[Evaluation of incidence and risk profile for suffering Covid-19 infection by underlying conditions among middle-aged and older adults in Tarragona.]
Identifieur interne : 000000 ( Main/Exploration ); suivant : 000001[Evaluation of incidence and risk profile for suffering Covid-19 infection by underlying conditions among middle-aged and older adults in Tarragona.]
Auteurs : Ángel Vila-C Rcoles ; Olga Ochoa-Gondar ; Cristina Torrente-Fraga ; Ángel Vila-Rovira ; Eva Satué-Gracia ; Immaculada Hospital-Guardiola ; Cinta De Diego-Cabanes ; Frederic G Mez-Bertomeu ; Josep Basora-GallisàSource :
- Revista espanola de salud publica [ 2173-9110 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Betacoronavirus (MeSH), Cardiopathies (épidémiologie), Comorbidité (MeSH), Diabète (épidémiologie), Défaillance rénale chronique (épidémiologie), Espagne (épidémiologie), Femelle (MeSH), Fibrillation auriculaire (épidémiologie), Humains (MeSH), Incidence (MeSH), Infections à coronavirus (complications), Infections à coronavirus (épidémiologie), Maisons de repos (MeSH), Maladies de l'appareil respiratoire (épidémiologie), Maladies du système nerveux (épidémiologie), Modèles des risques proportionnels (MeSH), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (complications), Pneumopathie virale (épidémiologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études rétrospectives (MeSH).
- MESH :
- épidémiologie : Cardiopathies, Diabète, Défaillance rénale chronique, Espagne, Fibrillation auriculaire, Infections à coronavirus, Maladies de l'appareil respiratoire, Maladies du système nerveux, Pneumopathie virale.
- Adulte d'âge moyen, Betacoronavirus, Comorbidité, Femelle, Humains, Incidence, Maisons de repos, Modèles des risques proportionnels, Mâle, Pandémies, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Atrial Fibrillation (epidemiology), Betacoronavirus (MeSH), Comorbidity (MeSH), Coronavirus Infections (complications), Coronavirus Infections (epidemiology), Diabetes Mellitus (epidemiology), Female (MeSH), Heart Diseases (epidemiology), Humans (MeSH), Incidence (MeSH), Kidney Failure, Chronic (epidemiology), Male (MeSH), Middle Aged (MeSH), Nervous System Diseases (epidemiology), Nursing Homes (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (epidemiology), Proportional Hazards Models (MeSH), Respiratory Tract Diseases (epidemiology), Retrospective Studies (MeSH), Spain (epidemiology).
- MESH :
- geographic , epidemiology : Spain.
- complications : Coronavirus Infections, Pneumonia, Viral.
- epidemiology : Atrial Fibrillation, Coronavirus Infections, Diabetes Mellitus, Heart Diseases, Kidney Failure, Chronic, Nervous System Diseases, Pneumonia, Viral, Respiratory Tract Diseases.
- Aged, Aged, 80 and over, Betacoronavirus, Comorbidity, Female, Humans, Incidence, Male, Middle Aged, Nursing Homes, Pandemics, Proportional Hazards Models, Retrospective Studies.
Abstract
OBJECTIVE
Population-based data on the current Covid-19 pandemic is scarce. This study investigated incidence and risk to suffer Covid-19 by baseline underlying conditions in people ≥50 years in Tarragona region across march-april 2020.
METHODS
Population-based retrospective cohort study involving 79,071 adults ≥50 years-old in Tarragona region (Southern Catalonia, Spain). Cohort characteristics (age, sex, residence, vaccinations history and comorbidities) were established at baseline, and Covid-19 cases occurring between 01/03/2020-30/04/2020 were registered. Cox regression analysis calculating Hazard ratios (HRs) adjusted by age, sex and comorbidities was used to estimate risk for Covid-19.
