Clinical Characteristics of Coronavirus Disease 2019 in Hainan, China / (Record no. 223)

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control field C000006
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control field DOH
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control field 20200806155447.0
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Title Clinical Characteristics of Coronavirus Disease 2019 in Hainan, China /
Statement of responsibility, etc. Shijiao Yan [and sixteen others]
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Name of publisher, distributor, etc. New England of Medicine,
Date of publication, distribution, etc. 2020.
300 ## - PHYSICAL DESCRIPTION
Extent 18 leaves
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Bibliography, etc. note Includes references.
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Summary, etc. BACKGROUND Since December 2019, when coronavirus disease 2019 (Covid-19) emerged in Wuhan city and rapidly spread throughout China, data have been needed on the clinical characteristics of the affected patients.<br/>METHODS We extracted data regarding 1099 patients with laboratory-confirmed Covid-19 from 552 hospitals in 30 provinces, autonomous regions, and municipalities in mainland China through January 29, 2020. The primary composite end point was admission to an intensive care unit (ICU), the use of mechanical ventilation, or death.<br/>RESULTS The median age of the patients was 47 years; 41.9% of the patients were female. The primary composite end point occurred in 67 patients (6.1%), including 5.0% who were admitted to the ICU, 2.3% who underwent invasive mechanical ventilation, and 1.4% who died. Only 1.9% of the patients had a history of direct contact with wildlife. Among nonresidents of Wuhan, 72.3% had contact with residents of Wuhan, including 31.3% who had visited the city. The most common symptoms were fever (43.8% on admission and 88.7% during hospitalization) and cough (67.8%). Diarrhea was uncommon (3.8%). The median incubation period was 4 days (interquartile range, 2 to 7). On admission, ground-glass opacity was the most common radiologic finding on chest computed tomography (CT) (56.4%). No radiographic or CT abnormality was found in 157 of 877 patients (17.9%) with nonsevere disease and in 5 of 173 patients (2.9%) with severe disease. Lymphocytopenia was present in 83.2% of the patients on admission.<br/>CONCLUSIONS During the first 2 months of the current outbreak, Covid-19 spread rapidly throughout China and caused varying degrees of illness. Patients often presented without fever, and many did not have abnormal radiologic findings. (Funded by the National Health Commission of China and others.)<br/>
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Topical term or geographic name entry element Coronavirus
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Uncontrolled term COVID-19
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Uncontrolled term Characteristics
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Personal name Yan, Shijiao
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Personal name Song, Xingyue
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Personal name Lin, Feng
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Personal name Zhu, Haiyan
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Personal name Wang, Xiaozhi
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Personal name Li, Min
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Personal name Ruan, Jianwen
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Personal name Lin, Chngfeng
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Personal name Liu, Xiaoran
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Personal name Wu, Quiang
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Personal name Luo, Zhiqian
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Personal name Fu, Wenning
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Personal name Chen, Sung
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Personal name Yuan, Yong
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Personal name Liu, Shengxing
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Personal name Yao, Jinjian
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Personal name Lv, Chuanzhu
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856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://www.nejm.org/doi/pdf/10.1056/NEJMoa2002032">https://www.nejm.org/doi/pdf/10.1056/NEJMoa2002032</a>
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Koha item type COVID 19 Resource
Source of classification or shelving scheme National Library of Medicine

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