CovidV2, PubMed, Curation, bibRecord, 000496

Clinical progression of patients with COVID-19 in Shanghai, China.

Identifieur interne : 000496 ( PubMed/Curation ); précédent : 000495; suivant : 000497

Clinical progression of patients with COVID-19 in Shanghai, China.

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The Journal of infection [ 1532-2742 ] ; 2020.

RBID : pubmed:32171869

Abstract

Studies on the 2019 novel coronavirus disease (COVID-19) have generally been limited to the description of the epidemiology and initial clinical characteristics. We investigated the temporal progression in patients with COVID-19.

DOI: 10.1016/j.jinf.2020.03.004
PubMed: 32171869

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<affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases and Immunology, Shanghai Public Health Clinical Center, Shanghai 201508, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
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<author><name sortKey="Li, Feng" sort="Li, Feng" uniqKey="Li F" first="Feng" last="Li">Feng Li</name>
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<author><name sortKey="Zhang, Yuyi" sort="Zhang, Yuyi" uniqKey="Zhang Y" first="Yuyi" last="Zhang">Yuyi Zhang</name>
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<author><name sortKey="Xu, Shuibao" sort="Xu, Shuibao" uniqKey="Xu S" first="Shuibao" last="Xu">Shuibao Xu</name>
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<author><name sortKey="Song, Zhigang" sort="Song, Zhigang" uniqKey="Song Z" first="Zhigang" last="Song">Zhigang Song</name>
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<author><name sortKey="Zeng, Yigang" sort="Zeng, Yigang" uniqKey="Zeng Y" first="Yigang" last="Zeng">Yigang Zeng</name>
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<author><name sortKey="Shen, Yinzhong" sort="Shen, Yinzhong" uniqKey="Shen Y" first="Yinzhong" last="Shen">Yinzhong Shen</name>
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<author><name sortKey="Shi, Yuxin" sort="Shi, Yuxin" uniqKey="Shi Y" first="Yuxin" last="Shi">Yuxin Shi</name>
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<author><name sortKey="Zhu, Tongyu" sort="Zhu, Tongyu" uniqKey="Zhu T" first="Tongyu" last="Zhu">Tongyu Zhu</name>
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<author><name sortKey="Lu, Hongzhou" sort="Lu, Hongzhou" uniqKey="Lu H" first="Hongzhou" last="Lu">Hongzhou Lu</name>
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<author><name sortKey="Li, Tao" sort="Li, Tao" uniqKey="Li T" first="Tao" last="Li">Tao Li</name>
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<author><name sortKey="Li, Feng" sort="Li, Feng" uniqKey="Li F" first="Feng" last="Li">Feng Li</name>
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<author><name sortKey="Zhang, Yuyi" sort="Zhang, Yuyi" uniqKey="Zhang Y" first="Yuyi" last="Zhang">Yuyi Zhang</name>
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<wicri:regionArea>Department of Liver Intensive Care Unit, Shanghai Public Health Clinical Center, Shanghai 201508</wicri:regionArea>
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<author><name sortKey="Xu, Shuibao" sort="Xu, Shuibao" uniqKey="Xu S" first="Shuibao" last="Xu">Shuibao Xu</name>
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<author><name sortKey="Song, Zhigang" sort="Song, Zhigang" uniqKey="Song Z" first="Zhigang" last="Song">Zhigang Song</name>
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<country xml:lang="fr">République populaire de Chine</country>
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</affiliation>
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<author><name sortKey="Zeng, Yigang" sort="Zeng, Yigang" uniqKey="Zeng Y" first="Yigang" last="Zeng">Yigang Zeng</name>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Urology, Shanghai Public Health Clinical Center, 2901 Caolang Road, Shanghai 201508</wicri:regionArea>
</affiliation>
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<author><name sortKey="Shen, Yinzhong" sort="Shen, Yinzhong" uniqKey="Shen Y" first="Yinzhong" last="Shen">Yinzhong Shen</name>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Infectious Diseases and Immunology, Shanghai Public Health Clinical Center, Shanghai 201508</wicri:regionArea>
</affiliation>
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<author><name sortKey="Shi, Yuxin" sort="Shi, Yuxin" uniqKey="Shi Y" first="Yuxin" last="Shi">Yuxin Shi</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Radiology, Shanghai Public Health Clinical Center, Shanghai 201508, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Radiology, Shanghai Public Health Clinical Center, Shanghai 201508</wicri:regionArea>
