COVID‐19 in a Designated Infectious Diseases Hospital Outside Hubei Province, China

[Abstract]. Background: The clinical characteristics of novel coronavirus disease (COVID‐2019) patients outside the epicenter of Hubei province are less understood. Methods: We analyzed the epidemiological and clinical features of all COVID‐2019 cases in the only referral hospital in Shenzhen city,...

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Autor principal: Cai, Qingxian et al.
Formato: Published Article
Publicado: 2020-04-02
Materias:
Acceso en línea:https://doi.org/10.1111/all.14309
https://hdl.handle.net/20.500.12663/952
id PAO-20.500.12663-952
record_format dspace
spelling Cai, Qingxian et al.
2020-04-06T20:53:53Z
2020-04-06T20:53:53Z
2020-04-02
https://doi.org/10.1111/all.14309
https://hdl.handle.net/20.500.12663/952
[Abstract]. Background: The clinical characteristics of novel coronavirus disease (COVID‐2019) patients outside the epicenter of Hubei province are less understood. Methods: We analyzed the epidemiological and clinical features of all COVID‐2019 cases in the only referral hospital in Shenzhen city, China from January 11, 2020 to February 6, 2020 and followed until March 6, 2020. Results: Among the 298 confirmed cases, 233 (81.5%) had been to Hubei while 42 (14%) did not have a clear travel history. Only 192(64.4%) cases had a fever as the initial symptom. Compared to the non‐severe cases, severe cases were associated with older age, those with underlying diseases, as well as higher levels of C‐reactive protein, interleukin‐6, and erythrocyte sedimentation rate. Slower clearance of the virus was associated with a higher risk of progression to critical condition. As of March 6, 2020, 268 (89.9%) patients were discharged and the overall case fatality ratio was 1.0%. Conclusions: In a designated hospital outside Hubei Province, COVID‐2019 patients could be effectively managed by properly using the existing hospital system. Mortality may be lowered when cases are relatively mild and there are sufficient medical resources to care and treat the disease.
English
COVID-19
Coronavirus
Infecciones por Coronavirus
Hospitals
COVID‐19 in a Designated Infectious Diseases Hospital Outside Hubei Province, China
European Journal of Allergy and Clinical Immunology
Others
Clinical characterization and management
Published Article
Save Lives / Salvar Vidas
elec_str_mv Organización Panamericana de la Salud
collection Organización Panamericana de la Salud
title COVID‐19 in a Designated Infectious Diseases Hospital Outside Hubei Province, China
spellingShingle COVID‐19 in a Designated Infectious Diseases Hospital Outside Hubei Province, China
Cai, Qingxian et al.
COVID-19
Coronavirus
Infecciones por Coronavirus
Hospitals
title_short COVID‐19 in a Designated Infectious Diseases Hospital Outside Hubei Province, China
title_full COVID‐19 in a Designated Infectious Diseases Hospital Outside Hubei Province, China
title_fullStr COVID‐19 in a Designated Infectious Diseases Hospital Outside Hubei Province, China
title_full_unstemmed COVID‐19 in a Designated Infectious Diseases Hospital Outside Hubei Province, China
title_sort covid‐19 in a designated infectious diseases hospital outside hubei province, china
author Cai, Qingxian et al.
author_facet Cai, Qingxian et al.
topic COVID-19
Coronavirus
Infecciones por Coronavirus
Hospitals
topic_facet COVID-19
Coronavirus
Infecciones por Coronavirus
Hospitals
publishDate 2020-04-02
format Published Article
description [Abstract]. Background: The clinical characteristics of novel coronavirus disease (COVID‐2019) patients outside the epicenter of Hubei province are less understood. Methods: We analyzed the epidemiological and clinical features of all COVID‐2019 cases in the only referral hospital in Shenzhen city, China from January 11, 2020 to February 6, 2020 and followed until March 6, 2020. Results: Among the 298 confirmed cases, 233 (81.5%) had been to Hubei while 42 (14%) did not have a clear travel history. Only 192(64.4%) cases had a fever as the initial symptom. Compared to the non‐severe cases, severe cases were associated with older age, those with underlying diseases, as well as higher levels of C‐reactive protein, interleukin‐6, and erythrocyte sedimentation rate. Slower clearance of the virus was associated with a higher risk of progression to critical condition. As of March 6, 2020, 268 (89.9%) patients were discharged and the overall case fatality ratio was 1.0%. Conclusions: In a designated hospital outside Hubei Province, COVID‐2019 patients could be effectively managed by properly using the existing hospital system. Mortality may be lowered when cases are relatively mild and there are sufficient medical resources to care and treat the disease.
url https://doi.org/10.1111/all.14309
https://hdl.handle.net/20.500.12663/952
work_keys_str_mv AT caiqingxianetal covid19inadesignatedinfectiousdiseaseshospitaloutsidehubeiprovincechina
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