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10.1016/j.jiph.2020.06.013

http://scihub22266oqcxt.onion/10.1016/j.jiph.2020.06.013
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32591163!7303626!32591163
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suck abstract from ncbi


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pmid32591163      J+Infect+Public+Health 2020 ; 13 (9): 1229-1236
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  • Public health initiatives from hospitalized patients with COVID-19, China #MMPMID32591163
  • Zhao C; Xu Y; Zhang X; Zhong Y; Long L; Zhan W; Xu T; Zhan C; Chen Y; Zhu J; Xiao W; He M
  • J Infect Public Health 2020[Sep]; 13 (9): 1229-1236 PMID32591163show ga
  • BACKGROUND: Since December 2019, when it first occurred in Wuhan, China, coronavirus disease 2019 (COVID-19) has spread rapidly worldwide via human-to-human transmission. We aimed to describe the epidemiological and demographic features of COVID-19 outside Wuhan. METHODS: A single-center case series of 136 consecutive (from January 16 to February 17, 2020) patients with confirmed COVID-19 hospitalized in The First People's Hospital of Jingzhou, China, was retrospectively analyzed. Outcomes were followed up until February 19, 2020. RESULTS: Of the 136 patients (median age, 49 years; interquartile range [IQR], 33-63 years; range, 0.3-83 years), 91 (67%) had been to Wuhan or contacted persons from Wuhan. Forty-five (33.1%) were familial clusters. The median incubation period was 6 days (IQR: 4-11 days). All children had an exact exposure history, family members with COVID-19, and "Mild/Moderate" symptoms at admission. Among the 64 elderly patients, 14 (21.9%) had no exposure history, and 43 (67.2%) had a chronic illness. All 11 (8.1%) "Severe/very severe" illness at onset cases and 5 (3.7%) fatal cases were elderly patients. The duration from symptom onset to admission was positively correlated with the duration from symptom onset to endpoint. Overall, patients with a longer incubation period had more severe outcomes. CONCLUSION: As high-risk susceptible groups, strong protection should be implemented for children and the elderly. Universal screening should be performed for people with a clear exposure history, even lacking apparent symptoms. Given the rapid progression of COVID-19, people should be admitted quickly following symptom onset.
  • |*Infectious Disease Incubation Period[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Age Factors[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |China/epidemiology[MESH]
  • |Chronic Disease/epidemiology[MESH]
  • |Cluster Analysis[MESH]
  • |Comorbidity[MESH]
  • |Coronavirus Infections/*epidemiology/mortality/*prevention & control/transmission[MESH]
  • |Disease Susceptibility[MESH]
  • |Family Health[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Patient Acuity[MESH]
  • |Patient Admission/statistics & numerical data[MESH]
  • |Patient Discharge/statistics & numerical data[MESH]
  • |Pneumonia, Viral/*epidemiology/mortality/*prevention & control/transmission[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]
  • |Time Factors[MESH]


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