RESULTS
Across study period, 1,547 cohort members were PCR tested (22.6% positive) and 367 were presumptive cases without PCR tested. Considering PCR-confirmed Covid-19, incidence (per 100,000 persons-period) was 441 overall (248, 141, 424, 1,303 and 3,135 in 50-59, 60-69, 70-79, 80-89 and ≥90 years-old, respectively; 380 in men and 497 in women; 259 in community-dwelling and 10,571 in nursing-home). By comorbidities, maximum incidence emerged among persons with neurological disease (2,723), atrial fibrillation (1,348), chronic renal failure (1,050), cardiac disease (856), respiratory disease (798) and diabetes (706). Lower incidence appeared in rheumatic diseases (230) and smokers (180). In multivariable analysis focused on community-dwelling individuals (N=77,671), only cardiac disease (HR: 1.47; 95% CI: 1.01-2.15; p=0.045) and respiratory disease (HR: 1.75; 95% CI: 1.00-3.02; p=0.051) were associated with an increased risk, whereas smoking (HR:0.43; 95% CI: 0.25-0.74; p=0.002) and influenza vaccinated (HR: 0.63; 95% CI: 0.43-0.92; p=0.015) appeared associated with a decreased risk.
CONCLUSIONS
Apart of increasing age and nursing-home residence, chronic respiratory and cardiac disease appear at increased risk for suffering covid19. This study investigated population-based incidence of Covid-19 infection by underlying conditions among adults ≥50 years in Tarragona (Southern Catalonia, Spain) across two first months pandemic period.
PubMed: 32588837
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Tarragona. España.</wicri:noCountry></affiliation></author><author><name sortKey="G Mez Bertomeu, Frederic" sort="G Mez Bertomeu, Frederic" uniqKey="G Mez Bertomeu F" first="Frederic" last="G Mez-Bertomeu">Frederic G Mez-Bertomeu</name><affiliation><nlm:affiliation>Departamento de Microbiología. Hospital Universitari Joan XXIII. Institut Català de la Salut. Tarragona. España.</nlm:affiliation><wicri:noCountry code="no comma">Departamento de Microbiología. Hospital Universitari Joan XXIII. Institut Català de la Salut. Tarragona. España.</wicri:noCountry></affiliation></author><author><name sortKey="Basora Gallisa, Josep" sort="Basora Gallisa, Josep" uniqKey="Basora Gallisa J" first="Josep" last="Basora-Gallisà">Josep Basora-Gallisà</name><affiliation><nlm:affiliation>Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</nlm:affiliation><wicri:noCountry code="no comma">Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</nlm:affiliation><wicri:noCountry code="no comma">Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. 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Institut Català de la Salut. Tarragona. España.</nlm:affiliation><wicri:noCountry code="no comma">Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</nlm:affiliation><wicri:noCountry code="no comma">Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</wicri:noCountry></affiliation></author><author><name sortKey="Ochoa Gondar, Olga" sort="Ochoa Gondar, Olga" uniqKey="Ochoa Gondar O" first="Olga" last="Ochoa-Gondar">Olga Ochoa-Gondar</name><affiliation><nlm:affiliation>Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</nlm:affiliation><wicri:noCountry code="no comma">Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</nlm:affiliation><wicri:noCountry code="no comma">Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</wicri:noCountry></affiliation></author><author><name sortKey="Torrente Fraga, Cristina" sort="Torrente Fraga, Cristina" uniqKey="Torrente Fraga C" first="Cristina" last="Torrente-Fraga">Cristina Torrente-Fraga</name><affiliation><nlm:affiliation>Departamento de Tecnologías de la información y la Comunicación. DAP Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</nlm:affiliation><wicri:noCountry code="no comma">Departamento de Tecnologías de la información y la Comunicación. DAP Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</wicri:noCountry></affiliation></author><author><name sortKey="Vila Rovira, Angel" sort="Vila Rovira, Angel" uniqKey="Vila Rovira A" first="Ángel" last="Vila-Rovira">Ángel Vila-Rovira</name><affiliation><nlm:affiliation>Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</nlm:affiliation><wicri:noCountry code="no comma">Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</wicri:noCountry></affiliation></author><author><name sortKey="Satue Gracia, Eva" sort="Satue Gracia, Eva" uniqKey="Satue Gracia