</affiliation>
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<author><name sortKey="Zhu, Tongyu" sort="Zhu, Tongyu" uniqKey="Zhu T" first="Tongyu" last="Zhu">Tongyu Zhu</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Shanghai Public Health Clinical Center, 2901 Caolang Road, Shanghai 201508, China. Electronic address: zhutongyu@shphc.org.cn.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Urology, Shanghai Public Health Clinical Center, 2901 Caolang Road, Shanghai 201508</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Lu, Hongzhou" sort="Lu, Hongzhou" uniqKey="Lu H" first="Hongzhou" last="Lu">Hongzhou Lu</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases, Shanghai Public Health Clinical Center, 2901 Caolang Road, Shanghai 201508, China. Electronic address: luhongzhou@fudan.edu.cn.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Infectious Diseases, Shanghai Public Health Clinical Center, 2901 Caolang Road, Shanghai 201508</wicri:regionArea>
</affiliation>
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<series><title level="j">The Journal of infection</title>
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<front><div type="abstract" xml:lang="en">Studies on the 2019 novel coronavirus disease (COVID-19) have generally been limited to the description of the epidemiology and initial clinical characteristics. We investigated the temporal progression in patients with COVID-19.</div>
</front>
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<DateRevised><Year>2020</Year>
<Month>03</Month>
<Day>23</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2742</ISSN>
<JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year>
<Month>Mar</Month>
<Day>19</Day>
</PubDate>
</JournalIssue>
<Title>The Journal of infection</Title>
<ISOAbbreviation>J. Infect.</ISOAbbreviation>
</Journal>
<ArticleTitle>Clinical progression of patients with COVID-19 in Shanghai, China.</ArticleTitle>
<ELocationID EIdType="pii" ValidYN="Y">S0163-4453(20)30119-5</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jinf.2020.03.004</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Studies on the 2019 novel coronavirus disease (COVID-19) have generally been limited to the description of the epidemiology and initial clinical characteristics. We investigated the temporal progression in patients with COVID-19.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In this retrospective, single-center study, we included confirmed cases of COVID-19 from Jan 20 to Feb 6, 2020 in Shanghai. Final date of follow-up was February 25, 2020.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 249 patients enrolled, the median age was 51 years old, and 126 (50.6%) were male. The duration from onset of symptoms to hospitalization was 4(2-7) days in symptomatic patients. Fever was occurred in 235(94.3%) patients. A total of 215 (86.3%) patients had been discharged after 16(12-20) days hospitalization. The estimated median duration of fever in all the patients with fever was 10 days (95 confidential intervals [CIs]: 8-11 days) after onset of symptoms. Patients who were transferred to intensive care units (ICU) had significantly longer duration of fever as compared to those not in ICU (31 days v.s. 9 days after onset of symptoms, respectively, P <0.0001). Radiological aggravation of initial image was observed in 163 (65.7%) patients on day 7 after onset of symptoms. 154(94.5%) of these patients showed radiological improvement on day 14. The median duration to negative reverse-transcriptase PCR tests of upper respiratory tract samples was 11 days (95 CIs: 10-12 days). Viral clearance was more likely to be delayed in patients in ICU than those not in ICU (P <0.0001). In multivariate logistical analysis, age (Odds ratio [OR] = 1.06) and CD4 T cell count (OR = 0.55 per 100 cells/ul increase) were independently associated with ICU admission.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The majority of COVID-19 cases are mild. The clinical progression pattern suggests that early control of viral replication and application of host-directed therapy in later stage is essential to improve the prognosis of CVOID-19.</AbstractText>
<CopyrightInformation>Copyright © 2020. Published by Elsevier Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chen</LastName>
<ForeName>Jun</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases and Immunology, Shanghai Public Health Clinical Center, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Qi</LastName>
<ForeName>Tangkai</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases and Immunology, Shanghai Public Health Clinical Center, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Liu</LastName>
