Background Since December 2019, the 2019 coronavirus disease (COVID-19) has expanded to cause a worldwide outbreak that more than 600,000 people infected and tens of thousands died. To date, the clinical characteristics of COVID-19 patients in the non-Wuhan areas of Hubei Province in China have not been described. Methods We retrospectively analyzed the clinical characteristics and treatment progress of 91 patients diagnosed with COVID-19 in Jingzhou Central Hospital. Results Of the 91 patients diagnosed with COVID-19, 30 cases (33.0%) were severe and two patients (2.2%) died. The severe disease group tended to be older (50.5 vs. 42.0 years; p = 0.049) and have more chronic disease (40% vs. 14.8%; p = 0.009) relative to mild disease group. Only 73.6% of the patients were quantitative polymerase chain reaction (qPCR)-positive on their first tests, while typical chest computed tomography images were obtained for each patient. The most common complaints were cough ( n = 75; 82.4%), fever ( n = 59; 64.8%), fatigue ( n = 35; 38.5%), and diarrhea ( n = 14; 15.4%). Non-respiratory injury was identified by elevated levels of aspartate aminotransferase ( n = 18; 19.8%), creatinine ( n = 5; 5.5%), and creatine kinase ( n = 14; 15.4%) in laboratory tests. Twenty-eight cases (30.8%) suffered non-respiratory injury, including 50% of the critically ill patients and 21.3% of the mild patients. Conclusions Overall, the mortality rate of patients in Jingzhou was lower than that of Wuhan. Importantly, we found liver, kidney, digestive tract, and heart injuries in COVID-19 cases besides respiratory problems. Combining chest computed tomography images with the qPCR analysis of throat swab samples can improve the accuracy of COVID-19 diagnosis.
【저자키워드】 COVID-19, Respiratory failure, Mortality, Disease characteristics, Non-respiratory injury, 【초록키워드】 Treatment, fatigue, Clinical characteristics, Laboratory tests, cough, diarrhea, chronic disease, kidney, China, Chest computed tomography, Accuracy, outbreak, Fever, Wuhan, Patient, COVID-19 diagnosis, 2019 coronavirus disease, Aspartate aminotransferase, Mild, mortality rate, disease, Quantitative, liver, mild patients, creatinine, Injury, severe disease, COVID-19 patient, Heart injury, digestive tract, Critically ill patient, Older, respiratory problems, COVID-19 case, throat swab, qPCR analysis, polymerase chain, IMPROVE, Result, described, analyzed, died, the patient, elevated, suffered, diagnosed with COVID-19, 【제목키워드】 Retrospective study, clinical, 2019 coronavirus disease, characteristics of patient,