Risk factors for Coronavirus disease 2019 pneumonia after admission outside Wuhan, China #MMPMID33157941
Jie LS; Yu Y; Ping ZJ; Dong XX; Ping CX; Chao H; Li Y; Jing Y; Ling TY; Yan JM; Peng L
Medicine (Baltimore) 2020[Nov]; 99 (45): e22980 PMID33157941show ga
Coronavirus disease 2019 (COVID-19) has spread worldwide, causing significant stress on the medical system. We explored the risk factors for condition changes in COVID-19 pneumonia patients after admission.The patients diagnosed with COVID-19 pneumonia at 2 medical centers in Hunan Province were studied, and those whose conditions changed after admission were compared. Their clinical characteristics and experimental indicators were compared using SPSS software and R language to build a disease risk prediction model.Patients with condition changes after admission were older and had more blood cell abnormalities and impaired organ function (decreased albumin, elevated D-dimer) than normal patients. We found that age, neutrophil ratio, D-dimer, chest Computed tomograpgy (CT) changes, and glucocorticoid use were risk factors for COVID-19 pneumonia after admission.Elderly patients are more susceptible to disease changes after COVID-19 pneumonia; COVID-19 pneumonia patients who develop disease changes after admission have higher neutrophil ratios, increased D-dimer levels, chest imaging changes, and glucocorticoid usage. Additional research is needed.
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Medicine+(Baltimore) 2020 ; 99 (45): e22980
