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Clinical features and outcomes of discharged coronavirus disease 2019 patients: a prospective cohort study
- Source :
- QJM: An International Journal of Medicine
- Publication Year :
- 2020
- Publisher :
- Oxford University Press (OUP), 2020.
-
Abstract
- Summary Background Coronavirus disease 2019 (COVID-19) is a global pandemic but the follow-up data of discharged patients was barely described. Aim To investigate clinical outcomes, distribution of quarantine locations and the infection status of the contacts of COVID-19 patients after discharge. Design A prospective cohort study. Methods Demographics, baseline characteristics of 131 COVID-19 patients discharged from 3 February 2020 to 21 February 2020 in Wuhan, China were collected and analyzed by reviewing the medical records retrospectively. Post-hospitalization data related to clinical outcomes, quarantine locations and close contact history were obtained by following up the patients every week up to 4 weeks. Results Fifty-three (40.05%) patients on discharge had cough (29.01%), fatigue (7.63%), expectoration (6.11%), chest tightness (6.11%), dyspnea (3.82%), chest pain (3.05%) and palpitation (1.53%). These symptoms constantly declined in 4 weeks post-discharge. Transient fever recurred in 11 (8.4%) patients. Among the discharged patients, 78 (59.5%) underwent chest CT and 2 (1.53%) showed deterioration. A total of 94 (71.8%) patients received SARS-CoV-2 retest and 8 (6.10%) reported positive. Seven (2.29%) patients were readmitted because of fever or positive SARS-CoV-2 retest. After discharge, 121 (92.37%) and 4 (3.05%) patients were self-quarantined at home or community spots, respectively, after a close contact with 167 persons in total who were free of COVID-19 at the endpoint of study. Conclusion The majority of COVID-19 patients after discharge were in the course of recovery. Readmission was required in rare cases due to suspected recurrence of COVID-19. Although no contacted infection observed, appropriate self-quarantine and regular re-examination are necessary, particularly for those who have recurred symptoms.
- Subjects :
- Male
China
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Pneumonia, Viral
Chest ct
Aftercare
Patient Discharge Summaries
outcomes
Chest pain
Patient Readmission
COVID-2019
Betacoronavirus
03 medical and health sciences
0302 clinical medicine
Internal medicine
follow-up
medicine
Humans
030212 general & internal medicine
Prospective cohort study
Pandemics
Close contact
030304 developmental biology
0303 health sciences
SARS-CoV-2
business.industry
Medical record
COVID-19
General Medicine
Middle Aged
medicine.disease
Hospitalization
Pneumonia
Outcome and Process Assessment, Health Care
Quarantine
Retreatment
Female
Original Article
Contact Tracing
Symptom Assessment
medicine.symptom
Coronavirus Infections
Tomography, X-Ray Computed
business
discharged patients
Subjects
Details
- ISSN :
- 14602393 and 14602725
- Volume :
- 113
- Database :
- OpenAIRE
- Journal :
- QJM: An International Journal of Medicine
- Accession number :
- edsair.doi.dedup.....c7556196d7ad798907344c97ea35fede