CovidSeniorV1, Main, Exploration, bibRecord, 000059

[Clinical characteristics and outcomes of adult critically ill patients with COVID-19 in Honghu, Hubei Province].

Identifieur interne : 000059 ( Main/Exploration ); précédent : 000058; suivant : 000060

[Clinical characteristics and outcomes of adult critically ill patients with COVID-19 in Honghu, Hubei Province].

Auteurs : Jiayin Lu [République populaire de Chine] ; Yuan Zhang [République populaire de Chine] ; Gong Cheng [République populaire de Chine] ; Jin He [République populaire de Chine] ; Feng Wu [République populaire de Chine] ; Hongbin Hu [République populaire de Chine] ; Tong Sha [République populaire de Chine] ; Zhenhua Zeng [République populaire de Chine] ; Zhongqing Chen [République populaire de Chine]

Source :

Nan fang yi ke da xue xue bao = Journal of Southern Medical University [ 1673-4254 ] ; 2020.

RBID : pubmed:32895195

Descripteurs français

English descriptors

KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (MeSH), Critical Illness (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (MeSH), Retrospective Studies (MeSH).
MESH :
- Aged, Aged, 80 and over, Betacoronavirus, Coronavirus Infections, Critical Illness, Female, Humans, Male, Middle Aged, Pandemics, Pneumonia, Viral, Retrospective Studies.

Abstract

OBJECTIVE

To explore the clinical characteristics and outcomes of adult critically ill patients with COVID-19 and identify the risk factors correlated with in-hospital deaths.

METHODS

This study was conducted among 20 confirmed adult cases of COVID-19 in the Intensive Care Unit (ICU) of Honghu People's Hospital in Jingzhou City, Hubei Province. According to the final outcome, the patients were divided into survivor group and death group with 10 patients each. The demographic data, clinical manifestations and signs, laboratory findings, treatment measures and clinical outcomes were obtained from electronic medical records to compare the clinical characteristics and outcomes between the two groups. Univariate logistic analysis was used to analyze the risk factors associated with in-hospital death.

RESULTS

The mean age of patients with confirmed COVID-19 was 70 ± 12 years, and 40% of them were male. The patients were admitted to ICU 11 ± 9 days after symptom onset. The most common symptoms on admission were cough (19 cases), fatigue or myalgia (18 cases), fever (17 cases) and dyspnea (16 cases). Eleven (55%) of the patients had underlying diseases, among which hypertension was the most common (11 cases), followed by cardiovascular disease (4 cases) and diabetes (3 cases). Six (30%) of the patients received invasive mechanical ventilation and continued renal replacement therapy but eventually died. Acute cardiac injury was the most common complication (19 cases). Half of the patients died between the 2nd and 19th day after ICU admission. Compared with dead patients, the surviving patients had a lower average body weight (61.70±2.36

CONCLUSIONS

Critically ill patients with COVID-19 are generally older. A higher body weight and a lower lymphocyte count are potentially associated with a greater likeliness of fatality in ICU patients with COVID-19.

DOI: 10.12122/j.issn.1673-4254.2020.06.02
PubMed: 32895195
PubMed Central: PMC7321274

Affiliations:

