Department of Data Science and Engineering, Silesian University of Technology, Gliwice, Poland.
Department of Applied Informatics, Silesian University of Technology, Gliwice, Poland.
Sci Rep. 2021 Jun 30;11(1):13580. doi: 10.1038/s41598-021-93046-6.
In the DECODE project, data were collected from 3,114 surveys filled by symptomatic patients RT-qPCR tested for SARS-CoV-2 in a single university centre in March-September 2020. The population demonstrated balanced sex and age with 759 SARS-CoV-2( +) patients. The most discriminative symptoms in SARS-CoV-2( +) patients at early infection stage were loss of taste/smell (OR = 3.33, p < 0.0001), body temperature above 38℃ (OR = 1.67, p < 0.0001), muscle aches (OR = 1.30, p = 0.0242), headache (OR = 1.27, p = 0.0405), cough (OR = 1.26, p = 0.0477). Dyspnea was more often reported among SARS-CoV-2(-) (OR = 0.55, p < 0.0001). Cough and dyspnea were 3.5 times more frequent among SARS-CoV-2(-) (OR = 0.28, p < 0.0001). Co-occurrence of cough, muscle aches, headache, loss of taste/smell (OR = 4.72, p = 0.0015) appeared significant, although co-occurrence of two symptoms only, cough and loss of smell or taste, means OR = 2.49 (p < 0.0001). Temperature > 38℃ with cough was most frequent in men (20%), while loss of taste/smell with cough in women (17%). For younger people, taste/smell impairment is sufficient to characterise infection, whereas in older patients co-occurrence of fever and cough is necessary. The presented study objectifies the single symptoms and interactions significance in COVID-19 diagnoses and demonstrates diverse symptomatology in patient groups.
在 DECODE 项目中,数据来自于 2020 年 3 月至 9 月在单个大学中心接受 SARS-CoV-2 症状患者 RT-qPCR 检测的 3114 份调查。该人群在性别和年龄上表现出均衡分布,其中有 759 名 SARS-CoV-2(+)患者。在 SARS-CoV-2(+)患者早期感染阶段,最具鉴别性的症状是失去味觉/嗅觉(OR=3.33,p<0.0001)、体温超过 38℃(OR=1.67,p<0.0001)、肌肉疼痛(OR=1.30,p=0.0242)、头痛(OR=1.27,p=0.0405)、咳嗽(OR=1.26,p=0.0477)。呼吸困难在 SARS-CoV-2(-)患者中更为常见(OR=0.55,p<0.0001)。SARS-CoV-2(-)患者中咳嗽和呼吸困难的频率高 3.5 倍(OR=0.28,p<0.0001)。咳嗽和呼吸困难同时发生的情况更为显著(OR=4.72,p=0.0015),尽管仅同时出现两种症状(咳嗽和嗅觉或味觉丧失),OR 也达到了 2.49(p<0.0001)。体温>38℃且伴有咳嗽在男性中更为常见(20%),而女性则以咳嗽伴有嗅觉丧失更为常见(17%)。对于年轻人来说,味觉/嗅觉丧失足以表征感染,而在老年患者中,发热和咳嗽同时发生则是必要的。本研究旨在确定 COVID-19 诊断中单一症状和相互作用的重要性,并展示了不同患者群体的多样化症状。