E" first="Eva" last="Satué-Gracia">Eva Satué-Gracia</name><affiliation><nlm:affiliation>Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</nlm:affiliation><wicri:noCountry code="no comma">Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</nlm:affiliation><wicri:noCountry code="no comma">Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</wicri:noCountry></affiliation></author><author><name sortKey="Hospital Guardiola, Immaculada" sort="Hospital Guardiola, Immaculada" uniqKey="Hospital Guardiola I" first="Immaculada" last="Hospital-Guardiola">Immaculada Hospital-Guardiola</name><affiliation><nlm:affiliation>Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</nlm:affiliation><wicri:noCountry code="no comma">Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</wicri:noCountry></affiliation></author><author><name sortKey="De Diego Cabanes, Cinta" sort="De Diego Cabanes, Cinta" uniqKey="De Diego Cabanes C" first="Cinta" last="De Diego-Cabanes">Cinta De Diego-Cabanes</name><affiliation><nlm:affiliation>Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</nlm:affiliation><wicri:noCountry code="no comma">Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</wicri:noCountry></affiliation></author><author><name sortKey="G Mez Bertomeu, Frederic" sort="G Mez Bertomeu, Frederic" uniqKey="G Mez Bertomeu F" first="Frederic" last="G Mez-Bertomeu">Frederic G Mez-Bertomeu</name><affiliation><nlm:affiliation>Departamento de Microbiología. Hospital Universitari Joan XXIII. Institut Català de la Salut. Tarragona. España.</nlm:affiliation><wicri:noCountry code="no comma">Departamento de Microbiología. Hospital Universitari Joan XXIII. Institut Català de la Salut. Tarragona. España.</wicri:noCountry></affiliation></author><author><name sortKey="Basora Gallisa, Josep" sort="Basora Gallisa, Josep" uniqKey="Basora Gallisa J" first="Josep" last="Basora-Gallisà">Josep Basora-Gallisà</name><affiliation><nlm:affiliation>Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</nlm:affiliation><wicri:noCountry code="no comma">Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</nlm:affiliation><wicri:noCountry code="no comma">Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Revista espanola de salud publica</title><idno type="eISSN">2173-9110</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Atrial Fibrillation (epidemiology)</term><term>Betacoronavirus (MeSH)</term><term>Comorbidity (MeSH)</term><term>Coronavirus Infections (complications)</term><term>Coronavirus Infections (epidemiology)</term><term>Diabetes Mellitus (epidemiology)</term><term>Female (MeSH)</term><term>Heart Diseases (epidemiology)</term><term>Humans (MeSH)</term><term>Incidence (MeSH)</term><term>Kidney Failure, Chronic (epidemiology)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nervous System Diseases (epidemiology)</term><term>Nursing Homes (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (complications)</term><term>Pneumonia, Viral (epidemiology)</term><term>Proportional Hazards Models (MeSH)</term><term>Respiratory Tract Diseases (epidemiology)</term><term>Retrospective Studies (MeSH)</term><term>Spain (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Cardiopathies (épidémiologie)</term><term>Comorbidité (MeSH)</term><term>Diabète (épidémiologie)</term><term>Défaillance rénale chronique (épidémiologie)</term><term>Espagne (épidémiologie)</term><term>Femelle (MeSH)</term><term>Fibrillation auriculaire (épidémiologie)</term><term>Humains (MeSH)</term><term>Incidence (MeSH)</term><term>Infections à coronavirus (complications)</term><term>Infections à coronavirus (épidémiologie)</term><term>Maisons de repos (MeSH)</term><term>Maladies de l'appareil respiratoire (épidémiologie)</term><term>Maladies du système nerveux (épidémiologie)</term><term>Modèles des risques proportionnels (MeSH)</term><term>Mâle (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (complications)</term><term>Pneumopathie virale (épidémiologie)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Spain</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Atrial Fibrillation</term><term>Coronavirus Infections</term><term>Diabetes Mellitus</term><term>Heart Diseases</term><term>Kidney Failure, Chronic</term><term>Nervous System Diseases</term><term>Pneumonia, Viral</term><term>Respiratory Tract Diseases</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Cardiopathies</term><term>Diabète</term><term>Défaillance