Aggarwal Saurabh, Garcia-Telles Nelson, Aggarwal Gaurav, Lavie Carl, Lippi Giuseppe, Henry Brandon Michael
Division of Cardiology, Department of Medicine, UnityPoint Clinic, 1215 Pleasant Street, Suite 414, Des Moines, IA 50323, USA.
Department of Medicine, UnityPoint Clinic, Des Moines, IA, USA.
Diagnosis (Berl). 2020 May 26;7(2):91-96. doi: 10.1515/dx-2020-0046.
Background Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV2), is an ongoing pandemic that has already affected millions of patients worldwide, and is associated with significant morbidity and mortality burden. Although the clinical and laboratory characteristics of this illness have been reported in patients from China and Europe, data are scant in the United States. Methods We extracted data regarding all patients hospitalized at our hospital with COVID-19 infection between March 1 and April 4, 2020. Presenting signs and symptoms, laboratory and imaging findings, treatment, and complications were recorded from electronic medical records (EMRs). The primary composite endpoint was admission to intensive care unit (ICU), shock, or death. Results We had a total of 43 patients tested for COVID-19 at the emergency room (ER) or during hospitalization, 16 (37%) of whom were admitted with COVID-19 infection. The mean age was 65.5 years and 75% were males. The most common presenting symptoms were fever (94%), cough (88%), and dyspnea (81%). A loss of smell and taste sensations were reported by three (19%) patients. Low oxygen saturation was present in 38% of patients, whilst 31% were hypotensive on admission. Hyponatremia (50%), elevated C-reactive protein (CRP; 100%), and lactate dehydrogenase (LDH; 80%) were common. Acute renal failure, myocardial injury, and elevation in aminotransferases occurred in 69%, 19%, and 38% patients, respectively. The primary composite endpoint occurred in 50% of patients. A total of three patients died; all were aged 70 years or older. Conclusions Laboratory abnormalities and acute renal failure were common in hospitalized patients with SARS-CoV2 infection in our center. Admission to ICU and mechanical ventilation were common.
背景 2019 冠状病毒病(COVID - 19)由严重急性呼吸综合征冠状病毒 2(SARS-CoV2)引起,是一场仍在持续的大流行疾病,已影响全球数百万患者,并带来了巨大的发病和死亡负担。尽管中国和欧洲的患者已报道了该疾病的临床和实验室特征,但美国的数据却很少。方法 我们提取了 2020 年 3 月 1 日至 4 月 4 日期间在我院因 COVID - 19 感染住院的所有患者的数据。从电子病历(EMR)中记录了呈现的体征和症状、实验室及影像学检查结果、治疗情况和并发症。主要复合终点是入住重症监护病房(ICU)、休克或死亡。结果 我们共有 43 名患者在急诊室(ER)或住院期间接受了 COVID - 19 检测,其中 16 名(37%)因 COVID - 19 感染入院。平均年龄为 65.5 岁,75%为男性。最常见的症状是发热(94%)、咳嗽(88%)和呼吸困难(81%)。三名(19%)患者报告有嗅觉和味觉丧失。38%的患者存在低氧饱和度,31%的患者入院时血压低。低钠血症(50%)、C 反应蛋白(CRP)升高(100%)和乳酸脱氢酶(LDH)升高(80%)很常见。69%的患者发生急性肾衰竭,19%的患者发生心肌损伤,38%的患者转氨酶升高。50%的患者出现主要复合终点。共有三名患者死亡;均为 70 岁及以上。结论 在我们中心,SARS-CoV2 感染的住院患者中实验室异常和急性肾衰竭很常见。入住 ICU 和机械通气很常见。