Clinical characteristics comparative analysis of imported and local cases with COVID-19 in Hainan.

Autor: WANG Jiao, LIN Feng, HAN Lizhen, LIU Ming, WU Biao, FU Juan, WEI Chaocha, ZHANG Yanru, PAN Baiyu, LI Hui, WU Tao
Zdroj: China Tropical Medicine; Dec2020, Vol. 20 Issue 12, p1163-1171, 5p
Abstrakt: Objective To observe the epidemiology, clinical features, auxiliary examinations and prognosis of 69 cases with COVID-19 in Hainan province.Methods The epidemiological history, past history, clinical manifestations, laboratory examination results and imaging examination results of 69 patients with COVID-19 in Hainan People's Hospital from January 22 to March 7, 2020 were collected. They were divided into non severe group and severe group according to patients' condition, and imported cases and indigenous cases according to the epidemiological history. And then we retrospectively analyzed their epidemiological and clinical data, further compared the differences between the two groups. Mann-Whitney U test and chisquare test were used in statistical analysis. Results Among the 69 patients, 41 were male, and 28 were female, aged 28-83 years, and 30 had a history of underlying disease. The main clinical manifestations were cough (85.51%), fever (81.16%), asthenia (46.38%). Nasal obstruction and pharyngeal discomfort were rare. 9 cases had increased white blood cells, 25 cases had increased neutrophil percentage, 33 cases had decreased lymphocyte percentage, 42 cases had decreased lymphocyte absolute value, and 66 cases had lung inflammation by imaging examination. Clinical classification: 3 cases were mild, 54 cases were normal, 3 cases were severe, 9 cases were critical, i.e., 57 cases were non-severe (normal/mild), 12 cases were severe (critical/severe). Among 69 patients, 54 (78.26%) were imported cases and 15 were local cases. There was no significant difference between the two groups in clinical manifestations neither clinical typing(P>0.05). Conclusion The main clinical types of COVID-19 patients are moderate type and mild type. There is no difference in clinical manifestations and clinical types between imported cases and indigenous cases. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index