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基于症状的 SARS-CoV-2 与其他呼吸道感染的早期区分-上西里西亚试点研究。

Symptom-based early-stage differentiation between SARS-CoV-2 versus other respiratory tract infections-Upper Silesia pilot study.

机构信息

Department of Data Science and Engineering, Silesian University of Technology, Gliwice, Poland.

Department of Applied Informatics, Silesian University of Technology, Gliwice, Poland.

出版信息

Sci Rep. 2021 Jun 30;11(1):13580. doi: 10.1038/s41598-021-93046-6.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e96f/8245528/e24c75af7db5/41598_2021_93046_Fig1_HTML.jpg

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