机构:[1]Hubei Hospital of Traditional Chinese Medicine, Wuhan, China,[2]Hubei University of Chinese Medicine, Wuhan, Wuhan, China,[3]Departments of Endocrinology, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China,[4]Liver Disease Branch, Hubei Hospital of Traditional Chinese Medicine, Wuhan, China,[5]Department of Oncology, Hubei Hospital of Traditional Chinese Medicine, Wuhan, China,[6]Center for Evidence-based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China,[7]Department of Endocrinology, Hubei Hospital of Traditional Chinese Medicine, Wuhan, China,[8]Medical Affairs Department, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China,[9]Department of Orthopedics, Hubei Hospital of Traditional Chinese Medicine, Wuhan, China,[10]Graduate School, Beijing University of Chinese Medicine, Beijing, China,[11]Department of Pulmonary Medicine, Hubei Hospital of Traditional Chinese Medicine, Wuhan, China,[12]International Cooperation Department, China Academy of Chinese Medical Sciences, Beijing, China,[13]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China神经科系统神经内科首都医科大学宣武医院
Objective During the follow-up of patients recovered from coronavirus disease 2019 (COVID-19) in the quarantine and observation period, some of the cured patients showed positive results again. The recurrent positive RT-PCR test results drew widespread concern. We observed a certain number of cured COVID-19 patients with positive RT-PCR test results and try to analyze the factors that caused the phenomenon. Methods We conducted an observational study in COVID-19 patients discharged from 6 rehabilitation stations in Wuhan, China. All observed subjects met the criteria for hospital discharge and were in quarantine. Data regarding age, sex, body mass index (BMI), course of disease, comorbidity, smoking status and alcohol consumption, symptoms in and out of quarantine, and intervention were collected from the subjects' medical records and descriptively analyzed. The main outcome of this study was the RT-PCR test result of the observed subjects at the end of quarantine (negative or positive). Logistic regression analysis was used to identify the influencing factors related to recurrent positive RT-PCR test results. Results In this observational study, 420 observed subjects recovered from COVID-19 were included. The median age was 56 years, 63.6% of the subjects were above 50 years old, and 50.7% (213/420) were female. The most common comorbidities were hypertension [26.4% (111/420)], hyperlipidemia [10.7% (45/420)], and diabetes [10.5% (44/420)]. 54.8% (230/420) manifested one or more symptoms at the beginning of the observation period, the most common symptoms were cough [27.6% (116/420)], shortness of breath 23.8% (100/420)], and fatigue [16.2% (68/420)], with fever rare [2.6% (11/420)]. A total of 325 subjects were exposed to comprehensive intervention; 95 subjects were absence of intervention. The recurrence rate of positive RT-PCR test results with comprehensive intervention was 2.8% (9/325), and that with no intervention was 15.8% (15/95). The results of logistic regression analysis showed that after adjusted for factors such as age, sex, and comorbidity and found out that comprehensive intervention was correlated with the recurrent positive RT-PCR test results. There was appreciably less recurrence in the comprehensive intervention group. Conclusions The factors related to positive RT-PCR test results in observed subjects recovered from COVID-19 were age, comorbidity, and comprehensive intervention, among which comprehensive intervention might be a protective factor.
基金:
Special Project for Emergency of the Ministry of Science and Technology [2020YFC0845000]; Traditional Chinese Medicine Special Project for COVID-19 Emergency of National Administration of Traditional Chinese Medicine [2020ZYLCYJ04-1]
第一作者机构:[1]Hubei Hospital of Traditional Chinese Medicine, Wuhan, China,[2]Hubei University of Chinese Medicine, Wuhan, Wuhan, China,
共同第一作者:
通讯作者:
推荐引用方式(GB/T 7714):
He Shaobin,Tian Jiaxing,Li Xiaodong,et al.Positive RT-PCR Test Results in 420 Patients Recovered From COVID-19 in Wuhan: An Observational Study[J].FRONTIERS IN PHARMACOLOGY.2020,11:doi:10.3389/fphar.2020.549117.
APA:
He, Shaobin,Tian, Jiaxing,Li, Xiaodong,Zhou, Yana,Xiao, Mingzhong...&Tong, Xiaolin.(2020).Positive RT-PCR Test Results in 420 Patients Recovered From COVID-19 in Wuhan: An Observational Study.FRONTIERS IN PHARMACOLOGY,11,
MLA:
He, Shaobin,et al."Positive RT-PCR Test Results in 420 Patients Recovered From COVID-19 in Wuhan: An Observational Study".FRONTIERS IN PHARMACOLOGY 11.(2020)