๐ Clinical characteristics of non-critically ill patients with novel coronavirus infection (COVID-19) in a Fangcang Hospital.
OBJECTIVES: Describe the clinical characteristics of patients in Fangcang Hospital. METHODS: Non-critically ill patients with positive SARS-CoV-2 RT-PCR tests admitted to Dongxihu 'Fangcang' Hospital between February 7th and 12th were included, which was promptly constructed because of the rapid, exponential increase in COVID-19 patients in Wuhan, China; clinical course through February 22nd was recorded. RESULTS: 1012 non-critically ill patients with positive SARS-CoV-2 RT-PCR tests were included in the study. 30 (of 1012, 3.0%) patients were asymptomatic on admission. During hospitalization, 16 of 30 (53.3%) asymptomatic patients suffered from different symptoms. Fourteen of 1012 patients (1.4%) remained asymptomatic from exposure to the end of follow-up, with a median duration of 24 days (IQR 22-27). Fever (761 of 1012, 75.2%) and cough (531 of 1012, 52.4%) were the most common symptoms. Small patchy opacities (355 of 917, 38.7%)and ground-glass opacities (508 of 917, 55.4%) were common imaging manifestations in chest CT scan. One hundred patients (9.9%) were transferred to designated hospitals due to aggravation of illness. Diarrhea emerged in 152 of 1012 patients (15.0%). Male, elder age, diabetes cardiovascular diseases, chills, dyspnea, SO2 value of =93%, WBC counts of >10 x10(9)/L and large consolidated opacity on CT images were all risk factors for aggravation of illness. CONCLUSIONS: Non-critically ill patients had different clinical characteristics than critically ill patients. Asymptomatic infections only accounted for a small proportion of COVID-19. Although with a low incidence, diarrhea was observed in patients with COVID-19, indicating the possibility of faecal-oral transmission.
keywords
๐ glass opacities (51)
author
๐ค Wang, Xiaobing
๐ค Fang, Jun
๐ค Zhu, Yue
๐ค Chen, Liping
๐ค Ding, Feng
๐ค Zhou, Rui
๐ค Ge, Liuqing
๐ค Wang, Fan
๐ค Chen, Qian
๐ค Zhang, Yongxi
๐ค Zhao, Qiu
year
โฐ 2020
journal
๐ Clin Microbiol Infect
issn
๐
volume
number
page
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0
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