Clinical and radiological characteristics of COVID-19: a multicentre, retrospective, observational study

Wang, Yong; Luo, Song; Zhou, CS; Wen, Z-Q; Chen, W; Liao, Wei-Hsin; Liu, J; Yang, Yun; Shi, JC; Sd, Liu; Xia, Fei; Yan, ZH; Lu, Xiaofan; Chen, T; Yan, Fangrong; Zhang, B; Zhang, DY; Sun, Ziyong

doi:10.12809/hkmj208725

Cited by 11 publications

(11 citation statements)

References 23 publications

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“…A recent study involving 1,950 hospitalized COVID-19 patients in Madrid showed that one year after discharge, the prevalence of post-COVID-19 cough was as low as 2.5%. However, in that study, only 28.1% of patients had cough at hospital admission (26) which was much lower than that in our study (79%) and other studies in China (8,(32)(33)(34)(35). Compared with studies from European and American countries, the prevalence of post-COVID-19 cough in Asian countries seemed to be lower (20-41.9% vs. 27.5-29%) (20)(21)(22)(23)(24)(25)(26)(27)36).…”

Section: Discussioncontrasting

confidence: 87%

Prevalence and risk factors for postinfectious cough in discharged patients with coronavirus disease 2019 (COVID-19)

Chen¹,

Zhang²,

Zeng³

et al. 2022

J Thorac Dis

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Background: Cough is one of the most common symptoms of coronavirus disease 2019 .However, the prevalence of persistent cough in recovered patients with COVID-19 during a longer followup remained unknown. This study aims to investigate the prevalence, and risk factors for postinfectious cough in COVID-19 patients after discharge. Methods:We conducted a follow-up study for 129 discharged patients with laboratory-confirmed COVID-19 in two large hospitals located in Hubei Province, China from January 2020 to December 2020.Baseline demographics, comorbidities and smoking history were extracted from the medical record. Current symptoms and severity were recorded by a uniform questionnaire. Spirometry, diffuse function and chest computed tomography (CT) were performed on part of patients who were able to return to the outpatient department at follow-up. Results:The median (interquartile range) follow-up time was 8.1 (7.9-8.5) months after discharge.The mean (standard deviation) age was 51.5 (14.9) years and 57 (44.2%) were male. A total of 27 (20.9%) patients had postinfectious cough (>3 weeks), 6 patients (4.7%) had persistent cough by the end of follow-up, including 3 patients with previous chronic respiratory diseases or current smoking. Other symptoms included dyspnea (6, 4.7%), sputum (4, 3.1%), fatigue (4, 3.1%), and anorexia (4, 3.1%) by the end of follow-up.Thirty-six of 41 (87.8%) patients showed impaired lung function or diffuse function, and 39 of 50 (78.0%) patients showed abnormal CT imaging. Patients with postinfectious cough demonstrated more severe and more frequent cough during hospitalization (P<0.001), and more chronic respiratory diseases (P=0.01).In multivariate logistic regression analysis, digestive symptoms during hospitalization [odds ratio (OR) 2.95, 95% confidence interval (CI): 1.10-7.92] and current smoking (OR 6.95, 95% CI: 1.46-33.14) were significantly associated with postinfectious cough of COVID-19.Conclusions: A small part of patients developed postinfectious cough after recovery from COVID-19, few patients developed chronic cough in spite of a higher proportion of impaired lung function and abnormal lung CT image. Current smoking and digestive symptoms during hospitalization were risk factors for postinfectious cough in COVID-19.

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Section: Discussioncontrasting

confidence: 87%

Prevalence and risk factors for postinfectious cough in discharged patients with coronavirus disease 2019 (COVID-19)

Chen¹,

Zhang²,

Zeng³

et al. 2022

J Thorac Dis

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“…They reported physical symptoms such as tiredness, increased temperature, dizziness, throat irritation, cough, and dyspnea, as well as psychological symptoms such as difficulty concentrating, discomfort, and anxiety. Their physical symptoms matched the typical symptoms reported earlier in China by Wang et al (2020). Fever, cough, fatigue, myalgia, diarrhea, and headache were common symptoms at the beginning, worsening to dyspnea, hypoxia, leukopenia, lymphocytopenia, and neutropenia.…”

Section: Discussionsupporting

confidence: 76%

The Lived Experiences of COVID-19 Quarantined Omani Adults: A Phenomenological Study

Aldiabat

Alsrayheen

Valsaraj

et al. 2022

AM J QUALITATIVE RES

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This study aimed to promote an in-depth understanding of lived experiences of Omani adults who were quarantined with COVID-19. Giorgi's descriptive phenomenological qualitative method was used to collect and analyze data from twelve eligible participants, who were selected through purposive snowball sampling. Data were collected from eligible participants using interrogatory statements during semi-structured audio-recording individualized phone interviews. Five general structural descriptions (GSDs) reflected the essence of the lived experiences of Omani adults who had been diagnosed with COVID-19 and experienced home quarantine. The GSDs of their lived experiences represented five phases: (1) before catching the infection ("No way I will get infected"), (2) between catching the infection and the quarantine ("I may be infected"), (3) early in the quarantine ("Oh my God, I am infected"), ( 4) in the middle and end of the quarantine ("So what? Yes, I am infected"), and (5) after the quarantine ("Praising God because I was infected"). The findings show that they experienced the quarantine period positively, as a time of self-growth and empowerment, highlighting the need to look at the brighter side of life. This qualitative study highlights that a positive outlook will help people regain their balance in any negative situation. It is the mindset that matters, not the situation.

