25
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Clinical, epidemiological, and laboratory characteristics of mild-to-moderate COVID-19 patients in Saudi Arabia: an observational cohort study

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) emerged from China in December 2019 and has presented as a substantial and serious threat to global health. We aimed to describe the clinical, epidemiological, and laboratory findings of patients in Saudi Arabia infected with SARS-CoV-2 to direct us in helping prevent and treat coronavirus disease 2019 (COVID-19) across Saudi Arabia and around the world.

          Materials and methods

          Clinical, epidemiological, laboratory, and radiological characteristics, treatment, and outcomes of pediatric and adult patients in five hospitals in Riyadh, Saudi Arabia, were surveyed in this study.

          Results

          401 patients (mean age 38.16 ± 13.43 years) were identified to be SARS-CoV-2 positive and 80% of cases were male. 160 patients had moderate severity and 241 were mild in severity. The most common signs and symptoms at presentation were cough, fever, fatigue, and shortness of breath. Neutrophil and lymphocyte counts, aspartate aminotransferase, C-reactive protein, and ferritin were higher in the COVID-19 moderate severity patient group. Mild severity patients spent a shorter duration hospitalized and had slightly higher percentages of abnormal CT scans and X-ray imaging.

          Conclusions

          This study provides an understanding of the features of non-ICU COVID-19 patients in Saudi Arabia. Further national collaborative studies are needed to streamline screening and treatment procedures for COVID-19.

          Related collections

          Most cited references24

          • Record: found
          • Abstract: found
          • Article: not found

          Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China

          Summary Background A recent cluster of pneumonia cases in Wuhan, China, was caused by a novel betacoronavirus, the 2019 novel coronavirus (2019-nCoV). We report the epidemiological, clinical, laboratory, and radiological characteristics and treatment and clinical outcomes of these patients. Methods All patients with suspected 2019-nCoV were admitted to a designated hospital in Wuhan. We prospectively collected and analysed data on patients with laboratory-confirmed 2019-nCoV infection by real-time RT-PCR and next-generation sequencing. Data were obtained with standardised data collection forms shared by WHO and the International Severe Acute Respiratory and Emerging Infection Consortium from electronic medical records. Researchers also directly communicated with patients or their families to ascertain epidemiological and symptom data. Outcomes were also compared between patients who had been admitted to the intensive care unit (ICU) and those who had not. Findings By Jan 2, 2020, 41 admitted hospital patients had been identified as having laboratory-confirmed 2019-nCoV infection. Most of the infected patients were men (30 [73%] of 41); less than half had underlying diseases (13 [32%]), including diabetes (eight [20%]), hypertension (six [15%]), and cardiovascular disease (six [15%]). Median age was 49·0 years (IQR 41·0–58·0). 27 (66%) of 41 patients had been exposed to Huanan seafood market. One family cluster was found. Common symptoms at onset of illness were fever (40 [98%] of 41 patients), cough (31 [76%]), and myalgia or fatigue (18 [44%]); less common symptoms were sputum production (11 [28%] of 39), headache (three [8%] of 38), haemoptysis (two [5%] of 39), and diarrhoea (one [3%] of 38). Dyspnoea developed in 22 (55%) of 40 patients (median time from illness onset to dyspnoea 8·0 days [IQR 5·0–13·0]). 26 (63%) of 41 patients had lymphopenia. All 41 patients had pneumonia with abnormal findings on chest CT. Complications included acute respiratory distress syndrome (12 [29%]), RNAaemia (six [15%]), acute cardiac injury (five [12%]) and secondary infection (four [10%]). 13 (32%) patients were admitted to an ICU and six (15%) died. Compared with non-ICU patients, ICU patients had higher plasma levels of IL2, IL7, IL10, GSCF, IP10, MCP1, MIP1A, and TNFα. Interpretation The 2019-nCoV infection caused clusters of severe respiratory illness similar to severe acute respiratory syndrome coronavirus and was associated with ICU admission and high mortality. Major gaps in our knowledge of the origin, epidemiology, duration of human transmission, and clinical spectrum of disease need fulfilment by future studies. Funding Ministry of Science and Technology, Chinese Academy of Medical Sciences, National Natural Science Foundation of China, and Beijing Municipal Science and Technology Commission.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Clinical Characteristics of Coronavirus Disease 2019 in China

