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Association between incubation period and clinical characteristics of patients with COVID-19
Yeyu Cai1, Jiayi Liu1, Haitao Yang1
1Department of Radiology, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Insights
Shorter incubation periods (≤7 days) in coronavirus disease 2019 (COVID-19) patients correlate with more severe clinical outcomes, including prolonged hospitalization and worse laboratory findings. This suggests incubation period is a useful marker for COVID-19 prognosis.
Area of Science:
- Infectious Diseases
- Epidemiology
- Clinical Medicine
Background:
- Coronavirus disease 2019 (COVID-19) is a global health concern.
- Understanding the clinical characteristics and incubation periods of COVID-19 is crucial for patient management and prognosis.
- Previous studies have explored various aspects of COVID-19, but the direct association between incubation period and disease severity requires further investigation.
Purpose of the Study:
- To investigate associations between clinical characteristics and incubation periods of patients infected with COVID-19.
- To determine if incubation period can serve as a predictor of disease severity and prognosis in COVID-19 patients.
Main Methods:
- Retrospective analysis of complete clinical and epidemiological data from 149 COVID-19 patients.
- Utilized distribution and receiver operator characteristic curve analysis to identify optimal incubation period cut-offs.
- Employed regression and correlation analyses to assess relationships between incubation period and clinical outcomes.
Main Results:
- A 7-day incubation period was identified as an optimal cut-off for differentiating disease severity.
- Patients with shorter incubation periods (≤7 days) exhibited more severe disease, longer hospitalizations, and poorer laboratory and radiological findings.
- Shorter incubation periods were significantly associated with longer times from symptom onset to hospital discharge.
Conclusions:
- The incubation period of COVID-19 is associated with clinical characteristics and disease severity.
- A shorter incubation period may indicate a more severe disease course and a less favorable prognosis.
- Incubation period can be a valuable marker for assessing COVID-19 severity and predicting patient outcomes.
Purpose:
To investigate associations between the clinical characteristics and incubation periods of patients infected with coronavirus disease 2019 (COVID-19) in Wuhan, China.
Methods:
Complete clinical and epidemiological data from 149 patients with COVID-19 at a hospital in Hunan Province, China, were collected and retrospectively analyzed.
Results:
Analysis of the distribution and receiver operator characteristic curve of incubation periods showed that 7 days was the optimal cut-off value to assess differences in disease severity between groups. Patients with shorter (≤7 days) incubation periods (n = 79) had more severe disease, longer durations of hospitalization, longer times from symptom onset to discharge, more abnormal laboratory findings, and more severe radiological findings than patients with longer (>7 days) incubation periods. Regression and correlation analyses also showed that a shorter incubation period was associated with longer times from symptom onset to discharge.
Conclusion:
The associations between the incubation periods and clinical characteristics of COVID-19 patients suggest that the incubation period may be a useful marker of disease severity and prognosis.
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