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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2021
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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) |
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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 |
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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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