Clinical characteristics and outcomes of adult critically ill patients with COVID-19 in Honghu, Hubei Province.
10.12122/j.issn.1673-4254.2020.06.02
- Author:
Jiayin LU
1
;
Yuan ZHANG
1
;
Gong CHENG
2
;
Jin HE
1
;
Feng WU
1
;
Hongbin HU
1
;
Tong SHA
1
;
Zhenhua ZENG
1
;
Zhongqing CHEN
1
Author Information
1. Department of Critical Care Medicine, Nanfang Hospital, Southern Medical University, Guangzhou510515, China.
2. Department of Critical Care Medicine, Honghu People's Hospital of Jingzhou City, Jingzhou 433200, China.
- Publication Type:Journal Article
- Keywords:
COVID-19;
intensive care unit;
risk factors
- MeSH:
Aged;
Aged, 80 and over;
Betacoronavirus;
Coronavirus Infections;
Critical Illness;
Female;
Humans;
Male;
Middle Aged;
Pandemics;
Pneumonia, Viral;
Retrospective Studies
- From:
Journal of Southern Medical University
2020;40(6):778-785
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the clinical characteristics and outcomes of adult critically ill patients with COVID-19 and identify the risk factors correlated with in-hospital deaths.
METHODS:This study was conducted among 20 confirmed adult cases of COVID-19 in the Intensive Care Unit (ICU) of Honghu People's Hospital in Jingzhou City, Hubei Province. According to the final outcome, the patients were divided into survivor group and death group with 10 patients each. The demographic data, clinical manifestations and signs, laboratory findings, treatment measures and clinical outcomes were obtained from electronic medical records to compare the clinical characteristics and outcomes between the two groups. Univariate logistic analysis was used to analyze the risk factors associated with in-hospital death.
RESULTS:The mean age of patients with confirmed COVID-19 was 70 ± 12 years, and 40% of them were male. The patients were admitted to ICU 11 ± 9 days after symptom onset. The most common symptoms on admission were cough (19 cases), fatigue or myalgia (18 cases), fever (17 cases) and dyspnea (16 cases). Eleven (55%) of the patients had underlying diseases, among which hypertension was the most common (11 cases), followed by cardiovascular disease (4 cases) and diabetes (3 cases). Six (30%) of the patients received invasive mechanical ventilation and continued renal replacement therapy but eventually died. Acute cardiac injury was the most common complication (19 cases). Half of the patients died between the 2nd and 19th day after ICU admission. Compared with dead patients, the surviving patients had a lower average body weight (61.70±2.36 68.60±7.15 kg, =0.01) and a higher Glasgow Coma Index (14.69 ± 0.70 12.70 ± 2.45, =0.03), and were less likely to develop shock (2 10, =0.001) or acute respiratory distress syndrome (2 10, =0.001).
CONCLUSIONS:Critically ill patients with COVID-19 are generally older. A higher body weight and a lower lymphocyte count are potentially associated with a greater likeliness of fatality in ICU patients with COVID-19.
