The clinical data from 19 critically ill patients with coronavirus disease 2019: a single-centered, retrospective,

Jinping Zhang1, Peng Liu2, Morong Wang1

  • 1ICU, Liyuan Hospital affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430071 China.

Insights

This study analyzed 19 critically ill coronavirus disease 2019 (COVID-19) patients, finding ground-glass changes on CT scans and elevated inflammatory markers. Higher D-dimer levels were observed in non-survivors, indicating its prognostic value.

Area of Science:

  • Critical Care Medicine
  • Infectious Diseases
  • Radiology

Background:

  • Coronavirus disease 2019 (COVID-19) presents a significant global health challenge.
  • Understanding the clinical spectrum and diagnostic markers of severe COVID-19 is crucial for patient management.

Purpose of the Study:

  • To analyze the clinical features of COVID-19 patients.
  • To evaluate diagnostic and treatment strategies for severe COVID-19 cases.

Main Methods:

  • Retrospective analysis of 19 COVID-19 patients admitted to the ICU.
  • Review of clinical manifestations, auxiliary examinations, and laboratory indices.

Main Results:

  • Median age of patients was 73 years; 42.1% mortality rate.
  • Common symptoms included fever (68.4%) and dry cough (15.8%).
  • All patients showed ground-glass changes on chest CT; elevated hs-CRP and SAA were noted. D-dimer levels were significantly higher in non-survivors.

Conclusions:

  • Critically ill COVID-19 patients often present with specific radiological findings and laboratory abnormalities.
  • Elevated D-dimer levels may serve as a key indicator of poor prognosis in severe COVID-19.
Abstract

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