Eficiencia de la telemedicina en el tratamiento y manejo del paciente con sospecha de covid-19 : Vinces – Ecuador 2020
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2020
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Tecnología Médica
Resumen
COVID-19 al ser una enfermedad nueva, sin un tratamiento específico, cuyo protocolo de
actuación está en continua revisión y sujeto a modificaciones según los reportes clínicos,
epidemiológicos y terapéuticos. El presente estudio planteó como objetivo: Determinar el impacto
de la telemedicina en el tratamiento y manejo del paciente con sospecha de COVID-19: Vinces-
Ecuador 2020; se trata de una investigación observacional, cuantitativa, se aplicó una ficha de
observación a 83 historias clínicas de los pacientes que presentaron sospecha de COVID-19
atendidos por telemedicina en el Centro Médico Popular de Vinces, encontrando que el 33.73%
eran de 46-64 años, y el 22.89% de 30 a 45 años; el 54.22% masculino; el 90.36% de Vinces; los
5 síntomas de mayor frecuencia fueron: tos 12.76%, malestar general 11.93%, fiebre 11.73%, dolor
de garganta 9.67%, rinorrea 8.85%; hubo 10 casos de hipertensión grado 1, 2, y 3; se tuvo 47 casos
de frecuencia respiratoria elevada, en 48 casos se presentó frecuencia cardiaca elevada; 26 casos
de hipoxemia leve, moderada y severa; las 3 comorbilidades más frecuentes fueron HTA 55.56%,
DM 13.89% y Obesidad 11.11%; los resultados de tomografía se los clasificó en leve 84.34%,
moderado 14.46% y grave el 1.20%; la confirmación de laboratorio mediante prueba específica
cualitativa 92%, Rt.PCR 78% y la prueba cuantitativa para control de inmunidad 85%. Como
conclusión: la telemedicina permitió un mejor tratamiento y manejo del paciente que fue
sospechoso de COVID-19 puesto que se tuvo poca incidencia en complicaciones, teniendo pocos
casos graves y bajo índice de pacientes fallecidos.
COVID-19 being a new disease, without a specific treatment, whose action protocol is in continuous review and subject to modifications according to clinical, epidemiological and therapeutic reports. The present study proposed as an objective: To determine the impact of telemedicine in the treatment and management of patients with suspected COVID-19: Vinces- Ecuador 2020; It is an observational, quantitative research, an observation card was applied to 83 clinical records of patients who presented suspicion of COVID-19 treated by telemedicine at the Popular Medical Center of Vinces, finding that 33.73% were 46 -64 years, and 22.89% from 30 to 45 years; 54.22% male; 90.36% of Vinces; the 5 most frequent symptoms were: cough 12.76%, general malaise 11.93%, fever 11.73%, sore throat 9.67%, rhinorrhea 8.85%; there were 10 cases of grade 1, 2, and 3 hypertension; There were 47 cases of elevated respiratory rate, in 48 cases there was an elevated heart rate; 26 cases of mild, moderate and severe hypoxemia; the 3 most frequent comorbidities were HBP 55.56%, DM 13.89% and Obesity 11.11%; Tomography results were classified as mild 84.34%, moderate 14.46% and severe 1.20%; the laboratory confirmation by specific qualitative test 92%, Rt.PCR 78% and quantitative test for immunity control 85%. In conclusion: telemedicine allowed a better treatment and management of the patient who was suspected of COVID-19 since there was a low incidence of complications, having few serious cases and a low rate of deceased patients
COVID-19 being a new disease, without a specific treatment, whose action protocol is in continuous review and subject to modifications according to clinical, epidemiological and therapeutic reports. The present study proposed as an objective: To determine the impact of telemedicine in the treatment and management of patients with suspected COVID-19: Vinces- Ecuador 2020; It is an observational, quantitative research, an observation card was applied to 83 clinical records of patients who presented suspicion of COVID-19 treated by telemedicine at the Popular Medical Center of Vinces, finding that 33.73% were 46 -64 years, and 22.89% from 30 to 45 years; 54.22% male; 90.36% of Vinces; the 5 most frequent symptoms were: cough 12.76%, general malaise 11.93%, fever 11.73%, sore throat 9.67%, rhinorrhea 8.85%; there were 10 cases of grade 1, 2, and 3 hypertension; There were 47 cases of elevated respiratory rate, in 48 cases there was an elevated heart rate; 26 cases of mild, moderate and severe hypoxemia; the 3 most frequent comorbidities were HBP 55.56%, DM 13.89% and Obesity 11.11%; Tomography results were classified as mild 84.34%, moderate 14.46% and severe 1.20%; the laboratory confirmation by specific qualitative test 92%, Rt.PCR 78% and quantitative test for immunity control 85%. In conclusion: telemedicine allowed a better treatment and management of the patient who was suspected of COVID-19 since there was a low incidence of complications, having few serious cases and a low rate of deceased patients
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Telemedicina, Infecciones por coronavirus, Comorbilidad, Obesidad, Centro Médico Popular Dr. Carlos Ricaurte Guerrero, Cantón Vinces, Ecuador