            Abstract 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. 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. 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. 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.)
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found

              Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China

              In December 2019, novel coronavirus (2019-nCoV)-infected pneumonia (NCIP) occurred in Wuhan, China. The number of cases has increased rapidly but information on the clinical characteristics of affected patients is limited.
                Bookmark

                Author and article information

                Contributors
                abbas4080@hotmail.com
                saalhumaid@moh.gov.sa
                wmalhuqbani@gmail.com
                ar-zia@hotmail.com
                abbas.shamsan@drsulaimanalhabib.com
                maha.alsobaie@drsulaimanalhabib.com
                alanoudmalhindi@gmail.com
                a7.abogosh@gmail.com
                alrasheedaljwhara@gmail.com
                aya.alsharafy@gmail.com
                huqbani.mohammed@gmail.com
                nalhowar@alfaisal.edu
                samer.salih@drsulaimanalhabib.com
                mogbil.hedaithy@drsulaimanalhabib.com
                jaffar.tawfiq@jhah.com
                dr_hf_ksa@hotmail.com
                raed.abdulqawi@hmg.local
                alaa.ismail@drsulaimanalhabib.com
                noura.hamdan@drsulaimanalhabib.com
                fares.saad@drsulaimanalhabib.com
                olhayefahad@gmail.com
                tarigeltahir@gmail.com
                ali.rabaan@jhah.com
                research.center@drsulaimanalhabib.com
                Journal
                Eur J Med Res
                Eur J Med Res
                European Journal of Medical Research
                BioMed Central (London )
                0949-2321
                2047-783X
                25 November 2020
                25 November 2020
                2020
                : 25
                : 61
                Affiliations
                [1 ]Research Center, Dr. Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia
                [2 ]GRID grid.1007.6, ISNI 0000 0004 0486 528X, University of Wollongong, ; Wollongong, Australia
                [3 ]GRID grid.56302.32, ISNI 0000 0004 1773 5396, College of Pharmacy, , King Saud University, ; Riyadh, Saudi Arabia
                [4 ]GRID grid.415696.9, Administration of Pharmaceutical Care, , Alahsa, Ministry of Health, ; Rashdiah Street, P. O. Box 12944, Alahsa, 31982 Saudi Arabia
                [5 ]GRID grid.411335.1, ISNI 0000 0004 1758 7207, College of Medicine, , Alfaisal University, ; Riyadh, Saudi Arabia
                [6 ]Department of Critical Care, Al Hammadi Hospital, Riyadh, Saudi Arabia
                [7 ]GRID grid.415305.6, ISNI 0000 0000 9702 165X, Infectious Disease Unit, Specialty Internal Medicine, , Johns Hopkins Aramco Healthcare, ; Dhahran, Saudi Arabia
                [8 ]GRID grid.257413.6, ISNI 0000 0001 2287 3919, Department of Medicine, , Indiana University School of Medicine, ; Indianapolis, IN USA
                [9 ]GRID grid.21107.35, ISNI 0000 0001 2171 9311, Department of Medicine, , Johns Hopkins University School of Medicine, ; Baltimore, MD USA
                [10 ]GRID grid.415998.8, ISNI 0000 0004 0445 6726, Department of Histopathology, , King Saud Medical City, ; Riyadh, Saudi Arabia
                [11 ]Department of Internal Medicine, Al Hammadi Hospital, Riyadh, Saudi Arabia
                [12 ]GRID grid.415305.6, ISNI 0000 0000 9702 165X, Molecular Diagnostics Laboratory, , Johns Hopkins Aramco Healthcare, ; Dhahran, Saudi Arabia
                Author information
                http://orcid.org/0000-0002-9471-2767
                http://orcid.org/0000-0003-4552-4513
                http://orcid.org/0000-0003-0137-9633
                Article
                462
                10.1186/s40001-020-00462-x
                7686832
                33239068
                9f22c35b-285b-4f17-bb68-e450870dce2d
                © The Author(s) 2020

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 20 October 2020
                : 18 November 2020
                Categories
                Research
                Custom metadata
                © The Author(s) 2020

                Medicine
                covid-19,sars-cov-2,symptoms,comorbidities,saudi arabia,epidemiology
                Medicine
                covid-19, sars-cov-2, symptoms, comorbidities, saudi arabia, epidemiology

                Comments

                Comment on this article