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10.1038/s41598-020-70387-2

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suck abstract from ncbi


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pmid32792492      Sci+Rep 2020 ; 10 (1): 13689
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  • Clinical characteristics and corticosteroids application of different clinical types in patients with corona virus disease 2019 #MMPMID32792492
  • Liu F; Ji C; Luo J; Wu W; Zhang J; Zhong Z; Lankford S; Huang H; Lin F; Wang Y; Mo G; Hu X; Jiang T; Shao Y; Ji S; Zhang Y; Qin E; Mu J
  • Sci Rep 2020[Aug]; 10 (1): 13689 PMID32792492show ga
  • To describe the epidemiological and clinical characteristics of patients with Corona Virus Disease 2019 (COVID-19) in Beijing. To analyze the application of corticosteroids in patients with severe pneumonia. We collected information on demographic characteristics, exposure history, clinical characteristics, corticosteroids use, and outcomes of the 65 confirmed cases of COVID-19 at Fifth Medical Center of PLA General Hospital from Jan 20 to Feb 23, 2020. The final follow-up date observed was April 15th, 2020. The number of patients with mild, general, severe, and critical type were 10 (15.38%), 32 (49.23%), 8 (12.31%), and 15 (23.08%), respectively. The median incubation period was 6 days. Notable outliers were 1 patient at 16 days and 1 patient at 21 days. In lymphocyte subgroup analysis, decreases in total, T, CD4, and CD8 lymphocytes were more common as the disease worsened (All P < 0.05). Methylprednisolone (mPSL) was applied to 31 (47.69%) patients with pneumonia, including 10 (31.25%) general, 8 (100%) severe, and 13 (86.67%) critical patients, respectively. Corticosteroids inhibited Interleukin-6(IL-6) production (P = 0.0215) but did not affect T lymphocyte (P = 0.0796). There was no significant difference between patients using lower dose ( 2 mg/kg day) mPSL in inhibiting IL-6 production (P = 0.5856). Thirty of 31 patients (96.77%) had stopped mPSL due to improvement of pneumonia. Virus RNA clearance time lengthened with disease progression (P = 0.0001). In general type, there was no significant difference in virus clearance time between patients with (15, 12-19 days) and without (14.5, 11-18 days) (P = 0.7372) mPSL use. Lymphocyte, especially T lymphocyte, in severe and critical patients showed a dramatic decrease. Application of lower dose corticosteroids (
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Beijing/epidemiology[MESH]
  • |Betacoronavirus/*genetics[MESH]
  • |CD4-Positive T-Lymphocytes[MESH]
  • |CD8-Positive T-Lymphocytes[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Coronavirus Infections/*drug therapy/*epidemiology/physiopathology/virology[MESH]
  • |Female[MESH]
  • |Follow-Up Studies[MESH]
  • |Glucocorticoids/administration & dosage/pharmacology/*therapeutic use[MESH]
  • |Humans[MESH]
  • |Interleukin-6/antagonists & inhibitors[MESH]
  • |Lymphocyte Count[MESH]
  • |Male[MESH]
  • |Methylprednisolone/administration & dosage/pharmacology/*therapeutic use[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*drug therapy/*epidemiology/physiopathology/virology[MESH]
  • |RNA, Viral/drug effects[MESH]
  • |SARS-CoV-2[MESH]
  • |Treatment Outcome[MESH]


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