<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942023000400001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Secuelas por COVID-19 en pacientes de 20 y 60 años que acuden al Centro de Salud &#8220;Tulcán Sur&#8221; de Ecuador]]></article-title>
<article-title xml:lang="en"><![CDATA[COVID-19 sequelae in patients aged 20 and 60 years attending the "Tulcán Sur" Health Center in Ecuador]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abata-Erazo]]></surname>
<given-names><![CDATA[Alexandra Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tonguino-Montenegro]]></surname>
<given-names><![CDATA[Katerine María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nazate-Chuga]]></surname>
<given-names><![CDATA[Zuly Rivel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Regional Autónoma de Los Andes  ]]></institution>
<addr-line><![CDATA[Tulcán ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942023000400001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942023000400001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942023000400001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: si bien la atención al paciente con COVID-19 ha suscitado una creciente actividad investigativa asistencial, aún los estudios sobre el seguimiento a largo plazo y las secuelas son escasos en Ecuador.  Objetivo:  caracterizar a los pacientes con COVID-19 atendidos en el Centro de Salud &#8220;Tulcán Sur&#8221; y sus secuelas.  Métodos: estudio observacional, descriptivo y prospectivo en pacientes entre 20 y 60 años con COVID-19 atendidos en el Centro de Salud &#8220;Tulcán Sur&#8221; de Ecuador. Se estudiaron variables como: edad, antecedentes, complicaciones, secuelas y su duración, medidas posteriores y rehabilitación realizadas. Se empleó estadística descriptiva.  Resultados: predominaron los pacientes de edades entre 51 y 60 años (53,85 %) y antecedentes de Diabetes Mellitus (32,87 %). El 27,8 % requirió la hospitalización en una Unidad de Cuidados intensivos. Las principales complicaciones fueron respiratorias (36,36 %) y las secuelas la fibrosis pulmonar (27,98 %) y la dificultad respiratoria (22,38 %). En el 51,05 % de los pacientes las secuelas duraron entre uno y tres meses, mientras el 11,89 % no experimentó secuelas. El 72,72 % de los pacientes no realizaron ninguna terapia rehabilitadora tras la COVID-19  Conclusiones: entre los pacientes con COVID-19 predominaron aquellos pasados la cuarta década de vida, con alta incidencia de comorbilidades, y bajos índices de hospitalización. Las principales complicaciones y secuelas fueron del sistema respiratorio, donde fueron experimentadas principalmente entre el primer y tercer mes. La asistencia a los servicios de salud para realizarse chequeos periódicos fue irregular, y la realización de terapéutica rehabilitadora fue baja.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction: although the care of patients with COVID-19 has led to increasing research activity in health care, studies on long-term follow-up and sequelae are still scarce in Ecuador. Objective: to characterize patients with COVID-19 treated at the "Tulcán Sur" Health Center and their sequelae. Methods: observational, descriptive and prospective study in patients between 20 and 60 years of age with COVID-19 treated at the "Tulcán Sur" Health Center in Ecuador. We studied variables such as: age, history, complications, sequelae and their duration, subsequent measures and rehabilitation performed. Descriptive statistics were used. Results: patients between 51 and 60 years of age (53,85 %) and a history of Diabetes Mellitus (32,87 %) predominated. 27,8 % required hospitalization in an Intensive Care Unit. The main complications were respiratory (36,36 %) and the sequelae were pulmonary fibrosis (27,98 %) and respiratory distress (22,38 %). In 51,05 % of the patients the sequelae lasted between one and three months, while 11,89 % did not experience sequelae. 72,72 % of the patients did not undergo any rehabilitative therapy after COVID-19. Conclusions: among patients with COVID-19 there was a predominance of those past the fourth decade of life, with a high incidence of comorbidities, and low hospitalization rates. The main complications and sequelae were of the respiratory system, where they were mainly experienced between the first and third month. Attendance at health services for periodic check-ups was irregular, and the use of rehabilitative therapy was low.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[CENTROS DE SALUD]]></kwd>
<kwd lng="es"><![CDATA[CUIDADOS POSTERIORES]]></kwd>
<kwd lng="es"><![CDATA[COMPLICACIONES]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[HEALTH CENTERS]]></kwd>
<kwd lng="en"><![CDATA[AFTERCARE]]></kwd>
<kwd lng="en"><![CDATA[COMPLICATIONS.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez-Tejeda]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández-Pérez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilera-Velázquez]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Afectación del sistema cardiovascular en la infección por SARS-CoV-2.]]></article-title>
<source><![CDATA[Univ Méd Pinareña]]></source>
<year>2020</year>
<volume>16</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Escobar]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Bernaola]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Alfaro]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Taype]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Marcos]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Description of patients with severe COVID-19 treated in a national referral hospital in Peru.]]></article-title>
<source><![CDATA[Rev Peru Med Exp Salud Publica]]></source>
<year>2020</year>
<volume>37</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>253-8.</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Luis]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[YS.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterización clínica y epidemiológica de la enfermedad COVID-19 en el municipio Sandino, año 2020]]></article-title>
<source><![CDATA[Rev Cub. Salud Pub]]></source>
<year>2023</year>
