Descrição dos sinais e sintomas de COVID-19 em usuários atendidos por tele monitoramento em um Centro de Saúde Escola do interior paulista
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2021-12-15
Autores
Souza, Julia Custódio Melo de
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Universidade Estadual Paulista (Unesp)
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Souza JCM. Descrição dos sinais e sintomas de COVID-19 em usuários atendidos por telemonitoramento em um Centro de Saúde Escola do interior paulista [trabalho de conclusão de curso]. Faculdade de Medicina de Botucatu- “Universidade Estadual Paulista Júlio de Mesquita Filho”; 2021. Introdução: Ao final do ano de 2019 foi marcada mundialmente com uma misteriosa doença causada por uma variação do Coronavírus que despertou a atenção dos cientistas e da população mundial. Em março de 2020, a OMS declarou como pandemia COVID-19. A Atenção Primária em Saúde (APS) necessitou adaptar-se à essa realidade pandêmica devido ao fato de que 80% dos casos de COVID-19 apresentavam sintomas leves e procuravam a rede básica para receber atendimento. Objetivos: Identificar os sinais e sintomas relacionados ao COVID-19 relatados pelos usuários via tele monitoramento em um centro de saúde escola; associar os sinais e sintomas com as variáveis: idade; sexo; comorbidades como Diabetes Mellitus (DM), Hipertensão Arterial (HAS), medicamento de uso contínuo (MUC) e problemas respiratórios. Métodos: Estudo observacional, descritivo, quantitativo, de um banco de dados secundários e coleta de dados nos prontuários de usuários sobre as variáveis sociodemográficos e clínicas, a partir de atendimentos por tele monitoramento no Centro de Saúde Escola de março à dezembro de 2020.Resultados:1368 atendimentos foram realizados de março a dezembro de 2020 no Centro de Saúde Escola; desses usuários 1108 (91,12%) apresentaram exame negativado para COVID-19; 108 (8,88%) com testes RT-PCR positivados; 55 (55,1%) usuários são do sexo masculino; 741 (54,29%) usuários não apresentaram comorbidades, em 516 (37.8%) constatou-se a prevalência de HAS 207 (15,13%); DM 68 (4.97%). Entre os usuários que testaram positivo para COVID-19, os sintomas respiratórios foram mais prevalentes (n=60, 89,55%), e a diarreia o menos (n=9, 17,65%). Identificaram-se associação entre as variáveis cefaleia e sintomas respiratórios (p=0,0044); e anosmia e MUC (p=0.0292). Conclusão: Descreveu-se nesse estudo e foram identificados os sinais e sintomas de usuários atendidos via tele monitoramento: cefaleia, fadiga, anosmia, ageusia, dispneia, sintomas respiratórios e diarreia. Os sintomas mais frequentes e menos frequentes respectivamente foram os respiratórios e a diarreia. Houve associação estatística significativa entre as variáveis cefaleia e sintomas respiratórios (p=0,0044); e anosmia e MUC (P=0.0292). Ressalta-se a relevância do fortalecimento da APS para o enfrentamento da pandemia.
Souza JCM. Description of the signs and symptoms of COVID-19 in users assisted by telemonitoring at a School Health Center in the interior of São Paulo [course completion paper]. Faculty of Medicine of Botucatu- “São Paulo State University Júlio de Mesquita Filho”; 2021. Introduction: At the end of 2019, it was marked worldwide with a mysterious disease caused by a variation of the Coronavirus that attracted the attention of scientists and the world population. In March 2020, WHO declared a COVID-19 pandemic. Primary Health Care (PHC) needed to adapt to this pandemic reality due to the fact that 80% of the cases of COVID-19 had mild symptoms and sought the basic network to receive care. Objectives: To identify the signs and symptoms related to COVID-19 reported by users via telemonitoring at a school health center; associate the signs and symptoms with the variables: age; sex; comorbidities such as Diabetes Mellitus (DM), Hypertension (SAH), continuous use medication (MUC) and respiratory problems. Methods: Observational, descriptive, quantitative study of a secondary database and data collection from users' medical records on sociodemographic and clinical variables, based on telemonitoring visits at the Escola Saúde Center from March to December 2020. Results: 1368 consultations were performed from March to December 2020 at the School Health Center; of these users, 1108 (91.12%) were negative for COVID-19; 108 (8.88%) with positive RT-PCR tests; 55 (55.1%) users are male; 741 (54.29%) users did not have comorbidities, in 516 (37.8%) there was a prevalence of SAH 207 (15.13%); DM 68 (4.97%). Among users who tested positive for COVID-19, respiratory symptoms were more prevalent (n=60, 89.55%), and diarrhea the least (n=9, 17.65%). An association was identified between the variables headache and respiratory symptoms (p=0.0044); and anosmia and MUC (p=0.0292). Conclusion: This study described and identified the signs and symptoms of users assisted via telemonitoring: headache, fatigue, anosmia, ageusia, dyspnea, respiratory symptoms and diarrhea. The most frequent and least frequent symptoms respectively were respiratory and diarrhea. There was a statistically significant association between the variables headache and respiratory symptoms (p=0.0044); and anosmia and MUC (P=0.0292). The importance of strengthening PHC to face the pandemic is highlighted.
Souza JCM. Description of the signs and symptoms of COVID-19 in users assisted by telemonitoring at a School Health Center in the interior of São Paulo [course completion paper]. Faculty of Medicine of Botucatu- “São Paulo State University Júlio de Mesquita Filho”; 2021. Introduction: At the end of 2019, it was marked worldwide with a mysterious disease caused by a variation of the Coronavirus that attracted the attention of scientists and the world population. In March 2020, WHO declared a COVID-19 pandemic. Primary Health Care (PHC) needed to adapt to this pandemic reality due to the fact that 80% of the cases of COVID-19 had mild symptoms and sought the basic network to receive care. Objectives: To identify the signs and symptoms related to COVID-19 reported by users via telemonitoring at a school health center; associate the signs and symptoms with the variables: age; sex; comorbidities such as Diabetes Mellitus (DM), Hypertension (SAH), continuous use medication (MUC) and respiratory problems. Methods: Observational, descriptive, quantitative study of a secondary database and data collection from users' medical records on sociodemographic and clinical variables, based on telemonitoring visits at the Escola Saúde Center from March to December 2020. Results: 1368 consultations were performed from March to December 2020 at the School Health Center; of these users, 1108 (91.12%) were negative for COVID-19; 108 (8.88%) with positive RT-PCR tests; 55 (55.1%) users are male; 741 (54.29%) users did not have comorbidities, in 516 (37.8%) there was a prevalence of SAH 207 (15.13%); DM 68 (4.97%). Among users who tested positive for COVID-19, respiratory symptoms were more prevalent (n=60, 89.55%), and diarrhea the least (n=9, 17.65%). An association was identified between the variables headache and respiratory symptoms (p=0.0044); and anosmia and MUC (p=0.0292). Conclusion: This study described and identified the signs and symptoms of users assisted via telemonitoring: headache, fatigue, anosmia, ageusia, dyspnea, respiratory symptoms and diarrhea. The most frequent and least frequent symptoms respectively were respiratory and diarrhea. There was a statistically significant association between the variables headache and respiratory symptoms (p=0.0044); and anosmia and MUC (P=0.0292). The importance of strengthening PHC to face the pandemic is highlighted.
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Palavras-chave
Primary health care, Call center, Signs and symptoms, Covid-19, Teleatendimento, Sinais e sintomas, Atenção primária à saúde