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Epidemiological, Clinical Characteristics and Outcome of Medical Staff Infected with COVID-19 in Wuhan, China: A Retrospective Case Series Analysis
Jie Liu; Liu Ouyang; Pi Guo; Hai sheng Wu; Peng Fu; Yu liang Chen; Dan Yang; Xiao yu Han; Yu kun Cao; Osamah Alwalid; Juan Tao; Shu yi Peng; He shui Shi; Fan Yang; Chuan sheng Zheng.
Afiliación
  • Jie Liu; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
  • Liu Ouyang; Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
  • Pi Guo; Department of Preventive Medicine, Shantou University Medical College
  • Hai sheng Wu; Department of Preventive Medicine, Shantou University Medical College
  • Peng Fu; Department of Thyroid and Breast Surgery, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology
  • Yu liang Chen; Department of Preventive Medicine, Shantou University Medical College
  • Dan Yang; Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
  • Xiao yu Han; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
  • Yu kun Cao; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
  • Osamah Alwalid; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
  • Juan Tao; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
  • Shu yi Peng; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
  • He shui Shi; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
  • Fan Yang; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
  • Chuan sheng Zheng; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Preprint en En | PREPRINT-MEDRXIV | ID: ppmedrxiv-20033118
ABSTRACT
BackgroundsSince December 2019, a novel coronavirus epidemic has emerged in Wuhan city, China and then rapidly spread to other areas. As of 20 Feb 2020, a total of 2,055 medical staff confirmed with coronavirus disease 2019 (COVID-19) caused by SARS-Cov-2 in China had been reported. We sought to explore the epidemiological, clinical characteristics and prognosis of novel coronavirus-infected medical staff. MethodsIn this retrospective study, 64 confirmed cases of novel coronavirus-infected medical staff admitted to Union Hospital, Wuhan between 16 Jan, 2020 to 15 Feb, 2020 were included. Two groups concerned were extracted from the subjects based on duration of symptoms group 1 ([≤]10 days) and group 2 (>10 days). Epidemiological and clinical data were analyzed and compared across groups. The Kaplan-Meier plot was used to inspect the change in hospital discharge rate. The Cox regression model was utilized to identify factors associated with hospital discharge. FindingsThe median age of medical staff included was 35 years old. 64% were female and 67% were nurses. None had an exposure to Huanan seafood wholesale market or wildlife. A small proportion of the cohort had contact with specimens (5%) as well as patients in fever clinics (8%) and isolation wards (5%). Fever (67%) was the most common symptom, followed by cough (47%) and fatigue (34%). The median time interval between symptoms onset and admission was 8.5 days. On admission, 80% of medical staff showed abnormal IL-6 levels and 34% had lymphocytopenia. Chest CT mainly manifested as bilateral (61%), septal/subpleural (80%) and ground-glass (52%) opacities. During the study period, no patients was transferred to intensive care unit or died, and 34 (53%) had been discharged. Higher body mass index (BMI) ([≥] 24 kg/m2) (HR 0.14; 95% CI 0.03-0.73), fever (HR 0.24; 95% CI 0.09-0.60) and higher levels of IL-6 on admission (HR 0.31; 95% CI 0.11-0.87) were unfavorable factors for discharge. InterpretationIn this study, medical staff infected with COVID-19 have relatively milder symptoms and favorable clinical course, which may be partly due to their medical expertise, younger age and less underlying diseases. Smaller BMI, absence of fever symptoms and normal IL-6 levels on admission are favorable for discharge for medical staff. Further studies should be devoted to identifying the exact patterns of SARS-CoV-2 infection among medical staff.
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Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-MEDRXIV Tipo de estudio: Cohort_studies / Experimental_studies / Observational_studies / Prognostic_studies / Rct Idioma: En Año: 2020 Tipo del documento: Preprint
Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-MEDRXIV Tipo de estudio: Cohort_studies / Experimental_studies / Observational_studies / Prognostic_studies / Rct Idioma: En Año: 2020 Tipo del documento: Preprint