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Characteristics of COVID-19 infection in Beijing - 20/03/20

Doi : 10.1016/j.jinf.2020.02.018 
Sijia Tian a, 1, Nan Hu b, 1, Jing Lou a, 1, Kun Chen c, 1, Xuqin Kang a, Zhenjun Xiang b, Hui Chen b, Dali Wang d, Ning Liu e, Dong Liu f, Gang Chen g, Yongliang Zhang h, Dou Li b, Jianren Li b, Huixin Lian a, Shengmei Niu a, Luxi Zhang a, Jinjun Zhang a,
a Beijing Emergency Medicine Research Institute, Beijing Emergency Medical Center, Beijing, China 
b Beijing Emergency Medical Center, Beijing, China 
c Beijing Chao Yang District Emergency Medical Center, Beijing, China 
d Beijing Haidian District Medical Rescue Center, Beijing, China 
e Beijing Luhe Hospital, Capital Medical University, Beijing, China 
f Beijing Dongcheng District Emergency Medical Center, Beijing, China 
g Beijing Shijingshan District Hospital, Beijing, China 
h Beijing Daxing District People's Hospital, Beijing, China 

Corresponding author: Beijing Emergency Medicine Research Institute, Beijing Emergency Medical Center, Beijing 100031, China.Beijing Emergency Medicine Research Institute, Beijing Emergency Medical CenterBeijing100031China

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Abstract

Background

Since the first case of a novel coronavirus (COVID-19) infection pneumonia was detected in Wuhan, China, a series of confirmed cases of the COVID-19 were found in Beijing. We analyzed the data of 262 confirmed cases to determine the clinical and epidemiological characteristics of COVID-19 in Beijing.

Methods

We collected patients who were transferred by Beijing Emergency Medical Service to the designated hospitals. The information on demographic, epidemiological, clinical, laboratory test for the COVID-19 virus, diagnostic classification, cluster case and outcome were obtained. Furthermore we compared the characteristics between severe and common confirmed cases which including mild cases, no-pneumonia cases and asymptomatic cases, and we also compared the features between COVID-19 and 2003 SARS.

Findings

By Feb 10, 2020, 262 patients were transferred from the hospitals across Beijing to the designated hospitals for special treatment of the COVID-19 infected by Beijing emergency medical service. Among of 262 patients, 46 (17.6%) were severe cases, 216 (82.4%) were common cases, which including 192 (73.3%) mild cases, 11(4.2%) non-pneumonia cases and 13 (5.0%) asymptomatic cases respectively. The median age of patients was 47.5 years old and 48.5% were male. 192 (73.3%) patients were residents of Beijing, 50 (26.0%) of which had been to Wuhan, 116 (60.4%) had close contact with confirmed cases, 21 (10.9%) had no contact history. The most common symptoms at the onset of illness were fever (82.1%), cough (45.8%), fatigue (26.3%), dyspnea (6.9%) and headache (6.5%). The median incubation period was 6.7 days, the interval time from between illness onset and seeing a doctor was 4.5 days. As of Feb 10, 17.2% patients have discharged and 81.7% patients remain in hospital in our study, the fatality of COVID-19 infection in Beijing was 0.9%.

Interpretation

On the basis of this study, we provided the ratio of the COVID-19 infection on the severe cases to the mild, asymptomatic and non-pneumonia cases in Beijing. Population was generally susceptible, and with a relatively low fatality rate. The measures to prevent transmission was very successful at early stage, the next steps on the COVID-19 infection should be focused on early isolation of patients and quarantine for close contacts in families and communities in Beijing.

Funding

Beijing Municipal Science and Technology Commission and Ministry of Science and Technology.

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Keywords : COVID-19, 2019-nCoV, Characteristics, Beijing


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Vol 80 - N° 4

P. 401-406 - avril 2020 Retour au numéro
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