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Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Tidsskr+Nor+Laegeforen 2020 ; 140 (7): ä Nephropedia Template TP
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Covid-19: Symptomer, forlop og bruk av kliniske skaringsverktoy hos de 42 forste pasientene innlagt pa et norsk lokalsykehus #MMPMID32378844
Ihle-Hansen H; Berge T; Tveita A; Ronning EJ; Erno PE; Andersen EL; Wang CH; Tveit A; Myrstad M
Tidsskr Nor Laegeforen 2020[May]; 140 (7): ä PMID32378844show ga
BACKGROUND: The COVID-19 outbreak is presenting the health system with new challenges, and there is a great need for knowledge about symptoms, clinical findings and course of illness in patients admitted to Norwegian hospitals with COVID-19. MATERIAL AND METHOD: In this observational qualitative study, all patients admitted to a Norwegian local hospital (Baerum Hospital) with proven COVID-19 infection were included consecutively from the start of the outbreak. We present here patient characteristics, symptoms, clinical findings, experience of using clinical scoring systems and course of illness based on data in medical records. RESULTS: In the period 9-31 March 2020, 42 patients, of whom 28 (67 %) were men, were admitted to hospital with COVID-19 infection. The median age was 72.5 years (range 30-95). Fever (79 %), reduced general condition (79 %), dyspnoea (69 %) and cough (67 %) were the most common symptoms. A total of nine patients (21 %) had a critical course of illness with treatment in the Intensive Care Department and/or death during their stay in hospital. Patients with a critical course had a higher average score on National Early Warning Score 2 (NEWS2) on admission (7.6 vs 3.3). Only one of the most severely ill patients scored >/= 2 on the quick Sepsis-related Organ Failure Assessment (qSOFA) on admission. INTERPRETATION: Most patients admitted to our hospital with COVID-19 had a fever and respiratory tract symptoms. A high percentage of patients had a critical course of illness. A NEWS2 score of >/= 5 on admission may be a useful aid in identifying patients at risk of a critical course of illness, while CRB-65 and qSOFA score >/= 2 proved to be of little usefulness for this purpose in our material.
Tidsskr+Nor+Laegeforen 2020 ; 140 (7): ä
