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Medicine (Baltimore) . Risk factors for Coronavirus disease 2019 pneumonia after admission outside Wuhan, China

tetano

Editor, Senior Moderator
Medicine (Baltimore)


. 2020 Nov 6;99(45):e22980.
doi: 10.1097/MD.0000000000022980.
Risk factors for Coronavirus disease 2019 pneumonia after admission outside Wuhan, China


Li Shao Jie[SUP] 1 [/SUP], Yuan Yu[SUP] 2 [/SUP], Zeng Jian Ping[SUP] 1 [/SUP], Xiang Xu Dong[SUP] 2 [/SUP], Chai Xiang Ping[SUP] 2 [/SUP], Hu Chao[SUP] 1 [/SUP], Yang Li[SUP] 1 [/SUP], Yang Jing[SUP] 1 [/SUP], Tan Yan Ling[SUP] 1 [/SUP], Jiang Ming Yan[SUP] 1 [/SUP], Ling Peng[SUP] 3 [/SUP]



Affiliations

Abstract

Coronavirus disease 2019 (COVID-19) has spread worldwide, causing significant stress on the medical system. We explored the risk factors for condition changes in COVID-19 pneumonia patients after admission.The patients diagnosed with COVID-19 pneumonia at 2 medical centers in Hunan Province were studied, and those whose conditions changed after admission were compared. Their clinical characteristics and experimental indicators were compared using SPSS software and R language to build a disease risk prediction model.Patients with condition changes after admission were older and had more blood cell abnormalities and impaired organ function (decreased albumin, elevated D-dimer) than normal patients. We found that age, neutrophil ratio, D-dimer, chest Computed tomograpgy (CT) changes, and glucocorticoid use were risk factors for COVID-19 pneumonia after admission.Elderly patients are more susceptible to disease changes after COVID-19 pneumonia; COVID-19 pneumonia patients who develop disease changes after admission have higher neutrophil ratios, increased D-dimer levels, chest imaging changes, and glucocorticoid usage. Additional research is needed.
 
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