Clinical characteristics of patients with re-admitted of novel
coronavirus 2019 (nCOVID-19) in Wenzhou, China
Abstract
Background: As the COVID-19 became a world wild infectious emergency,
most of patients are cured and discharged. However, some patients are
re-admitted due to re-fever, or the PCR test re-positive. To find out
whether it is necessary to take them re-admitted, especially the
asymptomatic patients, we summarize and analyze the clinical and
treatment characteristics of patients with “re-admission” of COVID-19
during twice hospitalizations. Methods: 141 cases with COVID-19 admitted
to Wenzhou Central Hospital from January 17, 2020 to March 5, were
followed up until March 30. There were 12 patients re-admitted. Data
were collected, including clinical records,lab indexes,CT and
treatment strategy. The differences were analyzed. Results: Most
patients had good results. Totally 12 (8.5%) were re-admitted. 1
(8.3%) had fever,high WBC and progressive CT changes,1 had increased
transaminase; the PCR re-tests of these two patients were negative.
Another 10 patients were admitted due to PCR test positive, 7 of which
were clinical asymptomatic. Compared with 1st discharging, CT imaging of
all was significantly improved. All re-admissions did not need oxygen
inhalation or mechanical ventilation. Conclusions: The prognosis of
patients re-admitted were good, and no serious cases. Staying at home or
concentrated medical observation, is a safe and feasible method, if the
patient has a positive PCR test and the clinical symptoms are not
serious. During medical observation, patients with underlying diseases
should be focused on, and most do not need to be re-admitted.