Clinical and virological course of patients with coronavirus disease 2019 in Jiangsu province, China: a retrospective, multi-center cohort study

Background The clinical and virological course of patients with coronavirus disease 2019 (COVID-19) are lacking. We aimed to describe the clinical and virological characteristics of COVID-19 patients from 10 designated hospitals in 10 cities of Jiangsu province, China. The factors associated with the clearance of SARS-CoV-2 were investigated. Methods A total of 328 hospitalized patients with COVID-19 were retrospectively recruited. The epidemiological, clinical, laboratory, radiology and treatment data were collected. The associated factors of SARS-CoV-2 clearance were analyzed. Results The median duration of hospitalization was 16.0 days (interquartile range [IQR] 13.0–21.0 days). On multivariate Cox regression analysis, age > 60 years (hazard ratio [HR] 0.643, 95% confidence interval [CI] 0.454–0.911, P = 0.013) was associated with the delayed SARS-CoV-2 clearance, while the atomized inhalation of interferon α-2b could improve the clearance of SARS-CoV-2 (HR, 1.357, 95% CI 1.050–1.755, P = 0.020). Twenty-six (7.9%) patients developed respiratory failure and 4 (1.2%) patients developed ARDS. Twenty (6.1%) patients were admitted to the ICU, while no patient was deceased. Conclusions Our study found that age > 60 years was associated with the delayed SARS-CoV-2 clearance, while treated with atomized inhalation of interferon α-2b could promote the clearance of SARS-CoV-2..

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

Virology journal - 18(2021), 1 vom: 14. Juli

Sprache:

Englisch

Beteiligte Personen:

Huang, Rui [VerfasserIn]
Zhu, Li [VerfasserIn]
Xue, Leyang [VerfasserIn]
Yan, Xuebing [VerfasserIn]
Wang, Jian [VerfasserIn]
Huang, Songping [VerfasserIn]
Zhang, Biao [VerfasserIn]
Xu, Tianmin [VerfasserIn]
Ji, Fang [VerfasserIn]
Li, Chunyang [VerfasserIn]
Ming, Fang [VerfasserIn]
Zhao, Yun [VerfasserIn]
Li, Yang [VerfasserIn]
Cheng, Juan [VerfasserIn]
Wang, Yinling [VerfasserIn]
Shao, Huaping [VerfasserIn]
Hong, Shuqin [VerfasserIn]
Chen, Kang [VerfasserIn]
Zhao, Xiang-an [VerfasserIn]
Sang, Dawen [VerfasserIn]
Zou, Lei [VerfasserIn]
Zhao, Haiyan [VerfasserIn]
Guan, Xinying [VerfasserIn]
Chen, Xiaobing [VerfasserIn]
Xu, Biyun [VerfasserIn]
Xia, Juan [VerfasserIn]
Chen, Yuxin [VerfasserIn]
Yan, Xiaomin [VerfasserIn]
Wei, Jie [VerfasserIn]
Liu, Jiacheng [VerfasserIn]
Liu, Longgen [VerfasserIn]
Zhu, Chuanwu [VerfasserIn]
Wu, Chao [VerfasserIn]

Links:

Volltext [kostenfrei]

Themen:

Clearance
Coronavirus disease 2019
SARS-CoV-2
Viral

Anmerkungen:

© The Author(s) 2021

doi:

10.1186/s12985-021-01615-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2126645169