sharon sanders
Editor-in-Chief & President
hat tip @MarionKoopmans & @GertvanderHoek
March 7, 2020 Coronavirus. Iss: "Fever and breathlessness, the most common initial symptoms for those who have died positive from the virus" (from Quotidosanita.it of 7 March 2020)
New analysis of the Italian Institute of Health on 155 Italian patients who died on 6 March from Covid-19. Brusaferro: “These data suggest that for those with only fever it is sufficient to alert their doctor while staying at home while in the presence of both symptoms it is better to contact 112 or 118. In any case we remind you that you must absolutely avoid going on your own from doctor or emergency room, to avoid exposing staff and patients to risks ".
07 MAR - “In deceased and COVID-19 positive patients the most common onset symptoms are fever and dyspnoea (difficulty breathing), while gastrointestinal symptoms (diarrhea) and hemoptysis, the emission of blood from the respiratory tract, for example with a cough. " This was stated by the analysis of the data of 155 Italian patients who died on 6 March conducted by the Istituto Superiore di Sanit?, which updates the one conducted on 105 cases made known on 5 March.
Fever and dyspnoea are present as onset symptoms in 86% and 82% of cases examined respectively. Other initial symptoms found are cough (50%), and precisely diarrhea and hemoptysis (5%).
"These data suggest that for those with only fever it is sufficient to alert their doctor while staying at home - explains Silvio Brusaferro , president of the ISS -, while in the presence of both symptoms it is better to contact 112 or 118. In any case, we remember that you must absolutely avoid going to your doctor or emergency room on your own, to avoid exposing staff and patients to risks. Following this and all the other prevention rules dictated these days is essential to slow down the epidemic as much as possible and protect the most fragile people. Individual measures to limit social contacts are fundamental to be able to fight the virus, we appeal to everyone's sense of responsibility ”.
As regards virus-related mortality, the updated data confirm those of the first study. The mean age of deceased and COVID-19 positive patients is 81.4. There are 48 women (31.0%). The average number of pathologies observed in this population is 3.6. Deaths occur mostly after 80 years and in people with important pre-existing diseases: in detail, mortality is 14.3% over 90 years, 8.2% between 80 and 89, 4% between 70 and 79, 1.4% between 60 and 69 and 0.1% between 50 and 59, while there are no deaths under this age group. Overall, 21 patients (15.5% of the sample) had 0 or 1 pathology, 25 (18.5%) had 2 pathologies and 70 (60.3%) had 3 or more pathologies; for 19 patients it has not yet been possible to recover the information.
Italy-China comparison
The update of the data confirms that in all age groups lethality in the Italian population is lower than that observed in China. The overall lethality in Italy out of 155 cases is 2.9% against 2.3% in China. The general figure is higher in the Italian population because the average age of the Italian population is greater than in China (44 vs 37 years - WHO 2013 estimates) and in Italy there is a greater number of patients over the age of 80 .
"The analysis of these data allows to carry out evaluations on which to establish recommendations and behaviors - underlines Brusaferro - therefore it is essential that the surveillance system is constantly updated with the medical records of the deceased by hospitals".
https://www.ordinemedicilatina.it/se...-7-marzo-2020/
March 7, 2020 Coronavirus. Iss: "Fever and breathlessness, the most common initial symptoms for those who have died positive from the virus" (from Quotidosanita.it of 7 March 2020)
07 MAR - “In deceased and COVID-19 positive patients the most common onset symptoms are fever and dyspnoea (difficulty breathing), while gastrointestinal symptoms (diarrhea) and hemoptysis, the emission of blood from the respiratory tract, for example with a cough. " This was stated by the analysis of the data of 155 Italian patients who died on 6 March conducted by the Istituto Superiore di Sanit?, which updates the one conducted on 105 cases made known on 5 March.
Fever and dyspnoea are present as onset symptoms in 86% and 82% of cases examined respectively. Other initial symptoms found are cough (50%), and precisely diarrhea and hemoptysis (5%).
"These data suggest that for those with only fever it is sufficient to alert their doctor while staying at home - explains Silvio Brusaferro , president of the ISS -, while in the presence of both symptoms it is better to contact 112 or 118. In any case, we remember that you must absolutely avoid going to your doctor or emergency room on your own, to avoid exposing staff and patients to risks. Following this and all the other prevention rules dictated these days is essential to slow down the epidemic as much as possible and protect the most fragile people. Individual measures to limit social contacts are fundamental to be able to fight the virus, we appeal to everyone's sense of responsibility ”.
As regards virus-related mortality, the updated data confirm those of the first study. The mean age of deceased and COVID-19 positive patients is 81.4. There are 48 women (31.0%). The average number of pathologies observed in this population is 3.6. Deaths occur mostly after 80 years and in people with important pre-existing diseases: in detail, mortality is 14.3% over 90 years, 8.2% between 80 and 89, 4% between 70 and 79, 1.4% between 60 and 69 and 0.1% between 50 and 59, while there are no deaths under this age group. Overall, 21 patients (15.5% of the sample) had 0 or 1 pathology, 25 (18.5%) had 2 pathologies and 70 (60.3%) had 3 or more pathologies; for 19 patients it has not yet been possible to recover the information.
Italy-China comparison
The update of the data confirms that in all age groups lethality in the Italian population is lower than that observed in China. The overall lethality in Italy out of 155 cases is 2.9% against 2.3% in China. The general figure is higher in the Italian population because the average age of the Italian population is greater than in China (44 vs 37 years - WHO 2013 estimates) and in Italy there is a greater number of patients over the age of 80 .
"The analysis of these data allows to carry out evaluations on which to establish recommendations and behaviors - underlines Brusaferro - therefore it is essential that the surveillance system is constantly updated with the medical records of the deceased by hospitals".
https://www.ordinemedicilatina.it/se...-7-marzo-2020/