<ForeName>Li</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases and Immunology, Shanghai Public Health Clinical Center, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ling</LastName>
<ForeName>Yun</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases, Shanghai Public Health Clinical Center, 2901 Caolang Road, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Qian</LastName>
<ForeName>Zhiping</ForeName>
<Initials>Z</Initials>
<AffiliationInfo><Affiliation>Department of Liver Intensive Care Unit, Shanghai Public Health Clinical Center, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Li</LastName>
<ForeName>Tao</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Department of Tuberculosis, Shanghai Public Health Clinical Center, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Li</LastName>
<ForeName>Feng</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Department of Respiratory Diseases, Shanghai Public Health Clinical Center, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Xu</LastName>
<ForeName>Qingnian</ForeName>
<Initials>Q</Initials>
<AffiliationInfo><Affiliation>Department of Traditional Chinese Medicine, Shanghai Public Health Clinical Center, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zhang</LastName>
<ForeName>Yuyi</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Liver Intensive Care Unit, Shanghai Public Health Clinical Center, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Xu</LastName>
<ForeName>Shuibao</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases and Immunology, Shanghai Public Health Clinical Center, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Song</LastName>
<ForeName>Zhigang</ForeName>
<Initials>Z</Initials>
<AffiliationInfo><Affiliation>Department of Pathogen Diagnosis and Biosafety, Shanghai Public Health Clinical Center, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zeng</LastName>
<ForeName>Yigang</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Urology, Shanghai Public Health Clinical Center, 2901 Caolang Road, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Shen</LastName>
<ForeName>Yinzhong</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases and Immunology, Shanghai Public Health Clinical Center, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Shi</LastName>
<ForeName>Yuxin</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Radiology, Shanghai Public Health Clinical Center, Shanghai 201508, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zhu</LastName>
<ForeName>Tongyu</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Department of Urology, Shanghai Public Health Clinical Center, 2901 Caolang Road, Shanghai 201508, China. Electronic address: zhutongyu@shphc.org.cn.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lu</LastName>
<ForeName>Hongzhou</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases, Shanghai Public Health Clinical Center, 2901 Caolang Road, Shanghai 201508, China. Electronic address: luhongzhou@fudan.edu.cn.</Affiliation>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>03</Month>
<Day>19</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>J Infect</MedlineTA>
<NlmUniqueID>7908424</NlmUniqueID>
<ISSNLinking>0163-4453</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">Clinical characteristics</Keyword>
<Keyword MajorTopicYN="N">Clinical progression</Keyword>
<Keyword MajorTopicYN="N">SARS-CoV-2</Keyword>
<Keyword MajorTopicYN="N">Viral clearance</Keyword>
</KeywordList>
<CoiStatement>Declaration of Competing Interest The authors declare that they have no competing interests.</CoiStatement>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year>
<Month>03</Month>
<Day>01</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2020</Year>
<Month>03</Month>
<Day>02</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>3</Month>
<Day>17</Day>
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<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>3</Month>
<Day>17</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="entrez"><Year>2020</Year>
<Month>3</Month>
<Day>16</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>aheadofprint</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">32171869</ArticleId>
<ArticleId IdType="pii">S0163-4453(20)30119-5</ArticleId>
<ArticleId IdType="doi">10.1016/j.jinf.2020.03.004</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
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Clinical progression of patients with COVID-19 in Shanghai, China.

Clinical progression of patients with COVID-19 in Shanghai, China.

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