Clinical characteristics of SARS-CoV-2 pneumonia diagnosed in a primary care practice in Madrid (Spain)

• DOI: 10.1186/s12875-021-01430-y
• Publication Date: 2021-04-29T17:02:26Z
• Authors: Marina Guisado-Cl...; Ana Herrero Gil; Marta Pérez Álvarez; Marta Castelo Jurado; Ana Herrera Marinas; Vanesa Aguilar Ruiz; Ileana Gefaell Ia...; Miguel Menéndez O...; Sara Ares-Blanco
• Keywords: Atypical pneumonia

Abstract Background Possible cases of SARS-CoV-2 infection were diagnosed in primary care Madrid, some these had pneumonia. Most the pneumonia published data came from hospitalised patients. This study set out to describe clinical characteristics patients with across age groups and type Methods Observational retrospective obtaining electronic health records who followed-up by possible a practice Madrid. All collected in-person or remote consultation during 10th March 7th April. Exposure: Diagnosis chest X-ray ordered GP. Main outcomes measures: Symptoms pneumonia, physical examination diagnostic tests as blood test, nasopharyngeal swab results for RT-PCR (Reverse transcriptase-polymerase chain reaction) results. Results The overall pneumonias 172 (female 87 [50.6%], mean 60.5 years standard deviation [SD] 17.0). Comorbidities body mass index ≥ 25 kg/m 2 (90 [52.3%]), hypertension (83 [48.3%]), dyslipidaemia (68 [39.5%]) diabetes (33 [19.2%]). sample was stratified (< 50 years, 50–75 75 years). Clinical manifestations at onset fever (144 [83.7%]), cough (140 [81.4%]), dyspnoea (103 [59.9%]) gastrointestinal disturbances (72 [41.9%]). Day 7.8 (SD:4.1) day diagnosis. Bilateral more prevalent than unilateral (126 [73.3%] 46 [26.7%]). Patients prone higher pulse oximetry (96% vs 94%, p < 0.001). We found differences between bilateral C-reactive protein (29.6 81.5 mg/L, 0.001), lymphocytes (1400.0 1000.0E3/ml, Complications registered: 42 (100%) admitted into hospital; pulmonary embolism only present (7 [5.6%]) death occurred 1 patient (2.2%) 10 (7.9%) ( 0.170). Conclusion fever, dyspnoea; this especially clear elderly. described different