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Clinical characteristics of moderate COVID-19 patients aggravation in Wuhan Stadium Cabin Hospital: A 571 cases of retrospective cohort study.

Abstract
To report the clinical characteristics and potential risk factors of patients with coronavirus disease 2019 (COVID-19) in Wuhan Stadium Cabin Hospital in Hubei Province. A total of 571 patients of COVID-19 treated in the Wuhan Stadium Cabin Hospital were selected for analysis, univariable and multivariable logistic regression methods were used to explore the risk factors associated with disease aggravation. The main clinical symptoms of moderate COVID-19 were fever, cough and dyspnea, hypertension, diabetes, and coronary heart diseases were the main comorbidities both in transferred and stable patients. Twenty-six patients (4.55%) of mild and moderate patients had disease aggravation, and most of which occurred between 36 and 48 hours after admission. Multiple regression analysis showed increasing odds of disease aggravation associated with former smoker history, diabetes, dyspnea, consolidation, and interstitial abnormalities of computed tomography scanning, lymphopenia and elevated of C-reactive protein, the time points of transferred patients mainly between 36 and 48 hours (65.38%), and the average hospital stay for stable patients was 15 days.It could help clinicians to identify patients with poor prognosis at an early stage, and provide early warning role for timely intervention.
AuthorsLei Shu, Xiaoyan Wang, Mingquan Li, Xiaolin Chen, Ningfei Ji, Lei Shi, Mingjing Wu, Kaili Deng, Jing Wei, Xueli Wang, Yang Cao, Jiaxin Yan, Ganzhu Feng
JournalJournal of medical virology (J Med Virol) Vol. 93 Issue 2 Pg. 1133-1140 (02 2021) ISSN: 1096-9071 [Electronic] United States
PMID32779760 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© 2020 Wiley Periodicals LLC.
Topics
  • Adult
  • Age Factors
  • COVID-19 (epidemiology, physiopathology)
  • China (epidemiology)
  • Comorbidity
  • Cough (virology)
  • Female
  • Fever (epidemiology, virology)
  • Hospitalization (statistics & numerical data)
  • Humans
  • Length of Stay (statistics & numerical data)
  • Male
  • Middle Aged
  • Retrospective Studies
  • Risk Factors

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