rénale chronique</term><term>Espagne</term><term>Fibrillation auriculaire</term><term>Infections à coronavirus</term><term>Maladies de l'appareil respiratoire</term><term>Maladies du système nerveux</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Betacoronavirus</term><term>Comorbidity</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Nursing Homes</term><term>Pandemics</term><term>Proportional Hazards Models</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Betacoronavirus</term><term>Comorbidité</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Maisons de repos</term><term>Modèles des risques proportionnels</term><term>Mâle</term><term>Pandémies</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Population-based data on the current Covid-19 pandemic is scarce. This study investigated incidence and risk to suffer Covid-19 by baseline underlying conditions in people ≥50 years in Tarragona region across march-april 2020.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Population-based retrospective cohort study involving 79,071 adults ≥50 years-old in Tarragona region (Southern Catalonia, Spain). Cohort characteristics (age, sex, residence, vaccinations history and comorbidities) were established at baseline, and Covid-19 cases occurring between 01/03/2020-30/04/2020 were registered. Cox regression analysis calculating Hazard ratios (HRs) adjusted by age, sex and comorbidities was used to estimate risk for Covid-19.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Across study period, 1,547 cohort members were PCR tested (22.6% positive) and 367 were presumptive cases without PCR tested. Considering PCR-confirmed Covid-19, incidence (per 100,000 persons-period) was 441 overall (248, 141, 424, 1,303 and 3,135 in 50-59, 60-69, 70-79, 80-89 and ≥90 years-old, respectively; 380 in men and 497 in women; 259 in community-dwelling and 10,571 in nursing-home). By comorbidities, maximum incidence emerged among persons with neurological disease (2,723), atrial fibrillation (1,348), chronic renal failure (1,050), cardiac disease (856), respiratory disease (798) and diabetes (706). Lower incidence appeared in rheumatic diseases (230) and smokers (180). In multivariable analysis focused on community-dwelling individuals (N=77,671), only cardiac disease (HR: 1.47; 95% CI: 1.01-2.15; p=0.045) and respiratory disease (HR: 1.75; 95% CI: 1.00-3.02; p=0.051) were associated with an increased risk, whereas smoking (HR:0.43; 95% CI: 0.25-0.74; p=0.002) and influenza vaccinated (HR: 0.63; 95% CI: 0.43-0.92; p=0.015) appeared associated with a decreased risk.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Apart of increasing age and nursing-home residence, chronic respiratory and cardiac disease appear at increased risk for suffering covid19. This study investigated population-based incidence of Covid-19 infection by underlying conditions among adults ≥50 years in Tarragona (Southern Catalonia, Spain) across two first months pandemic period.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32588837</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>20</Day></DateCompleted><DateRevised><Year>2020</Year><Month>07</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2173-9110</ISSN><JournalIssue CitedMedium="Internet"><Volume>94</Volume><PubDate><Year>2020</Year><Month>Jun</Month><Day>26</Day></PubDate></JournalIssue><Title>Revista espanola de salud publica</Title><ISOAbbreviation>Rev. Esp. Salud Publica</ISOAbbreviation></Journal><ArticleTitle>[Evaluation of incidence and risk profile for suffering Covid-19 infection by underlying conditions among middle-aged and older adults in Tarragona.]</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">e202006065</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Population-based data on the current Covid-19 pandemic is scarce. This study investigated incidence and risk to suffer Covid-19 by baseline underlying conditions in people ≥50 years in Tarragona region across march-april 2020.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Population-based retrospective cohort study involving 79,071 adults ≥50 years-old in Tarragona region (Southern Catalonia, Spain). Cohort characteristics (age, sex, residence, vaccinations history and comorbidities) were established at baseline, and Covid-19 cases occurring between 01/03/2020-30/04/2020 were registered. Cox regression analysis calculating Hazard ratios (HRs) adjusted by age, sex and comorbidities was used to estimate risk for Covid-19.