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“…( Aghdam et al, 2020 , Jiehao et al, 2020 , Perrone et al, 2020 Nov 6 , Piersigilli et al, 2020 , Qian et al, 2020 , Qiu et al, 2020 , Rahimzadeh et al, 2019 , Robbins et al, 2020 , See et al, 2020 , Shen et al, 2020 Jun , Cai et al, 2020 , Shi et al, 2020 , Sieni et al, 2020 , Silverstein, 2016 , Sinelli et al, 2020 , Smargiassi et al, 2020 , Song et al, 2020 , Steinberger et al, 2020 , Sun et al, 2020 , Tan et al, 2020 , Tang et al, 2020 , Tang et al, 2020 , Urbankowska et al, 2015 Sep , Volpicelli and Francisco, 2009 , Carrabba et al, 2020 , Volpicelli and Gargani, 2020 Apr 21 , Wang et al, 2020 , Wang et al, 2020 , Wang et al, 2020 , Wang et al, 2020 , Wang et al, 2020 , WHO 2018 , Chan et al, 2020 , WHO 2020 , WHO 2020 , World Health Organization (WHO) 13 March 2020 , Influenza et al, 2009 , Wu et al, 2020 , Wu and McGoogan, 2020 , Xia et al, 2020 , Xie et al, 2020 , Xing et al, 2020 , Chang et al, 2020 , Xu et al, 2020 , Xu et al, 2020 , Xu et al, 2020 , Yin et al, 2020 , Yu et al, 2020 , Yu et al, 2020 , Zeng et al, 2020 , Zeng et al, 2020 , Chen et al, 2020 Apr 6 , Zhang et al, 2020 , Zhang et al, 2020 , Zhang et al, 2020 , Zhang et al, 2020 ,…”

Section: Uncited Referencesmentioning

confidence: 99%

Diagnostic Imaging in Newborns, Children and Adolescents Infected with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2): Is There a Realistic Alternative to Lung High-Resolution Computed Tomography (HRCT) and Chest X-Rays? A Systematic Review of the Literature

Caroselli

Blaivas

Falzetti

2021

Ultrasound in Medicine & Biology

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Chest computed tomography (CT) has been frequently used to evaluate patients with potential COVID-19 infection. However, this may be particularly risky for pediatric patients due to high doses of ionizing radiation. We sought to evaluate COVID-19 imaging options in pediatric patients based on published literature. We performed an exhaustive literature review focusing on COVID-19 imaing of pediatric patients. Researcher used “COVID-19”, “SARS-CoV2”, “coronavirus”, “2019-nCoV”, “Wuhan virus”, “lung ultrasound (LUS)”, “sonography”, “lung HRCT”, “children”, “childhood” and “newborn” as search terms to query online databases including: US National Library of Medicine (PubMed), Medical Subject Headings (MeSH), Excerpta Medica dataBASE (EMBASE), LitCovid, WHO COVID-19 database and Medical Literature Analysis and Retrieval System Online (Medline Bireme). Articles meeting inclusion criteria were included in the analysis and review. We identified only 7 studies using LUS for diagnosing SARS-CoV2 infection in children. The studies evaluated small numbers of patients and only 6% had severe or critical illness associated with COVID-19. LUS showed the presence of: B-lines in 50% of patients, sub-pleural consolidation in 43.18%, pleural irregularities in 34.09%, coalescent B-lines and white lung in 25%, pleural effusion in 6.82% and thickening of pleural line in 4.55% of newborn/children. Researhers found 117 studies describing CXR or chest CT use in pediatric patients with COVID-19. The proportion of severely or critically ill was similar to the LUS study population. Our review indicates that LUS utilization should be encouraged in pediatric patients, which is at highest risk for complications for medical ionizing radiation. Increased use of LUS may be of particularly high impact in low resourced areas where access to chest CT may be limited.

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Clinical and radiological characteristics of COVID-19: a multicentre, retrospective, observational study

Cited by 11 publications

References 23 publications

Prevalence and risk factors for postinfectious cough in discharged patients with coronavirus disease 2019 (COVID-19)

Prevalence and risk factors for postinfectious cough in discharged patients with coronavirus disease 2019 (COVID-19)

The Lived Experiences of COVID-19 Quarantined Omani Adults: A Phenomenological Study

Diagnostic Imaging in Newborns, Children and Adolescents Infected with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2): Is There a Realistic Alternative to Lung High-Resolution Computed Tomography (HRCT) and Chest X-Rays? A Systematic Review of the Literature

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