EN
TR
COVID-19 patients in an university hospital; clinical characteristics and relationship with accompanying diseases, a prospective study
Abstract
Objective: The aim of this study is to inspect demographic information, laboratory test results and radiologic imaging studies of patients admitting to a pandemic hospital who were diagnosed Covid-19.
Method: In this single center, prospective observational study, 57 patients who were diagnosed Covid-19 were inspected between April and May 2020. Patients under 18 of age, and patients whose SARS-CoV-2 PCR test were negative were excluded.
Results: Mean age of patients was 44.9. Myalgia (61%), high fever (58%), cough (54%) were most frequent complaints. Most frequent laboratory results were; increased CRP (67%) and LDH (40%) levels and lymphopenia (27%). One third of patients had accompanying diseases and most frequent accompanying disease was hypertension. Computed tomography imaging revealed bilateral involvement in 84% of patients having viral pneumonia.
Conclusions: Patients having complaints of high fever, cough, myalgia and laboratory findings of increased CRP and LDH levels and lymphopenia should be carefully evaluated for Covid-19.
Keywords
Destekleyen Kurum
Yok
Proje Numarası
yok
Kaynakça
- 1. World Health Organization. Rolling updates on coronavirus disease (COVID-19). 2020 (https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen).
- 2. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, Qiu Y, Wang J, Liu Y, Wei Y, Xia J, Yu T, Zhang X, Zhang L. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020 Feb 15;395(10223):507-513. doi: 10.1016/S0140-6736(20)30211-7.
- 3. Wu J, Wu X, Zeng W, Guo D, Fang Z, Chen L, Huang H, Li C. Chest CT Findings in Patients With Coronavirus Disease 2019 and Its Relationship With Clinical Features. Invest Radiol. 2020 May;55(5):257-261. doi: 10.1097/RLI.0000000000000670.
- 4. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497–506. https://doi.org/10.1016/s0140-6736(20)30183-5.
- 5. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei C, Hui DSC, Du B, Li L, Zeng G, Yuen KY, Chen R, Tang C, Wang T, Chen P, Xiang J, Li S, Wang J, Liang Z, Peng Y, Wei L, Liu Y, Hu Y, Peng P, Wang J, Liu J, Chen Z, Li G, Zheng Z, Qiu S, Luo J, Ye C, Zhu S. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020 Apr 30;382(18):1708-1720. doi: 10.1056/NEJMoa2002032.
- 6. Zhao W, Zhong Z, Xie X, Yu Q, Liu J. Relation Between Chest CT Findings and Clinical Conditions of Coronavirus Disease (COVID-19) Pneumonia: A Multicenter Study. AJR Am J Roentgenol. 2020 Mar 3:1-6. doi: 10.2214/AJR.20.22976.
- 7. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, Xiang J, Wang Y,Song B, Gu X, Guan L, Wei Y, Li H, Wu X, Xu J, Tu S, Zhang Y, Chen H, Cao B. Clinical Course and Risk Factors for Mortality of Adult Inpatients with COVID-19 in Wuhan, China: A Retrospective Cohort Study. The Lancet 2020, 395 (10229), 1054–1062. https://doi.org/10.1016/S0140-6736(20)30566-3. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020. doi:10.1016/S0140-6736(20)30566-3.
- 8. Brogly N, Devos P, Boussekey N, Georges H, Chiche A, Leroy O. Impact of thrombocytopenia on outcome of patients admitted to ICU for severe community-acquired pneumonia. J Infect2007;55:136–140. doi:10.1016/j.jinf.2007.01.011.
Ayrıntılar
Birincil Dil
İngilizce
Konular
Sağlık Kurumları Yönetimi
Bölüm
Araştırma Makalesi
Yayımlanma Tarihi
21 Temmuz 2020
Gönderilme Tarihi
23 Haziran 2020
Kabul Tarihi
13 Temmuz 2020
Yayımlandığı Sayı
Yıl 1970 Cilt: 42 Sayı: 2
AMA
1.Alanlı R, Küçükay MB, Yalçın S, Beşirbellioğlu BA. COVID-19 patients in an university hospital; clinical characteristics and relationship with accompanying diseases, a prospective study. CMJ. 2020;42(2):185-191. doi:10.7197/cmj.vi.756746
Cited By
Assessment of Thyroid Hormone Levels in COVID -19 Patients
Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi
https://doi.org/10.20492/aeahtd.1052222