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Across study period, 1,547 cohort members were PCR tested (22.6% positive) and 367 were presumptive cases without PCR tested. Considering PCR-confirmed Covid-19, incidence (per 100,000 persons-period) was 441 overall (248, 141, 424, 1,303 and 3,135 in 50-59, 60-69, 70-79, 80-89 and ≥90 years-old, respectively; 380 in men and 497 in women; 259 in community-dwelling and 10,571 in nursing-home). By comorbidities, maximum incidence emerged among persons with neurological disease (2,723), atrial fibrillation (1,348), chronic renal failure (1,050), cardiac disease (856), respiratory disease (798) and diabetes (706). Lower incidence appeared in rheumatic diseases (230) and smokers (180). In multivariable analysis focused on community-dwelling individuals (N=77,671), only cardiac disease (HR: 1.47; 95% CI: 1.01-2.15; p=0.045) and respiratory disease (HR: 1.75; 95% CI: 1.00-3.02; p=0.051) were associated with an increased risk, whereas smoking (HR:0.43; 95% CI: 0.25-0.74; p=0.002) and influenza vaccinated (HR: 0.63; 95% CI: 0.43-0.92; p=0.015) appeared associated with a decreased risk.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Apart of increasing age and nursing-home residence, chronic respiratory and cardiac disease appear at increased risk for suffering covid19. This study investigated population-based incidence of Covid-19 infection by underlying conditions among adults ≥50 years in Tarragona (Southern Catalonia, Spain) across two first months pandemic period.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vila-Córcoles</LastName><ForeName>Ángel</ForeName><Initials>Á</Initials><AffiliationInfo><Affiliation>Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ochoa-Gondar</LastName><ForeName>Olga</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Torrente-Fraga</LastName><ForeName>Cristina</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Departamento de Tecnologías de la información y la Comunicación. DAP Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vila-Rovira</LastName><ForeName>Ángel</ForeName><Initials>Á</Initials><AffiliationInfo><Affiliation>Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Satué-Gracia</LastName><ForeName>Eva</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hospital-Guardiola</LastName><ForeName>Immaculada</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Diego-Cabanes</LastName><ForeName>Cinta</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gómez-Bertomeu</LastName><ForeName>Frederic</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Departamento de Microbiología. Hospital Universitari Joan XXIII. Institut Català de la Salut. Tarragona. España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Basora-Gallisà</LastName><ForeName>Josep</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Servicio de Atención Primaria Camp de Tarragona. Institut Català de la Salut. Tarragona. España.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Unitat de suport a la Recerca Tarragona-Reus. IDIAP Jordi Gol. Barcelona. España.</Affiliation></AffiliationInfo></Author></AuthorList><Language>spa</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Evaluación de la incidencia y perfil de riesgo de Covid-19 según comorbilidad previa en adultos ≥50 años del área de Tarragona.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Rev Esp Salud Publica</MedlineTA><NlmUniqueID>9600212</NlmUniqueID><ISSNLinking>1135-5727</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001281" MajorTopicYN="N">Atrial Fibrillation</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003920" MajorTopicYN="N">Diabetes Mellitus</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006331" MajorTopicYN="N">Heart Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007676" MajorTopicYN="N">Kidney Failure, Chronic</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009422" MajorTopicYN="N">Nervous System Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009735" MajorTopicYN="N">Nursing Homes</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016016" MajorTopicYN="N">Proportional Hazards Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012140" MajorTopicYN="N">Respiratory Tract Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList><OtherAbstract Type="Publisher" Language="spa"><AbstractText Label="OBJETIVO" NlmCategory="UNASSIGNED">Los datos clínico-epidemiológicos de base poblacional durante la actual pandemia de Covid-19 son escasos. Este estudio investigó la incidencia y riesgo de sufrir Covid-19 según condiciones basales subyacentes en la población ≥50 años de Tarragona durante marzo-abril 2020.