<volume>49</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medina Gamero]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Regalado Chamorro]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Guillen Rojas]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The aftermath of COVID-19: between anosmia and ageusia]]></article-title>
<source><![CDATA[Acta Otorrinolaringol Esp]]></source>
<year>2022</year>
<volume>73</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>200</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mastrorosa]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Del Duca]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Pinnetti]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Lorenzini]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Vergori]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Brita]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[What is the impact of post-COVID-19 syndrome on health-related quality of life and associated factors: a cross-sectional analysis.]]></article-title>
<source><![CDATA[Health Qual Life Outcomes]]></source>
<year>2023</year>
<volume>21</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>28</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jiménez-Blas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Alvarado-Toledo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Afectaciones físicas y psicológicas en personas pos-COVID-19 en Oaxaca, México.]]></article-title>
<source><![CDATA[Rev. inf. cient.]]></source>
<year>2022</year>
<volume>101</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosales-Castillo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[García de los Ríos]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Mediavilla García]]></surname>
<given-names><![CDATA[JD.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Persistent symptoms after acute COVID-19 infection: importance of follow-up.]]></article-title>
<source><![CDATA[Med Clin (Barc)]]></source>
<year>2021</year>
<volume>156</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>35-6.</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Molina]]></surname>
<given-names><![CDATA[MM.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Secuelas y consecuencias de la Covid-19.]]></article-title>
<source><![CDATA[Med Respir]]></source>
<year>2020</year>
<volume>13</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>71-77.</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cecilia-Paredes]]></surname>
<given-names><![CDATA[EE]]></given-names>
</name>
<name>
<surname><![CDATA[Echevarria-Cruz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cecilia-Paredes]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Rico-Santos]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-Cabrera]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Prieto-Suárez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterización de pacientes con COVID-19 en Pinar del Río, marzo 2020 - marzo 2021.]]></article-title>
<source><![CDATA[Univ Médica Pinareña]]></source>
<year>2022</year>
<volume>18</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Harriete-González]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Betancourt-Pulsan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Perera-García]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Peña Lobaina]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Perfil epidemiológico de la COVID-19 en municipio Yateras, Guantánamo.]]></article-title>
<source><![CDATA[Revista Información Científica]]></source>
<year>2021</year>
<volume>100</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>12</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Núñez-Cortés]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Leyton-Quezada]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Pino]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
<name>
<surname><![CDATA[Costa-Costa]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Torres-Castro]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Secuelas físicas y emocionales en pacientes post hospitalización por COVID-19.]]></article-title>
<source><![CDATA[Rev Med Chil]]></source>
<year>2021</year>
<volume>149</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1031-5.</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guapisaca Gaona]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Guartambel Cajamarca]]></surname>
<given-names><![CDATA[EB]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz Palomeque]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
<name>
<surname><![CDATA[Angamarca Coello]]></surname>
<given-names><![CDATA[MF.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgo asociados al desarrollo de tromboembolismo pulmonar en pacientes adultos con diagnóstico de COVID-19.]]></article-title>
<source><![CDATA[Salud, Cienc y Tecnol]]></source>
<year>2022</year>
<volume>2</volume>
<numero>S1</numero>
<issue>S1</issue>
<page-range>212</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Llamosas]]></surname>
<given-names><![CDATA[LS.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Secuelas a largo plazo de COVID-19.]]></article-title>
<source><![CDATA[Rev Esp Salud Publica]]></source>
<year>2020</year>
<volume>94</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-4.</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Xiong]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Xu]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Xu]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical sequelae of COVID-19 survivors in Wuhan, China: a single-centre longitudinal study.]]></article-title>
<source><![CDATA[Clin Microbiol Infect]]></source>
<year>2021</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>89-95.</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tak]]></surname>
<given-names><![CDATA[CR.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The health impact of long COVID: a cross-sectional examination of health-related quality of life, disability, and health status among individuals with self-reported post-acute sequelae of SARS CoV-2 infection at various points of recovery.]]></article-title>
<source><![CDATA[J Patient-Reported Outcomes]]></source>
<year>2023</year>
<volume>7</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