République populaire de Chine

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000322
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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Coronavirus Infections (MeSH)</term>
<term>Critical Illness (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (MeSH)</term>
<term>Maladie grave (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Betacoronavirus</term>
<term>Coronavirus Infections</term>
<term>Critical Illness</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>Pneumonia, Viral</term>
<term>Retrospective Studies</term>
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<term>Betacoronavirus</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections à coronavirus</term>
<term>Maladie grave</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To explore the clinical characteristics and outcomes of adult critically ill patients with COVID-19 and identify the risk factors correlated with in-hospital deaths.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>This study was conducted among 20 confirmed adult cases of COVID-19 in the Intensive Care Unit (ICU) of Honghu People's Hospital in Jingzhou City, Hubei Province. According to the final outcome, the patients were divided into survivor group and death group with 10 patients each. The demographic data, clinical manifestations and signs, laboratory findings, treatment measures and clinical outcomes were obtained from electronic medical records to compare the clinical characteristics and outcomes between the two groups. Univariate logistic analysis was used to analyze the risk factors associated with in-hospital death.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The mean age of patients with confirmed COVID-19 was 70 ± 12 years, and 40% of them were male. The patients were admitted to ICU 11 ± 9 days after symptom onset. The most common symptoms on admission were cough (19 cases), fatigue or myalgia (18 cases), fever (17 cases) and dyspnea (16 cases). Eleven (55%) of the patients had underlying diseases, among which hypertension was the most common (11 cases), followed by cardiovascular disease (4 cases) and diabetes (3 cases). Six (30%) of the patients received invasive mechanical ventilation and continued renal replacement therapy but eventually died. Acute cardiac injury was the most common complication (19 cases). Half of the patients died between the 2nd and 19th day after ICU admission. Compared with dead patients, the surviving patients had a lower average body weight (61.70±2.36 </p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Critically ill patients with COVID-19 are generally older. A higher body weight and a lower lymphocyte count are potentially associated with a greater likeliness of fatality in ICU patients with COVID-19.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32895195</PMID>
<DateCompleted><Year>2020</Year>
<Month>09</Month>
<Day>10</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>10</Month>
<Day>01</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">1673-4254</ISSN>
<JournalIssue CitedMedium="Print"><Volume>40</Volume>
<Issue>6</Issue>
<PubDate><Year>2020</Year>
<Month>Jun</Month>
<Day>30</Day>
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<Title>Nan fang yi ke da xue xue bao = Journal of Southern Medical University</Title>
<ISOAbbreviation>Nan Fang Yi Ke Da Xue Xue Bao</ISOAbbreviation>
</Journal>
<ArticleTitle>[Clinical characteristics and outcomes of adult critically ill patients with COVID-19 in Honghu, Hubei Province].</ArticleTitle>
<Pagination><MedlinePgn>778-785</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.12122/j.issn.1673-4254.2020.06.02</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To explore the clinical characteristics and outcomes of adult critically ill patients with COVID-19 and identify the risk factors correlated with in-hospital deaths.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This study was conducted among 20 confirmed adult cases of COVID-19 in the Intensive Care Unit (ICU) of Honghu People's Hospital in Jingzhou City, Hubei Province. According to the final outcome, the patients were divided into survivor group and death group with 10 patients each. The demographic data, clinical manifestations and signs, laboratory findings, treatment measures and clinical outcomes were obtained from electronic medical records to compare the clinical characteristics and outcomes between the two groups. Univariate logistic analysis was used to analyze the risk factors associated with in-hospital death.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean age of patients with confirmed COVID-19 was 70 ± 12 years, and 40% of them were male. The patients were admitted to ICU 11 ± 9 days after symptom onset. The most common symptoms on admission were cough (19 cases), fatigue or myalgia (18 cases), fever (17 cases) and dyspnea (16 cases). Eleven (55%) of the patients had underlying diseases, among which hypertension was the most common (11 cases), followed by cardiovascular disease (4 cases) and diabetes (3 cases). Six (30%) of the patients received invasive mechanical ventilation and continued renal replacement therapy but eventually died. Acute cardiac injury was the most common complication (19 cases). Half of the patients died between the 2nd and 19th day after ICU admission. Compared with dead patients, the surviving patients had a lower average body weight (61.70±2.36 <i>vs</i>
 68.60±7.15 kg, <i>P</i>
=0.01) and a higher Glasgow Coma Index (14.69 ± 0.70 <i>vs</i>
 12.70 ± 2.45, <i>P</i>
=0.03), and were less likely to develop shock (2 <i>vs</i>
 10, <i>P</i>
=0.001) or acute respiratory distress syndrome (2 <i>vs</i>
 10, <i>P</i>
=0.001).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Critically ill patients with COVID-19 are generally older. A higher body weight and a lower lymphocyte count are potentially associated with a greater likeliness of fatality in ICU patients with COVID-19.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lu</LastName>
<ForeName>Jiayin</ForeName>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Zhang</LastName>
<ForeName>Yuan</ForeName>
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<AffiliationInfo><Affiliation>Department of Critical Care Medicine, Nanfang Hospital, Southern Medical University, Guangzhou510515, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Cheng</LastName>
<ForeName>Gong</ForeName>
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<AffiliationInfo><Affiliation>Department of Critical Care Medicine, Honghu People's Hospital of Jingzhou City, Jingzhou 433200, China.</Affiliation>
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<Author ValidYN="Y"><LastName>He</LastName>
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<Author ValidYN="Y"><LastName>Wu</LastName>
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<AffiliationInfo><Affiliation>Department of Critical Care Medicine, Nanfang Hospital, Southern Medical University, Guangzhou510515, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Hu</LastName>
<ForeName>Hongbin</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Critical Care Medicine, Nanfang Hospital, Southern Medical University, Guangzhou510515, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Sha</LastName>
<ForeName>Tong</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Department of Critical Care Medicine, Nanfang Hospital, Southern Medical University, Guangzhou510515, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zeng</LastName>
<ForeName>Zhenhua</ForeName>
<Initials>Z</Initials>
<AffiliationInfo><Affiliation>Department of Critical Care Medicine, Nanfang Hospital, Southern Medical University, Guangzhou510515, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chen</LastName>
<ForeName>Zhongqing</ForeName>
<Initials>Z</Initials>
<AffiliationInfo><Affiliation>Department of Critical Care Medicine, Nanfang Hospital, Southern Medical University, Guangzhou510515, China.</Affiliation>
</AffiliationInfo>
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<Language>chi</Language>
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<MedlineJournalInfo><Country>China</Country>
<MedlineTA>Nan Fang Yi Ke Da Xue Xue Bao</MedlineTA>
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<ISSNLinking>1673-4254</ISSNLinking>
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<SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName>
<SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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   |texte=   [Clinical characteristics and outcomes of adult critically ill patients with COVID-19 in Honghu, Hubei Province].
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	Serveur d'exploration sur la COVID chez les séniors
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[Clinical characteristics and outcomes of adult critically ill patients with COVID-19 in Honghu, Hubei Province].

[Clinical characteristics and outcomes of adult critically ill patients with COVID-19 in Honghu, Hubei Province].

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