تقرير
COVID-19 patient experiences in pre-hospital pathways (article 1): a processual approach using the life-events calendar method highlights diagnostic delays and healthcare renunciation
| العنوان: | COVID-19 patient experiences in pre-hospital pathways (article 1): a processual approach using the life-events calendar method highlights diagnostic delays and healthcare renunciation |
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| المؤلفون: | Lutaud, Romain, Cortaredona, Sebastien, Delorme, Lea, Peretti-Watel, Patrick, Mirouse, Juliette, Borg, Manon, Cattaneo, Lucie, Thery, Didier, Gentile, Gaetan, Pradier, Christian, Irit, Touitou, Brouqui, Philippe, Tardieu, Sophie, Carles, Michel, Gentile, Stéphanie |
| المساهمون: | Anthropologie bio-culturelle, Droit, Ethique et Santé (ADES), Aix Marseille Université (AMU)-EFS ALPES MEDITERRANEE-Centre National de la Recherche Scientifique (CNRS), Département universitaire de médecine générale Marseille (DUMG ), Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées Brétigny-sur-Orge (IRBA), Institut Hospitalier Universitaire Méditerranée Infection (IHU Marseille), Aix-Marseille Université - École de médecine (AMU SMPM MED), Aix-Marseille Université - Faculté des sciences médicales et paramédicales (AMU SMPM), Aix Marseille Université (AMU)-Aix Marseille Université (AMU), Institut de Neurosciences des Systèmes (INS), Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Hôpital d'Instruction des Armées Laveran, Service de Santé des Armées, CHU Nice Cimiez, Hôpital Cimiez Nice (CHU), Corevih Paca Est, Centre Hospitalier Universitaire de Nice (CHU Nice), Microbes évolution phylogénie et infections (MEPHI), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS), Service de gynécologie-obstétrique Conception, Université de la Méditerranée - Aix-Marseille 2-Assistance Publique - Hôpitaux de Marseille (APHM)-Hôpital de la Conception CHU - APHM (LA CONCEPTION), Hôpital l'Archet, Centre d'études et de recherche sur les services de santé et la qualité de vie (CEReSS), Aix Marseille Université (AMU) |
| المصدر: | https://hal.science/hal-04045601Test ; 2023. |
| بيانات النشر: | HAL CCSD |
| سنة النشر: | 2023 |
| المجموعة: | Archive ouverte du Service de Santé des Armées (HAL) |
| مصطلحات موضوعية: | [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, [SHS]Humanities and Social Sciences |
| الوصف: | Objectives To our best knowledge, no study in France has comprehensively investigated the prehospital history of patients admitted for severe cases of COVID-19. ‘Patients’ voice is an excellent means to capture data on primary care pathways. We aimed to identify clusters of COVID-19 hospitalised patients with similar prehospital symptom sequences, and to test whether these clusters were associated with a higher risk of poor clinical outcomes. Design Cross-sectional online survey using life-event calendars. Setting All patients hospitalised for COVID-19 between September 2020 and May 2021 in the Infectious Disease Departments in Nice and in Marseilles in France. Participants 312 patients responded to the survey. Main outcome measures From the day of symptom onset to the day of hospitalisation, we defined a symptom sequence as the time-ordered vector of the successive symptom grades (grade 1, grade 2, grade 3). State sequence analysis with optimal matching was used to identify clusters of patients with similar symptom sequences. Multivariate logistic regressions were performed to test whether these clusters were associated with admission to intensive care unit (ICU) and COVID-19 sequelae after hospitalisation. Results Three clusters of symptom sequences were identified among 312 complete prehospital pathways. A specific group of patients (29%) experienced extended symptoms of severe COVID-19, persisting for an average duration of 7.5 days before hospitalisation. This group had a significantly higher probability of being admitted to ICU (adjusted OR 2.01). They were less likely to know a loved one who was a healthcare worker, and more likely to have a lower level of education. Similarly, this group of patients, who were more likely to have previously visited the emergency room without exhibiting severe symptoms at that time, may have been inclined to postpone reassessment when their health worsened. Their relatives played a decisive role in their hospitalisation. Conclusion and relevance This study highlights the ... |
| نوع الوثيقة: | report |
| اللغة: | English |
| العلاقة: | hal-04045601; https://hal.science/hal-04045601Test; https://hal.science/hal-04045601/documentTest; https://hal.science/hal-04045601/file/AFM%20manuscript%201.pdfTest |
| الإتاحة: | https://hal.science/hal-04045601Test https://hal.science/hal-04045601/documentTest https://hal.science/hal-04045601/file/AFM%20manuscript%201.pdfTest |
| حقوق: | info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.DC9DBC7C |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |