Clinical characteristics of emergency surgery patients-infected COVID-19 pneumonia in Wuhan, China
Data
2020Autor
Li, Jinpeng
Gao, Rongfen
Wu, Gaosong
Wu, Xiaolin
Liu, Zeming
Wang, Hongjing
Huang, Yihui
Pan, Zhenyu
Chen, Jincao
Wu, Xiaohui
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Resumo
Objective: We aimed to investigate clinical symptom and epidemiological
features of ESP-infected COVID-19
Summary Background Data: Almost one million of 2019 novel coronavirus
disease (COVID-19) patients were diagnosed in the world wide from December
2019 to now. Thousands of emergency operations were carried out in the interim.
However no one focused on the clinical symptom of emergency surgery patients
(ESP) with COVID-19 pneumonia.
Methods: Retrospective cohort study of 164 ESP with or without COVID-19
pneumonia in Zhongnan Hospital of Wuhan University in Wuhan, China, from
January 1 to January 20, 2020. The final date of follow-up was February 5, 2020.
The associated clinical, laboratory, epidemiological, demographic, radiological
and outcome data were collected and analyzed.
Results: Of 164 ESP, the median age was 41 years old (interquartile range
(IQR), 29-89) and 136 (82.9%) were women. Associated main clinical symptom
including fever (93 [56.7%]),dry cough (56 [34.2%]), fatigue (86 [52.4%]),
nausea (78 [47.6%]) and dizziness (77 [47%]). Of 54 ESP-infected COVID-19
patients, the median age was 46 (IQR: 25-89) and 45 (83.3%) were women. The
pathological clinical symptoms including fever (54 [100%]), fatigue (48 [88.9%]),
nausea (52 [96.3%]), dizziness (46 [85.2%]) and dry cough (44 [81.5%]) were
investigated; the lymphopenia (0.37×109
/L [IQR: 0.23-0.65]) and increased
C-reactive protein (24.7×109
/L [IQR: 13.57-38]) were observed. The
preoperative fever and postoperative fever in ESP with or without COVID-19
pneumonia were analyzed in this study. Of 54 ESP with COVID-19 patients, 15
(27.8%) patients showed preoperative fever, 54 (100%) had the postoperative
fever; Of 110 non-COVID-19 of ESP, 5 (4.5%) patients had preoperative fever,
31 (28.2%) patients had the postoperative fever. The fever in ESP with COVID-19 lasted more than 7 days, markedly exceeded the non-COVID-19
patients (lasted about 3 days). Furthermore, 43 health care workers were
infected from exposed to ESP with COVID-19 pneumonia.
Conclusion: In our study, the clinical symptoms of ESP-infected COVID-19
displayed marked differences from those reported common COVID-19
pneumonia cases. Additionally, the health care workers were confirmed to
expose great risk in ESP with COVID-19 pneumonia. Management guidelines of
ESP were described in our paper.
Key words: COVID-19, Emergency surgery patients, Clinical symptom, health
care workers
Palabras clave
COVID-19; PneumoniaLink para o recurso
https://doi.org/10.1016/j.surg.2020.05.007Collections
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