Pre-existing clinical conditions and severity of acute respiratory syndrome: a observatory perspective with Telemedicine
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Abstract
The effects of the new coronavirus are still being studied. Technology, through telemedicine, emerges as a way to get in touch with suspected Coronavirus infected patients and aid in decision making, raising data that can be validated in scientific research. This study hypothesizes that the severity of symptoms of Sars-Cov-2 infection is related to age and pre-existing clinical conditions. The objective is to assess the relationship between preexisting clinical conditions and the severity of the flu syndrome, as well as referral to hospital care for patients using the TeleCOVID® platform, a telemedicine platform dedicated to attend symptomatic respiratory patients. We analyzed Electronic Medical Records of 1554 patients that utilized TeleCOVID®, 1165 (74.9%) were classified as mild flu syndrome and 389 (25%) as severe flu syndrome. The presence of comorbidities such as cardiovascular (OR = 1.8) and pulmonary disease (OR = 4.7) and the use of non-hormonal immunosuppressants (OR = 2.5) and insulin (OR = 3.9) showed a positive association with severe flu syndrome. It is concluded, therefore, that the technology made it possible to conduct a study to establish knowledge in the midst of the COVID-19 pandemic, and that severe flu syndrome is associated with cardiovascular and pulmonary comorbidities, use of non-hormonal immunosuppressants and insulin.
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