Clinical characteristics of Coronavirus Disease 2019 patients in Beijing, China

PLoS One. 2020 Jun 17;15(6):e0234764. doi: 10.1371/journal.pone.0234764. eCollection 2020.

Abstract

The outbreak of Coronavirus Disease (COVID-19) in Wuhan have affected more than 250 countries and regions worldwide. However, most of the clinical studies have been focused on Wuhan, and little is known about the disease outside of Wuhan in China. In this retrospective cohort study, we report the early clinical features of 80 patients with COVID-19 admitted to the hospital in Beijing. The results show that 27 (33.8%) patients had severe illness. Six (7.5%) patients were admitted to the ICU, and 3 (3.8%) patients died. Forty-eight percent (39/80) of the patients had a history of living/traveling in Wuhan. Patients with severe- illness were significantly older (average age, 71 years old vs 44 years old) and had a high incidence of expectoration (59.3% vs 34.0%), shortness of breath (92.6% vs 9.4%), anorexia (51.9% vs 18.9%) and confusion(18.5% vs 0%) compared with nonsevere patients. The systolic blood pressure (median, 130 mmHg vs 120 mmHg) was higher and the oxygen saturation (median, 98.3% vs 92.0%) was significantly lower in severe patients than nonsevere patients. In addition, myoglobin (median, 56.0 ng/mL vs 35.0 ng/mL), troponin I (median, 0.02 pg/mL vs 0.01 pg/mL), C-reactive protein (median, 69.7 mg/L vs 12.9 mg/L) and neutrophils (median, 3.3×109/L vs 2.2×109/L) were significantly increased, while lymphocytes (median, 0.8×109/L vs 1.2×109/L), albumin (mean, 32.8 g/L vs 36.8 g/L) and the creatinine clearance rate (median, 91.2 vs 108.2 ml/min/1.73m2) were significantly decreased among severe patients. Our study revealed that older patients with high levels of C-reactive protein, myoglobin, troponin I, and neutrophil and high systolic blood pressure as well as low levels of lymphocytes, and albumin and a low creatinine clearance rate and oxygen saturation were more likely to have severe disease.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Beijing / epidemiology
  • Betacoronavirus / genetics*
  • C-Reactive Protein / analysis
  • COVID-19
  • Coronavirus Infections / blood
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / physiopathology*
  • Coronavirus Infections / virology
  • Creatinine / blood
  • Female
  • Hospitalization
  • Humans
  • Hypertension
  • Lymphocytes
  • Male
  • Middle Aged
  • Myoglobin / blood
  • Neutrophils
  • Pandemics
  • Pneumonia, Viral / blood
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / physiopathology*
  • Pneumonia, Viral / virology
  • Retrospective Studies
  • Risk Factors
  • SARS-CoV-2
  • Serum Albumin, Human / analysis
  • Severity of Illness Index*
  • Troponin I / blood

Substances

  • Myoglobin
  • Troponin I
  • C-Reactive Protein
  • Creatinine
  • Serum Albumin, Human

Grant support

The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.