Clinical-epidemiologic variation in patients treated in the first and second wave of COVID-19 in Lambayeque, Peru: A cluster analysis

Mostrar el registro sencillo del ítem Valladares-Garrido, Mario J. es_ES Failoc-Rojas, Virgilio E. es_ES Soto-Becerra, Percy es_ES Zeña-Ñañez, Sandra es_ES Torres-Roman, J. Smith es_ES Fernández-Mogollón, Jorge L. es_ES Colchado-Palacios, Irina G. es_ES Apolaya-Segura, Carlos E. es_ES Dávila-Gonzales, Jhoni A. es_ES Arce-Villalobos, Laura R. es_ES Neciosup-Puican, Roxana del Pilar es_ES Calvay-Requejo, Alexander G. es_ES Maguiña, Jorge L. es_ES Apolaya-Segura, Moisés es_ES Díaz-Vélez, Cristian es_ES 2023-01-24T20:46:14Z 2023-01-24T20:46:14Z 2022-07-18
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" es_ES
dc.format application/pdf es_ES
dc.language.iso eng es_ES
dc.publisher Elsevier Ltd es_ES
dc.rights info:eu-repo/semantics/openAccess es_ES
dc.rights.uri es_ES
dc.subject COVID-19 Cluster analysis Coronavirus infection Pandemic wave Symptoms Peru es_ES
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.identifier.doi es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES NL es_ES
dc.subject.ocde es_ES

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