Clinical-epidemiologic variation in patients treated in the first and second wave of Covid-19 in Lambayeque, Peru: a cluster analysis
| dc.date.accessioned | 2023-04-05T12:48:07Z | |
| dc.date.available | 2023-04-05T12:48:07Z | |
| dc.date.issued | 2022 | |
| dc.description.abstract | Objectives: To identify differences in the clinical and epidemiologic characteristics of patients during the first and second waves of the COVID-19 pandemic at the EsSalud Lambayeque health care network, Peru. Methods: An analytical cross-sectional study of 53,912 patients enrolled during the first and second waves of COVID-19 was conducted. Cluster analysis based on clustering large applications (CLARA) was applied to clinical-epidemiologic data presented at the time of care. The two pandemic waves were compared using clinical-epidemiologic data from epidemiologic surveillance. Results: Cluster analysis identified four COVID-19 groups with a characteristic pattern. Cluster 1 included the largest number of participants in both waves, and the participants were predominantly female. Cluster 2 included patients with gastrointestinal, respiratory, and systemic symptoms. Cluster 3 was the “severe” cluster, characterized by older adults and patients with dyspnea or comorbidities (cardiovascular, diabetes, obesity). Cluster 4 included asymptomatic, pregnant, and less severe patients. We found differences in all clinical-epidemiologic characteristics according to the cluster to which they belonged. Conclusion: Using cluster analysis, we identified characteristic patterns in each group. Respiratory, gastrointestinal, dyspnea, anosmia, and ageusia symptoms were higher in the second COVID-19 wave than the first COVID-19 wave. © 2022 The Authors | |
| dc.identifier.issn | 12019712 | |
| dc.identifier.uri | https://doi.org/10.1016/j.ijid.2022.07.045 | |
| dc.identifier.uri | http://146.190.124.33/handle/123456789/6224 | |
| dc.language.iso | eng | es_ES |
| dc.publisher | Elsevier B.V. | es_ES |
| dc.source | Revista Peruana de Medicina Experimental y Salud Pública; Vol. 39 Núm. 1 | |
| dc.title | Clinical-epidemiologic variation in patients treated in the first and second wave of Covid-19 in Lambayeque, Peru: a cluster analysis | es_ES |
| dc.type | info:eu-repo/semantics/article | es_ES |
| dc.type.version | info:eu-repo/semantics/publishedVersion |