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Public health initiatives from hospitalized patients with COVID-19, China.
J Infect Public Health. 2020 Sep; 13(9):1229-1236.JI

Abstract

BACKGROUND

Since December 2019, when it first occurred in Wuhan, China, coronavirus disease 2019 (COVID-19) has spread rapidly worldwide via human-to-human transmission. We aimed to describe the epidemiological and demographic features of COVID-19 outside Wuhan.

METHODS

A single-center case series of 136 consecutive (from January 16 to February 17, 2020) patients with confirmed COVID-19 hospitalized in The First People's Hospital of Jingzhou, China, was retrospectively analyzed. Outcomes were followed up until February 19, 2020.

RESULTS

Of the 136 patients (median age, 49 years; interquartile range [IQR], 33-63 years; range, 0.3-83 years), 91 (67%) had been to Wuhan or contacted persons from Wuhan. Forty-five (33.1%) were familial clusters. The median incubation period was 6 days (IQR: 4-11 days). All children had an exact exposure history, family members with COVID-19, and "Mild/Moderate" symptoms at admission. Among the 64 elderly patients, 14 (21.9%) had no exposure history, and 43 (67.2%) had a chronic illness. All 11 (8.1%) "Severe/very severe" illness at onset cases and 5 (3.7%) fatal cases were elderly patients. The duration from symptom onset to admission was positively correlated with the duration from symptom onset to endpoint. Overall, patients with a longer incubation period had more severe outcomes.

CONCLUSION

As high-risk susceptible groups, strong protection should be implemented for children and the elderly. Universal screening should be performed for people with a clear exposure history, even lacking apparent symptoms. Given the rapid progression of COVID-19, people should be admitted quickly following symptom onset.

Authors+Show Affiliations

School of Public Health, China Medical University, China.The First People's Hospital of Jingzhou, China.The First People's Hospital of Jingzhou, China.School of Public Health, China Medical University, China.State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, China.State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, China.State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, China.State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, China.State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, China.School of Public Health, China Medical University, China.The First People's Hospital of Jingzhou, China. Electronic address: 99xw@sina.com.School of Public Health, China Medical University, China. Electronic address: mhe@cmu.edu.cn.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32591163

Citation

Zhao, Chenkai, et al. "Public Health Initiatives From Hospitalized Patients With COVID-19, China." Journal of Infection and Public Health, vol. 13, no. 9, 2020, pp. 1229-1236.
Zhao C, Xu Y, Zhang X, et al. Public health initiatives from hospitalized patients with COVID-19, China. J Infect Public Health. 2020;13(9):1229-1236.
Zhao, C., Xu, Y., Zhang, X., Zhong, Y., Long, L., Zhan, W., Xu, T., Zhan, C., Chen, Y., Zhu, J., Xiao, W., & He, M. (2020). Public health initiatives from hospitalized patients with COVID-19, China. Journal of Infection and Public Health, 13(9), 1229-1236. https://doi.org/10.1016/j.jiph.2020.06.013
Zhao C, et al. Public Health Initiatives From Hospitalized Patients With COVID-19, China. J Infect Public Health. 2020;13(9):1229-1236. PubMed PMID: 32591163.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Public health initiatives from hospitalized patients with COVID-19, China. AU - Zhao,Chenkai, AU - Xu,Yueqin, AU - Zhang,Xu, AU - Zhong,Yaping, AU - Long,Li, AU - Zhan,Wenzhi, AU - Xu,Tingting, AU - Zhan,Chen, AU - Chen,Yuehan, AU - Zhu,Jinghai, AU - Xiao,Wei, AU - He,Miao, Y1 - 2020/06/19/ PY - 2020/03/18/received PY - 2020/05/14/revised PY - 2020/06/03/accepted PY - 2020/6/28/pubmed PY - 2020/9/25/medline PY - 2020/6/28/entrez KW - China KW - Coronavirus disease 2019 KW - Epidemiology KW - High-risk susceptible people KW - Incubation period SP - 1229 EP - 1236 JF - Journal of infection and public health JO - J Infect Public Health VL - 13 IS - 9 N2 - BACKGROUND: Since December 2019, when it first occurred in Wuhan, China, coronavirus disease 2019 (COVID-19) has spread rapidly worldwide via human-to-human transmission. We aimed to describe the epidemiological and demographic features of COVID-19 outside Wuhan. METHODS: A single-center case series of 136 consecutive (from January 16 to February 17, 2020) patients with confirmed COVID-19 hospitalized in The First People's Hospital of Jingzhou, China, was retrospectively analyzed. Outcomes were followed up until February 19, 2020. RESULTS: Of the 136 patients (median age, 49 years; interquartile range [IQR], 33-63 years; range, 0.3-83 years), 91 (67%) had been to Wuhan or contacted persons from Wuhan. Forty-five (33.1%) were familial clusters. The median incubation period was 6 days (IQR: 4-11 days). All children had an exact exposure history, family members with COVID-19, and "Mild/Moderate" symptoms at admission. Among the 64 elderly patients, 14 (21.9%) had no exposure history, and 43 (67.2%) had a chronic illness. All 11 (8.1%) "Severe/very severe" illness at onset cases and 5 (3.7%) fatal cases were elderly patients. The duration from symptom onset to admission was positively correlated with the duration from symptom onset to endpoint. Overall, patients with a longer incubation period had more severe outcomes. CONCLUSION: As high-risk susceptible groups, strong protection should be implemented for children and the elderly. Universal screening should be performed for people with a clear exposure history, even lacking apparent symptoms. Given the rapid progression of COVID-19, people should be admitted quickly following symptom onset. SN - 1876-035X UR - https://www.unboundmedicine.com/medline/citation/32591163/Public_health_initiatives_from_hospitalized_patients_with_COVID_19_China_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1876-0341(20)30523-2 DB - PRIME DP - Unbound Medicine ER -