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Coronavirus disease (COVID-19): observations and lessons from primary medical care at a German community hospital
The pandemic outbreak of COVID-19 challenges medical care systems all around the world. We here describe our experiences during the treatment of COVID-19 patients (n = 42) treated from 2 March 2020 to 16 April 2020 at a German district hospital. Forty-two COVID-19 patients were hospitalized and five...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Taylor & Francis
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7425615/ https://www.ncbi.nlm.nih.gov/pubmed/32850041 http://dx.doi.org/10.1080/20009666.2020.1763079 |
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author | Schiller, Martin Fisahn, Juergen Huebner, Ute Hofmann, Patrick Walther, Joerg Riess, Susann Grimm, Christiane Schwab, Hansjörg Kick, Wolfgang |
author_facet | Schiller, Martin Fisahn, Juergen Huebner, Ute Hofmann, Patrick Walther, Joerg Riess, Susann Grimm, Christiane Schwab, Hansjörg Kick, Wolfgang |
author_sort | Schiller, Martin |
collection | PubMed |
description | The pandemic outbreak of COVID-19 challenges medical care systems all around the world. We here describe our experiences during the treatment of COVID-19 patients (n = 42) treated from 2 March 2020 to 16 April 2020 at a German district hospital. Forty-two COVID-19 patients were hospitalized and five patients developed a severe disease, requiring intensive care. Overall, 11 out of 42 hospitalized patients died. COVID-19 caused lymphocytopenia, as well as increased d-dimer, c-reactive protein and creatine kinase, and lactate dehydrogenase levels. These changes were mostly pronounced in patients that developed a severe disease course. Radiologic findings included ground-glass opacity, bilateral/multilobular involvement, consolidation, and posterior involvement. We compared COVID-19 patients to an average population of ‘non-COVID’ patients. Interestingly, no laboratory or radiologic finding was specific for COVID-19 when standing alone, as comorbidities of ‘non-COVID’ patients certainly can mimic similar results. In common praxis, the diagnosis of COVID-19 is based on a positive PCR result. However, a false-negative result causes problems for the workflow of an entire hospital. In our clinic, the consequences of a false assumption of SARS-CoV-2 negativity in four cases had dramatic consequences, as contact persons had to be quarantined. To avoid this, a comprehensive view of lab-results, radiology, clinical symptoms and comorbidities is necessary for the correct diagnosis or exclusion of COVID-19. |
format | Online Article Text |
id | pubmed-7425615 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-74256152020-08-25 Coronavirus disease (COVID-19): observations and lessons from primary medical care at a German community hospital Schiller, Martin Fisahn, Juergen Huebner, Ute Hofmann, Patrick Walther, Joerg Riess, Susann Grimm, Christiane Schwab, Hansjörg Kick, Wolfgang J Community Hosp Intern Med Perspect Research Article The pandemic outbreak of COVID-19 challenges medical care systems all around the world. We here describe our experiences during the treatment of COVID-19 patients (n = 42) treated from 2 March 2020 to 16 April 2020 at a German district hospital. Forty-two COVID-19 patients were hospitalized and five patients developed a severe disease, requiring intensive care. Overall, 11 out of 42 hospitalized patients died. COVID-19 caused lymphocytopenia, as well as increased d-dimer, c-reactive protein and creatine kinase, and lactate dehydrogenase levels. These changes were mostly pronounced in patients that developed a severe disease course. Radiologic findings included ground-glass opacity, bilateral/multilobular involvement, consolidation, and posterior involvement. We compared COVID-19 patients to an average population of ‘non-COVID’ patients. Interestingly, no laboratory or radiologic finding was specific for COVID-19 when standing alone, as comorbidities of ‘non-COVID’ patients certainly can mimic similar results. In common praxis, the diagnosis of COVID-19 is based on a positive PCR result. However, a false-negative result causes problems for the workflow of an entire hospital. In our clinic, the consequences of a false assumption of SARS-CoV-2 negativity in four cases had dramatic consequences, as contact persons had to be quarantined. To avoid this, a comprehensive view of lab-results, radiology, clinical symptoms and comorbidities is necessary for the correct diagnosis or exclusion of COVID-19. Taylor & Francis 2020-05-21 /pmc/articles/PMC7425615/ /pubmed/32850041 http://dx.doi.org/10.1080/20009666.2020.1763079 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Schiller, Martin Fisahn, Juergen Huebner, Ute Hofmann, Patrick Walther, Joerg Riess, Susann Grimm, Christiane Schwab, Hansjörg Kick, Wolfgang Coronavirus disease (COVID-19): observations and lessons from primary medical care at a German community hospital |
title | Coronavirus disease (COVID-19): observations and lessons from primary medical care at a German community hospital |
title_full | Coronavirus disease (COVID-19): observations and lessons from primary medical care at a German community hospital |
title_fullStr | Coronavirus disease (COVID-19): observations and lessons from primary medical care at a German community hospital |
title_full_unstemmed | Coronavirus disease (COVID-19): observations and lessons from primary medical care at a German community hospital |
title_short | Coronavirus disease (COVID-19): observations and lessons from primary medical care at a German community hospital |
title_sort | coronavirus disease (covid-19): observations and lessons from primary medical care at a german community hospital |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7425615/ https://www.ncbi.nlm.nih.gov/pubmed/32850041 http://dx.doi.org/10.1080/20009666.2020.1763079 |
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