Rubin Samuel J S, Falkson Samuel R, Degner Nicholas R, Blish Catherine
Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Chan-Zuckerberg Biohub, San Francisco, CA, USA.
J Clin Transl Sci. 2020 Apr 16;5(1):e3. doi: 10.1017/cts.2020.40.
Given the rapidly progressing coronavirus disease 2019 (COVID-19) pandemic, this report on a US cohort of 54 COVID-19 patients from Stanford Hospital and data regarding risk factors for severe disease obtained at initial clinical presentation is highly important and immediately clinically relevant. We identified low presenting oxygen saturation as predictive of severe disease outcomes, such as diagnosis of pneumonia, acute respiratory distress syndrome, and admission to the intensive care unit, and also replicated data from China suggesting an association between hypertension and disease severity. Clinicians will benefit by tools to rapidly risk stratify patients at presentation by likelihood of progression to severe disease.
鉴于2019冠状病毒病(COVID-19)大流行迅速发展,这份关于斯坦福医院54名COVID-19患者的美国队列报告以及在初次临床表现时获得的严重疾病风险因素数据非常重要,且与临床直接相关。我们发现初始时氧饱和度低可预测严重疾病结局,如肺炎诊断、急性呼吸窘迫综合征以及入住重症监护病房,并且还重现了来自中国的数据,表明高血压与疾病严重程度之间存在关联。临床医生将受益于能够根据进展为严重疾病的可能性在患者就诊时快速进行风险分层的工具。