Retrospective analysis of clinical characteristics of 405 patients with COVID-19

Objective This study was performed to investigate the clinical characteristics of patients with coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Methods We analyzed the electronic medical records of 405 hospitalized patients with l...

Full description

Bibliographic Details
Main Authors: Ting Zhan, Meng Liu, Yalin Tang, Zheng Han, Xueting Cheng, Junsheng Deng, Xiaoli Chen, Xia Tian, Xiaodong Huang
Format: Article
Language:English
Published: SAGE Publishing 2020-08-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060520949039
_version_ 1818841743023407104
author Ting Zhan
Meng Liu
Yalin Tang
Zheng Han
Xueting Cheng
Junsheng Deng
Xiaoli Chen
Xia Tian
Xiaodong Huang
author_facet Ting Zhan
Meng Liu
Yalin Tang
Zheng Han
Xueting Cheng
Junsheng Deng
Xiaoli Chen
Xia Tian
Xiaodong Huang
author_sort Ting Zhan
collection DOAJ
description Objective This study was performed to investigate the clinical characteristics of patients with coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Methods We analyzed the electronic medical records of 405 hospitalized patients with laboratory-confirmed COVID-19 in the Third Hospital of Wuhan. Results The patients’ median age was 56 years, 54.1% were female, 11.4% had a history of smoking, and 10.6% had a history of drinking. All cases of COVID-19 were community-acquired. Fever (76.8%) and cough (53.3%) were the most common clinical manifestations, and circulatory system diseases were the most common comorbidities. Gastrointestinal symptoms were present in 61.2% of the patients, and 2.9% of the patients were asymptomatic. Computed tomography showed ground-glass opacities in most patients (72.6%) and consolidation in 30.9%. Lymphopenia (72.3%) and hypoproteinemia (71.6%) were observed in most patients. About 20% of patients had abnormal liver function. Patients with severe disease had significantly more prominent laboratory abnormalities, including an abnormal lymphocyte count and abnormal C-reactive protein, procalcitonin, alanine aminotransferase, aspartate aminotransferase, D-dimer, and albumin levels. Conclusion SARS-CoV-2 causes a variety of severe respiratory illnesses similar to those caused by SARS-CoV-1. Older age, chronic comorbidities, and laboratory abnormalities are associated with disease severity.
first_indexed 2024-12-19T04:30:55Z
format Article
id doaj.art-f9df857b6fc44c82868450f2e0f2ef05
institution Directory Open Access Journal
issn 1473-2300
language English
last_indexed 2024-12-19T04:30:55Z
publishDate 2020-08-01
publisher SAGE Publishing
record_format Article
series Journal of International Medical Research
spelling doaj.art-f9df857b6fc44c82868450f2e0f2ef052022-12-21T20:35:53ZengSAGE PublishingJournal of International Medical Research1473-23002020-08-014810.1177/0300060520949039Retrospective analysis of clinical characteristics of 405 patients with COVID-19Ting ZhanMeng LiuYalin TangZheng HanXueting ChengJunsheng DengXiaoli ChenXia TianXiaodong HuangObjective This study was performed to investigate the clinical characteristics of patients with coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Methods We analyzed the electronic medical records of 405 hospitalized patients with laboratory-confirmed COVID-19 in the Third Hospital of Wuhan. Results The patients’ median age was 56 years, 54.1% were female, 11.4% had a history of smoking, and 10.6% had a history of drinking. All cases of COVID-19 were community-acquired. Fever (76.8%) and cough (53.3%) were the most common clinical manifestations, and circulatory system diseases were the most common comorbidities. Gastrointestinal symptoms were present in 61.2% of the patients, and 2.9% of the patients were asymptomatic. Computed tomography showed ground-glass opacities in most patients (72.6%) and consolidation in 30.9%. Lymphopenia (72.3%) and hypoproteinemia (71.6%) were observed in most patients. About 20% of patients had abnormal liver function. Patients with severe disease had significantly more prominent laboratory abnormalities, including an abnormal lymphocyte count and abnormal C-reactive protein, procalcitonin, alanine aminotransferase, aspartate aminotransferase, D-dimer, and albumin levels. Conclusion SARS-CoV-2 causes a variety of severe respiratory illnesses similar to those caused by SARS-CoV-1. Older age, chronic comorbidities, and laboratory abnormalities are associated with disease severity.https://doi.org/10.1177/0300060520949039
spellingShingle Ting Zhan
Meng Liu
Yalin Tang
Zheng Han
Xueting Cheng
Junsheng Deng
Xiaoli Chen
Xia Tian
Xiaodong Huang
Retrospective analysis of clinical characteristics of 405 patients with COVID-19
Journal of International Medical Research
title Retrospective analysis of clinical characteristics of 405 patients with COVID-19
title_full Retrospective analysis of clinical characteristics of 405 patients with COVID-19
title_fullStr Retrospective analysis of clinical characteristics of 405 patients with COVID-19
title_full_unstemmed Retrospective analysis of clinical characteristics of 405 patients with COVID-19
title_short Retrospective analysis of clinical characteristics of 405 patients with COVID-19
title_sort retrospective analysis of clinical characteristics of 405 patients with covid 19
url https://doi.org/10.1177/0300060520949039
work_keys_str_mv AT tingzhan retrospectiveanalysisofclinicalcharacteristicsof405patientswithcovid19
AT mengliu retrospectiveanalysisofclinicalcharacteristicsof405patientswithcovid19
AT yalintang retrospectiveanalysisofclinicalcharacteristicsof405patientswithcovid19
AT zhenghan retrospectiveanalysisofclinicalcharacteristicsof405patientswithcovid19
AT xuetingcheng retrospectiveanalysisofclinicalcharacteristicsof405patientswithcovid19
AT junshengdeng retrospectiveanalysisofclinicalcharacteristicsof405patientswithcovid19
AT xiaolichen retrospectiveanalysisofclinicalcharacteristicsof405patientswithcovid19
AT xiatian retrospectiveanalysisofclinicalcharacteristicsof405patientswithcovid19
AT xiaodonghuang retrospectiveanalysisofclinicalcharacteristicsof405patientswithcovid19