Clinical characteristics of 161 cases of corona virus disease 2019 (COVID-19) in Changsha

F Zheng1, W Tang, H Li

  • 1Department of Infectious Diseases, The First Hospital of Changsha, Changsha, Hunan, China. 1286779459@qq.com.

Insights

This study identified key clinical features of coronavirus disease 2019 (COVID-19). Older age, hypertension, and specific lab markers predict severe illness, aiding in early identification and management of COVID-19 patients.

Area of Science:

  • * Infectious Diseases
  • * Clinical Medicine
  • * Epidemiology

Background:

  • * The emergence of a novel coronavirus pneumonia, COVID-19, in Wuhan in December 2019 led to a rapid nationwide spread.
  • * Understanding the clinical characteristics of COVID-19 is crucial for effective patient management and public health strategies.

Purpose of the Study:

  • * To investigate the clinical features of patients diagnosed with coronavirus disease 2019 (COVID-19).

Main Methods:

  • * Retrospective analysis of confirmed COVID-19 cases admitted to Changsha First Hospital between January 17 and February 7, 2020.
  • * Inclusion criteria: confirmed COVID-19 cases.
  • * Data collected included demographics, exposure history, clinical symptoms, and laboratory findings.

Main Results:

  • * Median patient age was 45 years, with 49.7% males. 64.6% had a Wuhan exposure history; 31.7% showed family aggregation.
  • * The incidence of severe illness was 18.6%.
  • * Severe cases were associated with older age, hypertension, bilateral lung infiltrates, lymphocytopenia, and elevated CRP, AST, LDH, and CK levels.

Conclusions:

  • * Predictors of severe COVID-19 include older age, hypertension, low oxygenation index, bilateral lung abnormalities, decreased lymphocytes, and elevated CRP, AST, LDH, and CK.
  • * These factors can guide early risk stratification and intervention for COVID-19 patients.
Abstract