There is limited information available describing the clinical and epidemiological features of Spanish patients requiring hospitalization for coronavirus disease 2019 (COVID-19). In this observational study, we aimed to describe the clinical characteristics and epidemiological features of severe (non-ICU) and critically patients (ICU) with COVID-19 at triage, prior to hospitalization. Forty-eight patients (27 non-ICU and 21 ICU) with positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection were analyzed (mean age, 66 years, [range, 33–88 years]; 67% males). There were no differences in age or sex among groups. Initial symptoms included fever (100%), coughing (85%), dyspnea (76%), diarrhea (42%) and asthenia (21%). ICU patients had a higher prevalence of dyspnea compared to non-ICU patients (95% vs. 61%, p = 0.022). ICU-patients had lymphopenia as well as hypoalbuminemia. Lactate dehydrogenase (LDH), C-reactive protein (CRP), and procalcitonin were significantly higher in ICU patients compared to non-ICU ( p < 0.001). Lower albumin levels were associated with poor prognosis measured as longer hospital length (r = −0.472, p < 0.001) and mortality (r = −0.424, p = 0.003). As of 28 April 2020, 10 patients (8 ICU and 2 non-ICU) have died (21% mortality), and while 100% of the non-ICU patients have been discharged, 33% of the ICU patients still remained hospitalized (5 in ICU and 2 had been transferred to ward). Critically ill patients with COVID-19 present lymphopenia, hypoalbuminemia and high levels of inflammation.
【저자키워드】 COVID-19, Inflammation, albumin, 【초록키워드】 coronavirus disease, SARS-CoV-2, coronavirus, Hospitalized, Mortality, Hospitalization, Clinical characteristics, hospital, Infection, LDH, Sex, C-reactive protein, CRP, procalcitonin, Symptom, diarrhea, ICU, lymphopenia, Prevalence, Fever, Dyspnea, Patient, age, epidemiological, information, Critically ill patient, acute respiratory syndrome, no difference, poor prognosis, non-ICU, coughing, positive, Lower, feature, ICU patient, males, analyzed, died, remained, significantly higher, groups, discharged, albumin level, non-ICU patient, Spanish patient, transferred, with COVID-19, 【제목키워드】 Level, Sery,