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About:
Clinical Characteristics and Prognosis of 218 Patients With COVID-19: A Retrospective Study Based on Clinical Classification
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wasabi.inria.fr
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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
title
Clinical Characteristics and Prognosis of 218 Patients With COVID-19: A Retrospective Study Based on Clinical Classification
Creator
Fan, Yong
Chen, Fang
Li, Yimin
Lin, Wei
Kozlakidis, Zisis
Long, Da
Fang, Zhixiong
Han, Xiaotong
Peng, Danhong
Xie, Yu
Yan, Xiquan
Zhu, Shuibo
Zhu, Yimin
Takir, Huriye
Xie, Long
source
Medline; PMC
abstract
Background: Coronavirus disease 2019 (COVID-19) is an emerging infectious disease that has spread worldwide. Methods: This was a retrospective case series involving 218 patients admitted to three tertiary hospitals in the Loudi, Shaoyang, and Xiangtan areas of China from January 21 to June 27, 2020, who were confirmed by RT-PCR to have SARS-CoV-2. The patients' clinical characteristics, laboratory results, treatments, and prognoses based on clinical classification were recorded. Poor outcome was defined as admission to an ICU, the use of mechanical ventilation, or death. Results: The patients were classified into four clinical groups based on disease severity, namely mild (10/218, 5%), moderate (146/218, 67%), severe (24/218, 11%), or critical (14/218, 6%); 24 (11%) asymptomatic cases were also included in the study. The most common symptoms were self-reported cough (162/218, 74%), fever (145/218, 67%), sputum production (99/218, 45%), and fatigue (77/218, 35%). Among the 218 patients, 192 (88%) received lopinavir/ritonavir and interferon-alpha inhalation, and 196 (90%) patients received traditional Chinese medicine. Among the severe and critical patients, 25 (11%) were admitted to an ICU with or without mechanical ventilation, and one patient died. The presence of diabetes [relative risk (RR), 3.0; 95% CI, 1.3–6.8; p = 0.007) or other comorbidities (RR, 5.9; 95% CI, 1.9–17.8; p = 0.002) was independently associated with poor outcome. To date, 20 (9%) patients have retested positive for SARS-CoV-2 RNA after recovering and being discharged. Conclusion: The majority of patients in this case series were clinically classified as having moderate COVID-19. Older patients tended to present with greater levels of clinical severity. The prognosis for patients who were elderly or had diabetes or other chronic comorbidities was relatively poor.
has issue date
2020-08-11
(
xsd:dateTime
)
bibo:doi
10.3389/fmed.2020.00485
bibo:pmid
32850925
has license
cc-by
sha1sum (hex)
99ae775aa5c46730a9d4b4747c4b8aa7b34f622f
schema:url
https://doi.org/10.3389/fmed.2020.00485
resource representing a document's title
Clinical Characteristics and Prognosis of 218 Patients With COVID-19: A Retrospective Study Based on Clinical Classification
has PubMed Central identifier
PMC7431472
has PubMed identifier
32850925
schema:publication
Front Med (Lausanne)
resource representing a document's body
covid:99ae775aa5c46730a9d4b4747c4b8aa7b34f622f#body_text
is
schema:about
of
named entity 'Clinical Characteristics'
named entity 'COVID-19'
named entity 'post-hoc test'
named entity 'standard error'
named entity 'comorbid conditions'
named entity 'clinical features'
named entity 'viral pneumonia'
named entity 'Loudi'
named entity 'Asymptomatic'
named entity 'ground-glass opacities'
named entity 'quarantine'
named entity 'antiviral therapies'
named entity 'Asymptomatic patients'
named entity 'Coronavirus disease 2019'
named entity 'COVID'
named entity 'cough'
named entity 'clinical practice guidelines'
named entity 'Hunan'
named entity 'chronic diseases'
named entity 'APTT'
named entity 'prognosis'
named entity 'medical conditions'
named entity 'demographic'
named entity 'RT-PCR'
named entity 'SPSS'
named entity 'Xiangtan'
named entity 'treatment protocol'
named entity 'decoction'
named entity 'COVID-19'
named entity 'ICU'
named entity 'catheter'
named entity 'antibiotics'
named entity 'retrospective studies'
named entity 'CT scans'
named entity 'route of transmission'
named entity '95% CI'
named entity 'COVID'
named entity 'hypertension'
named entity 'Kaplan-Meier'
named entity 'survival analysis'
named entity 'comorbid'
named entity 'mechanical ventilation'
named entity 'reduce the spread'
named entity 'diabetes'
named entity 'mechanical ventilation'
named entity 'Fisher's exact test'
named entity 'prognosis'
named entity 'severe pneumonia'
named entity 'Lactate dehydrogenase'
named entity 'pulmonary consolidation'
named entity 'crude mortality rate'
named entity 'mechanical ventilation'
named entity 'chronic diseases'
named entity 'fatigue'
named entity 'SARS-CoV-2'
named entity 'oxygen therapy'
named entity 'diabetes'
named entity 'comorbid'
named entity 'Berlin'
named entity 'CT imaging'
named entity 'sputum production'
named entity 'province of China'
named entity 'patient care'
named entity 'antibacterial agents'
named entity 'cough'
named entity 'univariate analysis'
named entity 'China'
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