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Research ArticleOriginal Research

The COVID-19 Pandemic in a Hispanic Population: A Primary Care Perspective

Christopher D. Owens, Gerardo M. Pertuz, Julio C. Sanchez, Jorge Ayala, Lindsey H. Pimentel, Christopher Lamb, Yelyt E. Lopez Mayo and Alfredo Lopez Yunez
The Journal of the American Board of Family Medicine July 2022, 35 (4) 686-694; DOI: https://doi.org/10.3122/jabfm.2022.04.210163
Christopher D. Owens
From Alivio Medical Center, Indianapolis, IN (CDO, GMP, JCS, JA, LHP, CL, YELM, ALY); Case Western Reserve University, Cleveland, OH (CL).
MD, MSc
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Gerardo M. Pertuz
From Alivio Medical Center, Indianapolis, IN (CDO, GMP, JCS, JA, LHP, CL, YELM, ALY); Case Western Reserve University, Cleveland, OH (CL).
MD
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Julio C. Sanchez
From Alivio Medical Center, Indianapolis, IN (CDO, GMP, JCS, JA, LHP, CL, YELM, ALY); Case Western Reserve University, Cleveland, OH (CL).
MD
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Jorge Ayala
From Alivio Medical Center, Indianapolis, IN (CDO, GMP, JCS, JA, LHP, CL, YELM, ALY); Case Western Reserve University, Cleveland, OH (CL).
MD
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Lindsey H. Pimentel
From Alivio Medical Center, Indianapolis, IN (CDO, GMP, JCS, JA, LHP, CL, YELM, ALY); Case Western Reserve University, Cleveland, OH (CL).
CRNP
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Christopher Lamb
From Alivio Medical Center, Indianapolis, IN (CDO, GMP, JCS, JA, LHP, CL, YELM, ALY); Case Western Reserve University, Cleveland, OH (CL).
PhD
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Yelyt E. Lopez Mayo
From Alivio Medical Center, Indianapolis, IN (CDO, GMP, JCS, JA, LHP, CL, YELM, ALY); Case Western Reserve University, Cleveland, OH (CL).
MD, RN
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Alfredo Lopez Yunez
From Alivio Medical Center, Indianapolis, IN (CDO, GMP, JCS, JA, LHP, CL, YELM, ALY); Case Western Reserve University, Cleveland, OH (CL).
MD
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  • Article
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Article Figures & Data

Figures

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    Figure 1.

    Screening tool for recording patient symptoms.

  • Figure 2.
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    Figure 2.

    Patient sets. Most patients presenting for medical care in a primary care setting during a pandemic do not have COVID-19. Out of 6616 patient visits, 409 patients were triaged to our isolation and containment area.

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    Figure 3.

    Venn Diagram scatter plot of symptoms clusters. N = 204 patients had 1 or more symptoms in the above categories. Sore throat was not a symptom of the initial variant of COVID-19, thus the omission from this figure. This figure was generated using the Venn diagram webtool from Bioinformatics & Evolutionary Genomics (http://bioinformatics.psb.ugent.be/webtools/Venn/).

Tables

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    Table 1.

    Demographics and Vital Signs of Hispanic Patients Tested for COVID-19 at Alivio Medical Center

    Total, n = 378Symptomatic, n = 230Asymptomatic, n = 148P-Value
    Age, mean ± SD39.4 ± 12.740.6 ± 12.537.5 ± 13.00.026
    Gender, % men63.1%68%59.8%0.09
    Ethnicity, % Hispanic100%100%100%N/A
    Diabetes7.3%8.5%5.5%0.29
    Hypertension5.4%5.8%4.8%0.697
    Temperature, mean ± SD98.8 ± 1.599.3 ± 1.398 ± 1.20.0004
    Pulse rate, mean ± SD86.1 ± 14.790.3 ± 14.280.1 ± 13.4<0.0001
    • Symptomatic patients presenting for testing were older, had higher temperature and a higher pulse rate.

    • Abbreviation: SD, standard deviation.

    • View popup
    Table 2.

    Symptom Clusters for COVID-19 Positive Patients

    Group NameSymptomsNumber of patients (%)
    ConstitutionalFever
    Fatigue
    Malaise
    143 (62%)
    RespiratoryCough
    Dyspnea
    Shortness of breath
    136 (59%)
    SomaticMyalgia
    Arthralgia
    97 (42%)
    GastrointestinalNausea
    Vomiting
    Diarrhea
    34 (15%)
    NeurologicalAnosmia
    Dysgeusia
    28 (12%)
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The Journal of the American Board of Family     Medicine: 35 (4)
The Journal of the American Board of Family Medicine
Vol. 35, Issue 4
July/August 2022
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The COVID-19 Pandemic in a Hispanic Population: A Primary Care Perspective
Christopher D. Owens, Gerardo M. Pertuz, Julio C. Sanchez, Jorge Ayala, Lindsey H. Pimentel, Christopher Lamb, Yelyt E. Lopez Mayo, Alfredo Lopez Yunez
The Journal of the American Board of Family Medicine Jul 2022, 35 (4) 686-694; DOI: 10.3122/jabfm.2022.04.210163

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The COVID-19 Pandemic in a Hispanic Population: A Primary Care Perspective
Christopher D. Owens, Gerardo M. Pertuz, Julio C. Sanchez, Jorge Ayala, Lindsey H. Pimentel, Christopher Lamb, Yelyt E. Lopez Mayo, Alfredo Lopez Yunez
The Journal of the American Board of Family Medicine Jul 2022, 35 (4) 686-694; DOI: 10.3122/jabfm.2022.04.210163
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Keywords

  • Cluster Analysis
  • COVID-19
  • Healthcare Disparities
  • Hispanics
  • Minority Health
  • Outpatients
  • Pandemics
  • Primary Health Care
  • Retrospective Studies
  • Socioeconomic Factors
  • Triage
  • Underserved Populations

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