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Enfermería Global

On-line version ISSN 1695-6141


GOMEZ-ESCALONILLA-LORENZO, Soledad; SUSIN-LOPEZ, Daniel; SANTIAGO-SUBIELA, Xaime  and  NOTARIO-PACHECO, Blanca. Impact on chronic patients in a basic health zone of Toledo in the COVID-19 pandemic. Enferm. glob. [online]. 2023, vol.22, n.70, pp.437-464.  Epub June 26, 2023. ISSN 1695-6141.


People with chronic diseases are vulnerable to disruption of care and stress with the COVID-19 pandemic. Their post-confinement cardiovascular risk needs to be reassessed.


To assess the impact of confinement and modifications in health care system on the health of people with chronic diseases in a Basic Health Zone in Toledo during COVID-19 pandemic.


Analytical, observational, longitudinal, retrospective study. Patients with chronic pathologies. Random sample 420. Review of clinical records to collect clinical/metabolic parameters before and after confinement. Number and type of nursing visits and hospital admissions before, during and after confinement.


349 records were evaluated. Mean age 65.36 and 52.7% were men. It was found that after confinement there was a significant decrease in weight (p=0.046) and increase in diastolic blood pressure (p=0.018) in the whole sample. The decrease in weight was greater in women, patients aged >65 years, those with hypertension and those with hyperlipidemia. In terms of clinical variables that increased post-confinement Figures, an increase in LDL cholesterol was observed in patients aged >65 (p=0.005). Increased diastolic blood pressure in women (p=0.005), patients aged >65 (p=0.022) and those with hypertension (p=0.038) and increased systolic blood pressure in women (p=0.041).

Increased post-confinement admissions (p=0.001); 57.1% of admissions were related to their chronic pathology and a decrease in nursing visits during and post-confinement (p=0.000).


Chronic patients have worsened conditions related to their pathology during and after confinement. Decreased face-to-face patient care during this period could be a contributing factor to this situation.

Keywords : Coronavirus infections; COVID-19; chronic disease; Noncommunicable diseases; impacts on health.

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