PMCPMC9795186

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