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10.1093/qjmed/hcaa178

http://scihub22266oqcxt.onion/10.1093/qjmed/hcaa178
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32442308!7313792!32442308
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suck abstract from ncbi


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pmid32442308      QJM 2020 ; 113 (9): 657-665
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  • Clinical features and outcomes of discharged coronavirus disease 2019 patients: a prospective cohort study #MMPMID32442308
  • Wang X; Xu H; Jiang H; Wang L; Lu C; Wei X; Liu J; Xu S
  • QJM 2020[Sep]; 113 (9): 657-665 PMID32442308show ga
  • BACKGROUND: Coronavirus disease 2019 (COVID-19) is a global pandemic but the follow-up data of discharged patients was barely described. AIM: To investigate clinical outcomes, distribution of quarantine locations and the infection status of the contacts of COVID-19 patients after discharge. DESIGN: A prospective cohort study. METHODS: Demographics, baseline characteristics of 131 COVID-19 patients discharged from 3 February 2020 to 21 February 2020 in Wuhan, China were collected and analyzed by reviewing the medical records retrospectively. Post-hospitalization data related to clinical outcomes, quarantine locations and close contact history were obtained by following up the patients every week up to 4 weeks. RESULTS: Fifty-three (40.05%) patients on discharge had cough (29.01%), fatigue (7.63%), expectoration (6.11%), chest tightness (6.11%), dyspnea (3.82%), chest pain (3.05%) and palpitation (1.53%). These symptoms constantly declined in 4 weeks post-discharge. Transient fever recurred in 11 (8.4%) patients. Among the discharged patients, 78 (59.5%) underwent chest CT and 2 (1.53%) showed deterioration. A total of 94 (71.8%) patients received SARS-CoV-2 retest and 8 (6.10%) reported positive. Seven (2.29%) patients were readmitted because of fever or positive SARS-CoV-2 retest. After discharge, 121 (92.37%) and 4 (3.05%) patients were self-quarantined at home or community spots, respectively, after a close contact with 167 persons in total who were free of COVID-19 at the endpoint of study. CONCLUSION: The majority of COVID-19 patients after discharge were in the course of recovery. Readmission was required in rare cases due to suspected recurrence of COVID-19. Although no contacted infection observed, appropriate self-quarantine and regular re-examination are necessary, particularly for those who have recurred symptoms.
  • |*Coronavirus Infections/diagnosis/epidemiology/therapy[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/diagnosis/epidemiology/therapy[MESH]
  • |*Quarantine/methods/statistics & numerical data[MESH]
  • |Aftercare[MESH]
  • |Betacoronavirus/*isolation & purification[MESH]
  • |COVID-19[MESH]
  • |China/epidemiology[MESH]
  • |Contact Tracing/*methods[MESH]
  • |Female[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Outcome and Process Assessment, Health Care[MESH]
  • |Patient Discharge Summaries/*statistics & numerical data[MESH]
  • |Patient Readmission/statistics & numerical data[MESH]
  • |Retreatment/statistics & numerical data[MESH]
  • |SARS-CoV-2[MESH]
  • |Symptom Assessment/statistics & numerical data[MESH]


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