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About:
Twelve out of 117 recovered COVID-19 patients retest positive in a single-center study of China
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Twelve out of 117 recovered COVID-19 patients retest positive in a single-center study of China
Creator
Zhang, Xie
Ye, Hua
Dai, Yuanrong
Huang, Xiaoying
Leng, Zhefeng
Li, Jifa
Sun, Yangjie
Xiao, Zhongxiang
Yang, Lehe
Ye, Xinxin
Yu, Wenwen
Zhao, Chengguang
Zheng, Legui
Zheng, Long
Source
Elsevier; PMC
abstract
BACKGROUND: It has been reported that a fraction of recovered coronavirus disease 2019(COVID-19) patients have retested positive for SARS-CoV-2. Clinical characteristics and risk factors for retesting positive have not been studied extensively. METHODS: In this retrospective, single-center cohort study, we included adult patients (≥ 18 years old) diagnosed as COVID-19 in Affiliated Yueqing Hospital, Wenzhou Medical University, Zhejiang, China. All the patients were discharged before March 31, 2020, and were re-tested for SARS-CoV-2 RNA by real-time reverse-transcriptase polymerase-chain-reaction (RT-PCR) after meeting the discharge criteria. We retrospectively analyzed this cohort of 117 discharged patients and analyzed the differences between retest positive and negative patients in terms of demographics, clinical characteristics, laboratory findings, chest computed tomography (CT) features and treatment procedures. FINDINGS: Compared with the negative group, the positive group had a higher proportion of patients with comorbidities (Odds Ratio(OR) =2·12, 95% Confidence Interval(CI) 0·48–9·46; p = 0·029), longer hospital stay (OR=1·21, 95% CI 1·07–1·36; p = 0·008), a higher proportion of patients with lymphocytopenia (p = 0·036), a higher proportion of antibiotics treatment (p = 0·008) and glucocorticoids treatment (p = 0·003). Multivariable regression showed increasing odds of positive SARS-CoV-2 retest after discharge associated with longer hospital stay (OR=1·22, 95% CI 1·08–1·38; p = 0·001), and lymphocytopenia (OR=7·74, 95% CI 1·70–35·21; p = 0·008) on admission. INTERPRETATION: Patients with COVID-19 who met discharge criteria could still test positive for SARS-CoV-2 RNA. Longer hospital stay and lymphopenia could be potential risk factors for positive SARS-CoV-2 retest in COVID-19 patients after hospital discharge. FUNDING: Natural Science Foundation of Zhejiang Province, Medical Scientific Research Fund of Zhejiang Province, Wenzhou science and technology project
has issue date
2020-08-24
(
xsd:dateTime
)
bibo:doi
10.1016/j.eclinm.2020.100492
has license
no-cc
sha1sum (hex)
76b471188bca772ed49bd79b5791857353ee5137
schema:url
https://doi.org/10.1016/j.eclinm.2020.100492
resource representing a document's title
Twelve out of 117 recovered COVID-19 patients retest positive in a single-center study of China
has PubMed Central identifier
PMC7444491
schema:publication
EClinicalMedicine
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covid:76b471188bca772ed49bd79b5791857353ee5137#body_text
is
schema:about
of
named entity 'March'
named entity 'Longer'
named entity 'Confidence Interval'
named entity 'patients'
named entity 'demographics'
named entity 'cohort'
named entity 'antibiotics'
named entity 'real-time'
named entity '95% CI'
named entity 'patients'
named entity 'test'
named entity '3D2'
named entity 'CHEST COMPUTED TOMOGRAPHY'
named entity 'RISK FACTORS'
named entity 'features'
named entity 'lymphocytopenia'
named entity 'RNA'
named entity 'lymphocytopenia'
named entity 'hospital'
named entity 'proportion'
named entity 'Interpretation'
named entity 'glucocorticoids'
named entity 'higher'
named entity 'retrospectively'
named entity 'COVID-19'
named entity 'laboratory'
named entity '95% CI'
named entity 'RNA'
named entity 'positive and negative'
named entity 'SARS-CoV-2'
named entity 'glucocorticoids'
named entity 'COVID'
named entity 'CD8 +'
named entity 'logistic regression'
named entity 'lymphocytopenia'
named entity 'SARS-CoV-2'
named entity 'virus'
named entity 'SARS-CoV-2'
named entity 'SARS-CoV-2'
named entity 'IBM'
named entity 'diabetes'
named entity 'pneumonia'
named entity 'skewed distribution'
named entity 'lymphocytopenia'
named entity 'Wenzhou Medical University'
named entity 'SARS-CoV-2'
named entity 'homeostasis'
named entity 'respiratory tract'
named entity 'MERS'
named entity 'neutrophil'
named entity 'relative risk'
named entity 'Wuhan'
named entity 'hospital stays'
named entity 'MCP1'
named entity 'antibiotics'
named entity 'tested positive'
named entity 'C-reactive protein'
named entity 'glucocorticoids'
named entity 'COVID'
named entity 'infection'
named entity 'Lymphocytes'
named entity 'diagnostic criteria'
named entity 'virus'
named entity 'Biotechnology'
named entity 'glucocorticoid'
named entity 'IL-1b'
named entity 'viral pneumonia'
named entity 'data acquisition'
named entity 'RT-PCR'
named entity 'feces'
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