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.
Abstract

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