Author: Sun, Pengfei; Qie, Shuyan; Liu, Zongjian; Ren, Jizhen; Li, Kun; Xi, Jianing
Title: Clinical characteristics of hospitalized patients with SARSâ€CoVâ€2 infection: A single arm metaâ€analysis Cord-id: 20ky3t6y Document date: 2020_3_11
ID: 20ky3t6y
Snippet: OBJECTIVE: We aim to summarize reliable evidence of evidenceâ€based medicine for the treatment and prevention of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARSâ€CoVâ€2) by analyzing all the published studies on the clinical characteristics of patients with SARSâ€CoVâ€2. METHODS: PubMed, Cochrane Library, Embase, and other databases were searched. Several studies on the clinical characteristics of SARSâ€CoVâ€2 infection were collected for metaâ€analysis. RESULTS: Ten studies we
Document: OBJECTIVE: We aim to summarize reliable evidence of evidenceâ€based medicine for the treatment and prevention of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARSâ€CoVâ€2) by analyzing all the published studies on the clinical characteristics of patients with SARSâ€CoVâ€2. METHODS: PubMed, Cochrane Library, Embase, and other databases were searched. Several studies on the clinical characteristics of SARSâ€CoVâ€2 infection were collected for metaâ€analysis. RESULTS: Ten studies were included in Metaâ€analysis, including a total number of 50466 patients with SARSâ€CoVâ€2 infection. Metaâ€analysis shows that, among these patients, the incidence of fever was 0.891 (95% CI: 0.818, 0.945), the incidence of cough was 0.722 (95% CI: 0.657, 0.782), and the incidence of muscle soreness or fatigue was 0.425 (95% CI: 0.213, 0.652). The incidence of acute respiratory distress syndrome (ARDS) was 0.148 (95% CI: 0.046, 0.296), the incidence of abnormal chest computer tomography (CT) was 0.966 (95% CI: 0.921, 0.993), the percentage of severe cases in all infected cases was 0.181 (95% CI: 0.127, 0.243), and the case fatality rate of patients with SARSâ€CoVâ€2 infection was 0.043 (95% CI: 0.027, 0.061). CONCLUSION: Fever and cough are the most common symptoms in patients with SARSâ€CoVâ€2 infection, and most of these patients have abnormal chest CT examination. Several people have muscle soreness or fatigue as well as ARDS. Diarrhea, hemoptysis, headache, sore throat, shock, and other symptoms are rare. The case fatality rate of patients with SARSâ€CoVâ€2 infection is lower than that of Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). This metaâ€analysis also has limitations, so the conclusions of this Metaâ€analysis still need to be verified by more relevant studies with more careful design, more rigorous execution, and larger sample size.
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