clinical characteristics of covid 19 deaths in wuhan an analysis of 2 231 cases CORD-Papers-2021-10-25 (Version 1)

Title: Clinical Characteristics of COVID-19 Deaths in Wuhan:an Analysis of 2 231 Cases
Abstract: Background: The previous data on COVID-19 clinical features in Wuhan were mostly collected from a single hospital, with limited representation There are lack of large-sample studies on COVID-19 deaths in the entire Wuhan area Objective: To analyze the clinical characteristics of 2 231 COVID-19 deaths in Wuhan, so as to provide information for developing diagnostic and therapeutic projects and research of COVID-19 Methods: During January 9 to March 8, 2020, we collected the essential information and summary of medical records of 2 231 COVID-19 deaths via reviewing the printed reports submitted by workers from medical affairs department from 66 hospitals in Wuhanwor15 districtsJiangadi District, Jianghan District, Qiaokou District, Hanyang District, Wuchang District, Qingshan District, Hongshan District, Caidian District, Jiangxia District, Dongxihu District, Wuhan Economic & Technological Development Zone (Hannan), Huangpi District, Xinzhou District, East Lake High-tech Development Zone and East Lake Scenic Area The information we counted includes: symptom onset time, first visit time, admission time, diagnosis time, death time, past history, clinical symptoms and treatment measures Results Death cases mostly occurred in February The average interval between the first symptom onset and the first medical visit was(4 35 5)days, between the first symptom onset and hospitalization was(9 27 5)days, and between the first medical visit and confirmed diagnosis was(6 97 6)days Of the 2 231 deaths, 1 465(65 67%) were men and 766(34 33%)were women They died at an average age of (70 211 9)years, specifically, the youngest was 14 years, and the oldest was 100 years, 1 863(83 51%) died at the age of over 60, and 36(1 61%)died at the age of less than 40 Underlying diseases were prevalent in 1 708 cases(76 56%), among which the top seven were hypertension, diabetes, heart disease, respiratory disease, cerebrovascular disease, chronic kidney disease, and malignant tumor 1 173(52 58%)were mechanically ventilated, 547 of them had invasive mechanical ventilation, and 33 had ECMO 302(13 54%) received renal replacement therapy 283(12 68%)abandoned rescue Conclusion: The shortage of medical resources caused low treatment efficiency in the early stage of the pandemic With the improvement of the treatment capacity, the number of deaths gradually decreased Male COVID-19 patients, over 60 years old, and with underlying diseases were related to higher risk of death Copyright 2020 by the Chinese General Practice
Published: 2020
Journal: Chinese General Practice
Author Name: Cheng, L
Author link: https://covid19-data.nist.gov/pid/rest/local/author/cheng_l
Author Name: Jiang, M
Author link: https://covid19-data.nist.gov/pid/rest/local/author/jiang_m
Author Name: Zhao, L
Author link: https://covid19-data.nist.gov/pid/rest/local/author/zhao_l
Author Name: Shen, X
Author link: https://covid19-data.nist.gov/pid/rest/local/author/shen_x
Author Name: Zheng, Y
Author link: https://covid19-data.nist.gov/pid/rest/local/author/zheng_y
Author Name: Ding, J
Author link: https://covid19-data.nist.gov/pid/rest/local/author/ding_j
Author Name: Liu, Y
Author link: https://covid19-data.nist.gov/pid/rest/local/author/liu_y
Author Name: Xu, Y
Author link: https://covid19-data.nist.gov/pid/rest/local/author/xu_y
license: unk
license_url: [unknown license]
source_x: WHO
source_x_url: https://www.who.int/
who_covidence_id: #891674
has_full_text: FALSE
G_ID: clinical_characteristics_of_covid_19_deaths_in_wuhan_an_analysis_of_2_231_cases
S2 ID: 229268663