</AbstractText><AbstractText Label="METODOS" NlmCategory="UNASSIGNED">Estudio de cohortes retrospectivo que incluyó a 79.071 personas ≥50 años en el área de Tarragona. Se establecieron características basales de la cohorte (edad, sexo, residencia, vacunaciones y comorbilidades previas), y se registró la ocurrencia de Covid-19 entre 01/03/2020-30/04/2020. Para la estimación de riesgos se realizó regresión de Cox, con cálculo de Hazard ratios (HRs) ajustados por edad, sexo y comorbilidad.</AbstractText><AbstractText Label="RESULTADOS" NlmCategory="UNASSIGNED">Se realizaron PCR-tests en 1.547 personas (22,6% positivos) y 367 fueron codificados como presuntos casos sin realizarse PCR-test. Considerando Covid-19 confirmada (PCR positivo), la incidencia (por 100.000 personas-periodo) fue de 441 (248, 141, 424, 1.303 y 3.135 en 50-59, 60-69, 70-79, 80-89 y ≥90 años, respectivamente; 380 en hombres frente a 497 en mujeres; 259 residentes en la comunidad respecto a 10.571 en institucionalizados). Según comorbilidades, las máximas incidencias aparecieron en enfermedad neurológica (2.723), fibrilación auricular (1.348), insuficiencia renal crónica (1.050), cardiopatía (856), enfermedad respiratoria (798) y diabetes (706). Menores incidencias aparecieron en enfermedad reumatológica (230) y fumadores (180). En personas no institucionalizadas (N=77.671), solo la enfermedad cardiaca (HR: 1,47; IC95%: 1,01-2,15; p=0,045) y respiratoria (HR: 1,75; IC95%: 1,00-3,02; p=0,051) se asociaron con incremento del riesgo, mientras que ser fumador (HR: 0,43; IC95%: 0,25-0,74; p=0,002) y vacunación antigripal en otoño previo (HR: 0,63; IC95%: 0,43-0,92; p=0,015) se asociaron con menor riesgo.</AbstractText><AbstractText Label="CONCLUSIONES" NlmCategory="UNASSIGNED">Aparte de la edad y la institucionalización, la existencia de enfermedad respiratoria y/o cardiaca crónicas se asocia con una mayor incidencia de Covid-19 en adultos.</AbstractText></OtherAbstract><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Adult</Keyword><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Comorbidity</Keyword><Keyword MajorTopicYN="N">Incidence</Keyword><Keyword MajorTopicYN="N">Risk</Keyword><Keyword MajorTopicYN="N">Spain</Keyword></KeywordList><CoiStatement>Disclosure The authors report no conflicts of interest in this work.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>6</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32588837</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Basora Gallisa, Josep" sort="Basora Gallisa, Josep" uniqKey="Basora Gallisa J" first="Josep" last="Basora-Gallisà">Josep Basora-Gallisà</name><name sortKey="De Diego Cabanes, Cinta" sort="De Diego Cabanes, Cinta" uniqKey="De Diego Cabanes C" first="Cinta" last="De Diego-Cabanes">Cinta De Diego-Cabanes</name><name sortKey="G Mez Bertomeu, Frederic" sort="G Mez Bertomeu, Frederic" uniqKey="G Mez Bertomeu F" first="Frederic" last="G Mez-Bertomeu">Frederic G Mez-Bertomeu</name><name sortKey="Hospital Guardiola, Immaculada" sort="Hospital Guardiola, Immaculada" uniqKey="Hospital Guardiola I" first="Immaculada" last="Hospital-Guardiola">Immaculada Hospital-Guardiola</name><name sortKey="Ochoa Gondar, Olga" sort="Ochoa Gondar, Olga" uniqKey="Ochoa Gondar O" first="Olga" last="Ochoa-Gondar">Olga Ochoa-Gondar</name><name sortKey="Satue Gracia, Eva" sort="Satue Gracia, Eva" uniqKey="Satue Gracia E" first="Eva" last="Satué-Gracia">Eva Satué-Gracia</name><name sortKey="Torrente Fraga, Cristina" sort="Torrente Fraga, Cristina" uniqKey="Torrente Fraga C" first="Cristina" last="Torrente-Fraga">Cristina Torrente-Fraga</name><name sortKey="Vila C Rcoles, Angel" sort="Vila C Rcoles, Angel" uniqKey="Vila C Rcoles A" first="Ángel" last="Vila-C Rcoles">Ángel Vila-C Rcoles</name><name sortKey="Vila Rovira, Angel" sort="Vila Rovira, Angel" uniqKey="Vila Rovira A" first="Ángel" last="Vila-Rovira">Ángel Vila-Rovira</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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