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10.1016/j.chest.2020.03.032

http://scihub22266oqcxt.onion/10.1016/j.chest.2020.03.032
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32224074!7151343!32224074
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suck abstract from ncbi


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pmid32224074      Chest 2020 ; 158 (1): 195-205
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  • Comparison of Hospitalized Patients With ARDS Caused by COVID-19 and H1N1 #MMPMID32224074
  • Tang X; Du RH; Wang R; Cao TZ; Guan LL; Yang CQ; Zhu Q; Hu M; Li XY; Li Y; Liang LR; Tong ZH; Sun B; Peng P; Shi HZ
  • Chest 2020[Jul]; 158 (1): 195-205 PMID32224074show ga
  • BACKGROUND: Since the outbreak of coronavirus disease 2019 (COVID-19) in China in December 2019, considerable attention has been focused on its elucidation. However, it is also important for clinicians and epidemiologists to differentiate COVID-19 from other respiratory infectious diseases such as influenza viruses. RESEARCH QUESTION: The aim of this study was to explore the different clinical presentations between COVID-19 and influenza A (H1N1) pneumonia in patients with ARDS. STUDY DESIGN AND METHODS: This analysis was a retrospective case-control study. Two independent cohorts of patients with ARDS infected with either COVID-19 (n = 73) or H1N1 (n = 75) were compared. Their clinical manifestations, imaging characteristics, treatments, and prognosis were analyzed and compared. RESULTS: The median age of patients with COVID-19 was higher than that of patients with H1N1, and there was a higher proportion of male subjects among the H1N1 cohort (P < .05). Patients with COVID-19 exhibited higher proportions of nonproductive coughs, fatigue, and GI symptoms than those of patients with H1N1 (P < .05). Patients with H1N1 had higher Sequential Organ Failure Assessment (SOFA) scores than patients with COVID-19 (P < .05). The Pao(2)/Fio(2) of 198.5 mm Hg in the COVID-19 cohort was significantly higher than the Pao(2)/Fio(2) of 107.0 mm Hg in the H1N1 cohort (P < .001). Ground-glass opacities was more common in patients with COVID-19 than in patients with H1N1 (P < .001). There was a greater variety of antiviral therapies administered to COVID-19 patients than to H1N1 patients. The in-hospital mortality of patients with COVID-19 was 28.8%, whereas that of patients with H1N1 was 34.7% (P = .483). SOFA score-adjusted mortality of H1N1 patients was significantly higher than that of COVID-19 patients, with a rate ratio of 2.009 (95% CI, 1.563-2.583; P < .001). INTERPRETATION: There were many differences in clinical presentations between patients with ARDS infected with either COVID-19 or H1N1. Compared with H1N1 patients, patients with COVID-19-induced ARDS had lower severity of illness scores at presentation and lower SOFA score-adjusted mortality.
  • |*Coronavirus Infections/diagnosis/mortality/physiopathology[MESH]
  • |*Hospital Mortality[MESH]
  • |*Influenza, Human/diagnosis/mortality/physiopathology[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/diagnosis/mortality/physiopathology[MESH]
  • |*Symptom Assessment/methods/statistics & numerical data[MESH]
  • |Age Factors[MESH]
  • |Antiviral Agents/therapeutic use[MESH]
  • |Betacoronavirus/*isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Case-Control Studies[MESH]
  • |China/epidemiology[MESH]
  • |Diagnosis, Differential[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Influenza A Virus, H1N1 Subtype/*isolation & purification[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Organ Dysfunction Scores[MESH]
  • |Prognosis[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]


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