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Published: 2021-05-10

Evaluating the home isolation of COVID-19 patients in primary care

Family Medicine Depertmant, Şişli Hamidiye Etfal Research and Training Hospital, İstanbul, Turkey
Family Medicine Depertmant, Şişli Hamidiye Etfal Research and Training Hospital, İstanbul, Turkey
Family Medicine Depertmant, Şişli Hamidiye Etfal Research and Training Hospital, İstanbul, Turkey
Department of Orthopedics and Traumatology, Şişli Hamidiye Etfal Research and Training Hospital, İstanbul, Turkey
Family Medicine Depertmant, Şişli Hamidiye Etfal Research and Training Hospital, İstanbul, Turkey
Family Medicine Depertmant, Şişli Hamidiye Etfal Research and Training Hospital, İstanbul, Turkey
COVID-19, Patients, Isolation, Primary Care, Istanbul, Turkey

Abstract

Background: This study aims to evaluate the effectiveness of home isolation and medical follow-up by analyzing data collected over the phone from isolated individuals.

Methods: A cross-sectional phone-based survey designed to evaluate the home isolated COVID-19 suspected patients at the Şişli Hamidiye Etfal Family Health Center in Istanbul city between 16th  March  5th May 2020.  A semi-structured questionnaire and the universal sampling technique were recruited to collect data about the socio-demographic and the COVID-19 related laboratory and clinical findings. The SPSS for Windows program was used to perform a univariate and bivariate statistical analysis. The Statistical alpha significance level was accepted at less than 0.05.

Results: A total of 463 confirmed, probable, or suspected cases of COVID-19 took part in this study with a mean age of 35.38 ∓17.1 (range: 0-86 years). Tow-third 310 (67.0%) underwent the PCR tests, and 67 (21.6%) confirmed positive results. Moreover, one-third (159, 34.3%) exposed to CT scans; however, 51(32.3%) were compatible with COVID-19. The median age of individuals with PCR positive was 38 years. More than half (40, 59.7%) were males, compared to 27 (40.3%) were females. There was no significant relationship between PCR positivity and pandemic period, age, or gender (P = 0.149; P = 0.545; P = 0.285), respectively. Although older individuals had a higher rate of CT scan compatible with COVID-19, the relation between increased age and COVID-19 compatible CT was found not to be statistically significant (P = 0.053). Moreover, there was  significant relationship between CT scan positivity and coughing, the tobacco smoking and diabetes (P = 0.003; P = 0.032; P = 0.016),  respectively.

Conclusion: Combining PCR, symptoms, and CT together doubles the likelihood of a correct diagnosis. Quarantined patients must be regularly monitored.



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How to Cite

1.
Yılmaz ZU, Duman S, Öztürk GZ, Özdemir HM, Hogan GG, Karataş E. Evaluating the home isolation of COVID-19 patients in primary care. jidhealth [Internet]. 2021 May 10 [cited 2024 Mar. 28];4(2):357-64. Available from: https://www.jidhealth.com/index.php/jidhealth/article/view/106