Clinical characteristics of 276 hospitalized patients with coronavirus disease 2019 in Zengdu District, Hubei Province: a single-center descriptive study

BMC Infectious Diseases

Xingting Qiu¹  Zhaofeng He²  Wenzhong Yao³  Dinghua Liu⁴  Min Zhu⁵  Ping Huang⁶  Chunlan Zhong⁷  Junyu Li⁸  Huadong Li⁹  Jiansheng Liu^1,10  Chao Li^1,11  Yiping Wei^1,12  Weibiao Zeng^1,12  Xingen Zhu^1,13  Xiangyun Huang^1,14 

[1] Department of CT&MRI, The First Affiliated Hospital of Gannan Medical University;Department of Critical Care Medicine, Dingnan People’s Hospital;Department of Critical Medicine, Anyuan People’s Hospital;Department of Critical Medicine, Ganzhou Tumor Hospital;Department of General Practice, The First People’s Hospital of Fuzhou;Department of Infectious Disease, Xingguo People’s Hospital;Department of Pediatric Neurology, Ganzhou Women’s and Children’s Hospital of Jiangxi Province;Department of Radiotherapy, Jiangxi Cancer Hospital;Department of Respiratory Medicine, Chongyi County People’s Hospital;Department of Respiratory Medicine, Ganzhou People’s Hospital;Department of Respiratory Medicine, Jiangxi Province Hospital of Integrated Chinese and Western Medicine;Department of Thoracic Surgery, The Second Affiliated Hospital of Nanchang University;Neurosurgery Department, The Second Affiliated Hospital of Nanchang University;Suizhou Zengdu Hospital;

关键词: COVID-19;    SARS-CoV-2;    Echocardiography;    Clinical characteristics;   

DOI  :  10.1186/s12879-020-05252-8

来源: DOAJ

【 摘 要 】

Abstract Background We aimed to report the epidemiological and clinical characteristics of hospitalized patients with coronavirus disease-19 (COVID-19) in Zengdu District, Hubei Province, China. Methods Clinical data on COVID-19 inpatients in Zengdu Hospital from January 27 to March 11, 2020 were collected; this is a community hospital in an area surrounding Wuhan and supported by volunteer doctors. All hospitalized patients with COVID-19 were included in this study. The epidemiological findings, clinical features, laboratory findings, radiologic manifestations, and clinical outcomes of these patients were analyzed. The patients were followed up for clinical outcomes until March 22, 2020. Severe COVID-19 cases include severe and critical cases diagnosed according to the seventh edition of China’s COVID-19 diagnostic guidelines. Severe and critical COVID-19 cases were diagnosed according to the seventh edition of China’s COVID-19 diagnostic guidelines. Results All hospitalized COVID-19 patients, 276 (median age: 51.0 years), were enrolled, including 262 non-severe and 14 severe patients. The proportion of patients aged over 60 years was higher in the severe group (78.6%) than in the non-severe group (18.7%, p < 0.01). Approximately a quarter of the patients (24.6%) had at least one comorbidity, such as hypertension, diabetes, or cancer, and the proportion of patients with comorbidities was higher in the severe group (85.7%) than in the non-severe group (21.4%, p < 0.01). Common symptoms included fever (82.2% [227/276]) and cough (78.0% [218/276]). 38.4% (106/276) of the patients had a fever at the time of admission. Most patients (94.9% [204/276]) were cured and discharged; 3.6% (10/276) deteriorated to a critical condition and were transferred to another hospital. The median COVID-19 treatment duration and hospital stay were 14.0 and 18.0 days, respectively. Conclusions Most of the COVID-19 patients in Zengdu had mild disease. Older patients with underlying diseases were at a higher risk of progression to severe disease. The length of hospital-stay and antiviral treatment duration for COVID-19 were slightly longer than those in Wuhan. This work will contribute toward an understanding of COVID-19 characteristics in the areas around the core COVID-19 outbreak region and serve as a reference for decision-making for epidemic prevention and control in similar areas.

【 授权许可】

Unknown