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Early‐stage predictors of the acute phase duration in uncomplicated COVID‐19 pneumonia

OBJECTIVE: In this study, we aimed to highlight the common early‐stage clinical and laboratory variables independently related to the acute phase duration in patients with uncomplicated coronavirus disease (COVID‐19) pneumonia. METHODS: In hospitalized patients, the acute phase disease duration was...

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Autores principales: Carallo, Claudio, Pugliese, Fabiola, Tripolino, Cesare, Lenzi, Lorenza, Oliveri, Chiara, Fasani, Giada, Guarrera, Giovanni M., Spagnolli, Walter, Cozzio, Susanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7361230/
https://www.ncbi.nlm.nih.gov/pubmed/32644215
http://dx.doi.org/10.1002/jmv.26281
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author Carallo, Claudio
Pugliese, Fabiola
Tripolino, Cesare
Lenzi, Lorenza
Oliveri, Chiara
Fasani, Giada
Guarrera, Giovanni M.
Spagnolli, Walter
Cozzio, Susanna
author_facet Carallo, Claudio
Pugliese, Fabiola
Tripolino, Cesare
Lenzi, Lorenza
Oliveri, Chiara
Fasani, Giada
Guarrera, Giovanni M.
Spagnolli, Walter
Cozzio, Susanna
author_sort Carallo, Claudio
collection PubMed
description OBJECTIVE: In this study, we aimed to highlight the common early‐stage clinical and laboratory variables independently related to the acute phase duration in patients with uncomplicated coronavirus disease (COVID‐19) pneumonia. METHODS: In hospitalized patients, the acute phase disease duration was followed using the Brescia‐COVID respiratory severity scale. Noninvasive ventilation was administered based on clinical judgment. Patients requiring oropharyngeal intubation were excluded from the study. For parameters to be measured at the hospital entrance, age, clinical history, National Early Warning Score 2 (a multiparametric score system), partial pressure of oxygen in arterial blood/fraction of inspired oxygen (P/F ratio), C‐reactive protein, and blood cell count were selected. RESULTS: In 64 patients, age (direct relationship), P/F, and platelet number (inverse relationship) independently accounted for 43% of the acute phase duration of the disease (P < .001). CONCLUSIONS: For the first time, the present results revealed that the acute phase duration of noncomplicated pneumonia, resulting from severe acute respiratory syndrome coronavirus 2, is independently predicted from a patient's age, as well as based on the hospital entrance values of P/F ratio and peripheral blood platelet count.
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spelling pubmed-73612302020-07-15 Early‐stage predictors of the acute phase duration in uncomplicated COVID‐19 pneumonia Carallo, Claudio Pugliese, Fabiola Tripolino, Cesare Lenzi, Lorenza Oliveri, Chiara Fasani, Giada Guarrera, Giovanni M. Spagnolli, Walter Cozzio, Susanna J Med Virol Research Articles OBJECTIVE: In this study, we aimed to highlight the common early‐stage clinical and laboratory variables independently related to the acute phase duration in patients with uncomplicated coronavirus disease (COVID‐19) pneumonia. METHODS: In hospitalized patients, the acute phase disease duration was followed using the Brescia‐COVID respiratory severity scale. Noninvasive ventilation was administered based on clinical judgment. Patients requiring oropharyngeal intubation were excluded from the study. For parameters to be measured at the hospital entrance, age, clinical history, National Early Warning Score 2 (a multiparametric score system), partial pressure of oxygen in arterial blood/fraction of inspired oxygen (P/F ratio), C‐reactive protein, and blood cell count were selected. RESULTS: In 64 patients, age (direct relationship), P/F, and platelet number (inverse relationship) independently accounted for 43% of the acute phase duration of the disease (P < .001). CONCLUSIONS: For the first time, the present results revealed that the acute phase duration of noncomplicated pneumonia, resulting from severe acute respiratory syndrome coronavirus 2, is independently predicted from a patient's age, as well as based on the hospital entrance values of P/F ratio and peripheral blood platelet count. John Wiley and Sons Inc. 2020-07-21 2021-01 /pmc/articles/PMC7361230/ /pubmed/32644215 http://dx.doi.org/10.1002/jmv.26281 Text en © 2020 The Authors. Journal of Medical Virology Published by Wiley Periodicals LLC https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Carallo, Claudio
Pugliese, Fabiola
Tripolino, Cesare
Lenzi, Lorenza
Oliveri, Chiara
Fasani, Giada
Guarrera, Giovanni M.
Spagnolli, Walter
Cozzio, Susanna
Early‐stage predictors of the acute phase duration in uncomplicated COVID‐19 pneumonia
title Early‐stage predictors of the acute phase duration in uncomplicated COVID‐19 pneumonia
title_full Early‐stage predictors of the acute phase duration in uncomplicated COVID‐19 pneumonia
title_fullStr Early‐stage predictors of the acute phase duration in uncomplicated COVID‐19 pneumonia
title_full_unstemmed Early‐stage predictors of the acute phase duration in uncomplicated COVID‐19 pneumonia
title_short Early‐stage predictors of the acute phase duration in uncomplicated COVID‐19 pneumonia
title_sort early‐stage predictors of the acute phase duration in uncomplicated covid‐19 pneumonia
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7361230/
https://www.ncbi.nlm.nih.gov/pubmed/32644215
http://dx.doi.org/10.1002/jmv.26281
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