Clinical analysis of 214 suspected cases of COVID-19

ABSTRACT

A retrospective analysis of the epidemiological history, clinical manifestations, the results of CT, blood routine and nucleic acid test of 214 suspected cases with coronavirus disease 2019(COVID-19) in Sanya was conducted to provide a reference for the diagnosis of the disease. Methods The epidemiological data, clinical manifestations, and SARSCoV-2 nucleic acid test of 214 suspected cases of COVID-19 from Sanya People's Hospital from January 24th to March 5th, 2020 were collected. The confirmed infection rates of 214 suspected patients of different genders and ages were analyzed. The white blood cell count, lymphocyte count, C-reactive protein, clinical manifestations and CT of 214 suspected patients were analyzed. Results Among the 214 suspected cases of COVID-19, 24(11.2%) were positive for viral nucleic acid. There were no significant differences in the rates of confirmed infections of different genders in 214 suspected cases of COVID-19 (P > 0.05);there was no significant difference in the confirmed infection rates of different age groups (P > 0.05). The changes in white blood cell counts, lymphocyte counts, and C-reactive protein had no significant difference in the infection rate of COVID-19 (P > 0.05). Of the 24 confirmed cases, 23 had a related epidemiological history (95.8%), and the respiratory symptoms were mainly fever and cough. CT images of 24 confirmed cases showed different degrees of ground glass-like density or bilateral infiltration in lungs. Conclusion The diagnosis of suspected cases of COVID-19, based on a comprehensive analysis of epidemiological history and corresponding clinical manifestations of patients, and it still needs to rely on pathogenic nucleic acid detection.