PMID- 32369208 OWN - NLM STAT- MEDLINE DCOM- 20201229 LR - 20220716 IS - 1096-9071 (Electronic) IS - 0146-6615 (Print) IS - 0146-6615 (Linking) VI - 92 IP - 10 DP - 2020 Oct TI - Clinical features of patients with coronavirus disease 2019 from a designated hospital in Beijing, China. PG - 2055-2066 LID - 10.1002/jmv.25966 [doi] AB - Clinical and laboratory data on patients with coronavirus disease 2019 (COVID-19) in Beijing, China, remain extremely limited. In this study, we summarized the clinical characteristics of patients with COVID-19 from a designated hospital in Beijing. In total, 55 patients with laboratory-confirmed SARS-CoV-2 infection in Beijing 302 Hospital were enrolled in this study. Demographic data, symptoms, comorbidities, laboratory values, treatments, and clinical outcomes were all collected and retrospectively analyzed. A total of 15 (27.3%) patients had severe symptoms, the mean age was 44.0 years (interquartile range [IQR], 34.0-56.0), and the median incubation period was 7.5 days (IQR, 5.0-11.8). A total of 26 (47.3%) patients had exposure history in Wuhan of less than 2 weeks, whereas 20 (36.4%) patients were associated with familial clusters. Also, eighteen (32.7%) patients had underlying comorbidities including hypertension. The most common symptom of illness was fever (45; 81.8%); 51 (92.7%) patients had abnormal findings on chest computed tomography. Laboratory findings showed that neutrophil count, percentage of lymphocyte, percentage of eosinophil, eosinophil count, erythrocyte sedimentation rate, albumin, and serum ferritin are potential risk factors for patients with a poor prognosis. A total of 26 patients (47.3%) were still hospitalized, whereas 29 (52.7%) patients had been discharged. Compared with patients in Wuhan, China, the symptoms of patients in Beijing are relatively mild. Older age, more comorbidities, and more abnormal prominent laboratory markers were associated with a severe condition. On the basis of antiviral drugs, it is observed that antibiotics treatment, appropriate dosage of corticosteroid, and gamma globulin therapy significantly improve patients' outcomes. Early identification and timely medical treatment are important to reduce the severity of patients with COVID-19. CI - (c) 2020 Wiley Periodicals LLC. FAU - Sun, Lijun AU - Sun L AUID- ORCID: 0000-0001-8681-6980 AD - Research Center for Clinical and Translational Medicine, Beijing 302 Hospital/The Fifth Medical Center of PLA General Hospital, Beijing, China. FAU - Shen, Lijun AU - Shen L AUID- ORCID: 0000-0002-0347-7432 AD - The First Liver Cirrhosis Diagnosis and Treatment Center, Beijing 302 Hospital/The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China. FAU - Fan, Junfen AU - Fan J AUID- ORCID: 0000-0003-1892-5768 AD - Institute of Cerebrovascular Disease Research and Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, China. FAU - Gu, Fengjun AU - Gu F AUID- ORCID: 0000-0001-5347-307X AD - Medical Information Center Department, Beijing 302 Hospital/The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China. FAU - Hu, Mei AU - Hu M AUID- ORCID: 0000-0002-7363-3891 AD - Library, Beijing 302 Hospital/The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China. FAU - An, Yiran AU - An Y AUID- ORCID: 0000-0002-7633-2330 AD - The Medical Center of Clinical Laboratory, Beijing 302 Hospital/the Fifth Medical Center of Chinese PLA General Hospital, Beijing, China. FAU - Zhou, Qing AU - Zhou Q AUID- ORCID: 0000-0002-0069-559X AD - The Medical Center of Clinical Laboratory, Beijing 302 Hospital/the Fifth Medical Center of Chinese PLA General Hospital, Beijing, China. FAU - Fan, Huahao AU - Fan H AUID- ORCID: 0000-0001-5007-2158 AD - College of Life Science and Technology, Beijing University of Chemical Technology, Beijing, China. FAU - Bi, Jingfeng AU - Bi J AUID- ORCID: 0000-0002-4114-4372 AD - Research Center for Clinical and Translational Medicine, Beijing 302 Hospital/The Fifth Medical Center of PLA General Hospital, Beijing, China. LA - eng GR - BUCTZY2012/Fundamental Research Funds for Central Universities/International GR - 2018ZX09711003-004-003/National Key Research and Development Plan of China/International GR - 2019M65072/China Postdoctoral Science Foundation/International PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20200612 PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Antiviral Agents) RN - 0 (Immunoglobulins, Intravenous) RN - 9007-73-2 (Ferritins) SB - IM MH - Adrenal Cortex Hormones/therapeutic use MH - Adult MH - Age Factors MH - Antiviral Agents/therapeutic use MH - COVID-19/diagnostic imaging/*physiopathology/therapy/virology MH - China MH - Comorbidity MH - Coronary Disease/diagnostic imaging/*physiopathology/therapy/virology MH - Diabetes Mellitus/diagnostic imaging/*physiopathology/therapy/virology MH - Eosinophils/pathology/virology MH - Female MH - Ferritins/blood MH - Fever/physiopathology MH - Hospitalization MH - Hospitals MH - Humans MH - Hypertension/diagnostic imaging/*physiopathology/therapy/virology MH - Immunoglobulins, Intravenous/therapeutic use MH - Infectious Disease Incubation Period MH - Kidney Failure, Chronic/diagnostic imaging/*physiopathology/therapy/virology MH - Leukocyte Count MH - Lymphocytes/pathology/virology MH - Male MH - Middle Aged MH - Neutrophils/pathology/virology MH - Retrospective Studies MH - Risk Factors MH - SARS-CoV-2/drug effects/pathogenicity MH - Severity of Illness Index MH - Tomography, X-Ray Computed PMC - PMC7267635 OTO - NOTNLM OT - SARS-CoV-2 OT - clinical features OT - coronavirus disease 2019 OT - designated Hospital in Beijing COIS- The authors declare that there are no conflict of interests. EDAT- 2020/05/06 06:00 MHDA- 2020/12/30 06:00 PMCR- 2020/06/12 CRDT- 2020/05/06 06:00 PHST- 2020/03/25 00:00 [received] PHST- 2020/04/30 00:00 [revised] PHST- 2020/05/02 00:00 [accepted] PHST- 2020/05/06 06:00 [pubmed] PHST- 2020/12/30 06:00 [medline] PHST- 2020/05/06 06:00 [entrez] PHST- 2020/06/12 00:00 [pmc-release] AID - JMV25966 [pii] AID - 10.1002/jmv.25966 [doi] PST - ppublish SO - J Med Virol. 2020 Oct;92(10):2055-2066. doi: 10.1002/jmv.25966. Epub 2020 Jun 12.