机构:[1]Research Center for Clinical and Translational Medicine, Beijing 302 Hospital/The Fifth Medical Center of PLA General Hospital, Beijing, China[2]The First Liver Cirrhosis Diagnosis and Treatment Center, Beijing 302 Hospital/The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China[3]Institute of Cerebrovascular Disease Research and Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, China神经科系统神经内科首都医科大学宣武医院脑血管病研究室[4]Medical Information Center Department, Beijing 302 Hospital/The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China[5]Library, Beijing 302 Hospital/The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China[6]The Medical Center of Clinical Laboratory, Beijing 302 Hospital/the Fifth Medical Center of Chinese PLA General Hospital, Beijing, China[7]College of Life Science and Technology, Beijing University of Chemical Technology, Beijing, China
Clinical and laboratory data on patients with coronavirus disease 2019 (COVID-19) in Beijing, China, remain extremely limited. In this study, we summarized the clinical characteristics of patients with COVID-19 from a designated hospital in Beijing. In total, 55 patients with laboratory-confirmed SARS-CoV-2 infection in Beijing 302 Hospital were enrolled in this study. Demographic data, symptoms, comorbidities, laboratory values, treatments, and clinical outcomes were all collected and retrospectively analyzed. A total of 15 (27.3%) patients had severe symptoms, the mean age was 44.0 years (interquartile range [IQR], 34.0-56.0), and the median incubation period was 7.5 days (IQR, 5.0-11.8). A total of 26 (47.3%) patients had exposure history in Wuhan of less than 2 weeks, whereas 20 (36.4%) patients were associated with familial clusters. Also, eighteen (32.7%) patients had underlying comorbidities including hypertension. The most common symptom of illness was fever (45; 81.8%); 51 (92.7%) patients had abnormal findings on chest computed tomography. Laboratory findings showed that neutrophil count, percentage of lymphocyte, percentage of eosinophil, eosinophil count, erythrocyte sedimentation rate, albumin, and serum ferritin are potential risk factors for patients with a poor prognosis. A total of 26 patients (47.3%) were still hospitalized, whereas 29 (52.7%) patients had been discharged. Compared with patients in Wuhan, China, the symptoms of patients in Beijing are relatively mild. Older age, more comorbidities, and more abnormal prominent laboratory markers were associated with a severe condition. On the basis of antiviral drugs, it is observed that antibiotics treatment, appropriate dosage of corticosteroid, and gamma globulin therapy significantly improve patients' outcomes. Early identification and timely medical treatment are important to reduce the severity of patients with COVID-19.
基金:
Fundamental Research Funds for Central UniversitiesFundamental Research Funds for the Central Universities [BUCTZY2012]; National Key Research and Development Plan of China [2018ZX09711003-004-003]; China Postdoctoral Science FoundationChina Postdoctoral Science Foundation [2019M65072]
第一作者机构:[1]Research Center for Clinical and Translational Medicine, Beijing 302 Hospital/The Fifth Medical Center of PLA General Hospital, Beijing, China
共同第一作者:
通讯作者:
通讯机构:[*1]College of Life Science and Technology, Beijing University of Chemical Technology, Beijing 100029, China[*2]Research Center for Clinical and Translational Medicine, Beijing 302 Hospital/ The Fifth Medical Center of PLA General Hospital, Beijing 100039, China
推荐引用方式(GB/T 7714):
Sun Lijun,Shen Lijun,Fan Junfen,et al.Clinical features of patients with coronavirus disease 2019 from a designated hospital in Beijing, China[J].JOURNAL OF MEDICAL VIROLOGY.2020,92(10):2055-2066.doi:10.1002/jmv.25966.
APA:
Sun, Lijun,Shen, Lijun,Fan, Junfen,Gu, Fengjun,Hu, Mei...&Bi, Jingfeng.(2020).Clinical features of patients with coronavirus disease 2019 from a designated hospital in Beijing, China.JOURNAL OF MEDICAL VIROLOGY,92,(10)
MLA:
Sun, Lijun,et al."Clinical features of patients with coronavirus disease 2019 from a designated hospital in Beijing, China".JOURNAL OF MEDICAL VIROLOGY 92..10(2020):2055-2066