Correlation between early features and prognosis of symptomatic COVID-19 discharged patients in Hunan, China

Abstract To determine the correlation between the clinical, laboratory, and radiological findings and the hospitalization days in Coronavirus Infectious Disease-19 (COVID-19) discharged patients. We retrospectively identified 172 discharged patients with COVID-19 pneumonia from January 10, 2020, to...

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Autores principales: Yeyu Cai, Jiayi Liu, Haitao Yang, Taili Chen, Qizhi Yu, Juan Chen, Deng Huang, Zhu Chen, Quan-Liang Shang, Cong Ma, Xiangyu Chen, Enhua Xiao
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spelling oai:doaj.org-article:b96d24f95c03486ba3cd13bc8e5e32462021-12-02T14:28:21ZCorrelation between early features and prognosis of symptomatic COVID-19 discharged patients in Hunan, China10.1038/s41598-021-83654-72045-2322https://doaj.org/article/b96d24f95c03486ba3cd13bc8e5e32462021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83654-7https://doaj.org/toc/2045-2322Abstract To determine the correlation between the clinical, laboratory, and radiological findings and the hospitalization days in Coronavirus Infectious Disease-19 (COVID-19) discharged patients. We retrospectively identified 172 discharged patients with COVID-19 pneumonia from January 10, 2020, to February 28, 2020, in Hunan province. The patients were categorized into group 1 (≤ 19 days) and group 2 (> 19 days) based on the time from symptom onset to discharge. Cough during admission occurred more commonly in group 2 (68.4%) than in group 1 (53.1%, p = 0.042). White blood cell (p = 0.045), neutrophil counts (p = 0.023), Alanine aminotransferase (p = 0.029), Aspartate aminotransferase (p = 0.027) and Lactate dehydrogenase (p = 0.021) that were above normal were more common in group 2. Patients with single lesions were observed more in group 1(17.7%, p = 0.018) and multiple lesions observed more in group 2(86.8%, p = 0.012). The number of lobes involved (p = 0.008) in the CT score (p = 0.001) for each patient was all differences between the two groups with a statistically significant difference. Mixed ground-glass opacity (GGO) and consolidation appearances were observed in most patients. GGO components > consolidation appearance was more common in group 1 (25.0%) than in group 2 (8.0%) with a significant difference (0.015), GGO < consolidation was more common in group 2(71.1%, p = 0.012). From the logistic regression analysis, the CT score (OR, 1.223; 95% CI, 1.004 to 1.491, p = 0.046) and the appearance of GGO > consolidation (OR, 0.150; 95% CI, 0.034 to 0.660, p = 0.012) were independently associated with the hospitalization days. Thus, special attention should be paid to the role of radiological features in monitoring the disease prognosis.Yeyu CaiJiayi LiuHaitao YangTaili ChenQizhi YuJuan ChenDeng HuangZhu ChenQuan-Liang ShangCong MaXiangyu ChenEnhua XiaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yeyu Cai
Jiayi Liu
Haitao Yang
Taili Chen
Qizhi Yu
Juan Chen
Deng Huang
Zhu Chen
Quan-Liang Shang
Cong Ma
Xiangyu Chen
Enhua Xiao
Correlation between early features and prognosis of symptomatic COVID-19 discharged patients in Hunan, China
description Abstract To determine the correlation between the clinical, laboratory, and radiological findings and the hospitalization days in Coronavirus Infectious Disease-19 (COVID-19) discharged patients. We retrospectively identified 172 discharged patients with COVID-19 pneumonia from January 10, 2020, to February 28, 2020, in Hunan province. The patients were categorized into group 1 (≤ 19 days) and group 2 (> 19 days) based on the time from symptom onset to discharge. Cough during admission occurred more commonly in group 2 (68.4%) than in group 1 (53.1%, p = 0.042). White blood cell (p = 0.045), neutrophil counts (p = 0.023), Alanine aminotransferase (p = 0.029), Aspartate aminotransferase (p = 0.027) and Lactate dehydrogenase (p = 0.021) that were above normal were more common in group 2. Patients with single lesions were observed more in group 1(17.7%, p = 0.018) and multiple lesions observed more in group 2(86.8%, p = 0.012). The number of lobes involved (p = 0.008) in the CT score (p = 0.001) for each patient was all differences between the two groups with a statistically significant difference. Mixed ground-glass opacity (GGO) and consolidation appearances were observed in most patients. GGO components > consolidation appearance was more common in group 1 (25.0%) than in group 2 (8.0%) with a significant difference (0.015), GGO < consolidation was more common in group 2(71.1%, p = 0.012). From the logistic regression analysis, the CT score (OR, 1.223; 95% CI, 1.004 to 1.491, p = 0.046) and the appearance of GGO > consolidation (OR, 0.150; 95% CI, 0.034 to 0.660, p = 0.012) were independently associated with the hospitalization days. Thus, special attention should be paid to the role of radiological features in monitoring the disease prognosis.
format article
author Yeyu Cai
Jiayi Liu
Haitao Yang
Taili Chen
Qizhi Yu
Juan Chen
Deng Huang
Zhu Chen
Quan-Liang Shang
Cong Ma
Xiangyu Chen
Enhua Xiao
author_facet Yeyu Cai
Jiayi Liu
Haitao Yang
Taili Chen
Qizhi Yu
Juan Chen
Deng Huang
Zhu Chen
Quan-Liang Shang
Cong Ma
Xiangyu Chen
Enhua Xiao
author_sort Yeyu Cai
title Correlation between early features and prognosis of symptomatic COVID-19 discharged patients in Hunan, China
title_short Correlation between early features and prognosis of symptomatic COVID-19 discharged patients in Hunan, China
title_full Correlation between early features and prognosis of symptomatic COVID-19 discharged patients in Hunan, China
title_fullStr Correlation between early features and prognosis of symptomatic COVID-19 discharged patients in Hunan, China
title_full_unstemmed Correlation between early features and prognosis of symptomatic COVID-19 discharged patients in Hunan, China
title_sort correlation between early features and prognosis of symptomatic covid-19 discharged patients in hunan, china
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/b96d24f95c03486ba3cd13bc8e5e3246
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