• Covid-19 in Critically Ill Patients in the Seattle Region — Case Series

    Abstract from the new england journal; March 30, 2020; Pavan K. Bhatraju, M.D.,..., T. Eoin West, M.D., M.P.H., et al.

    Community transmission of coronavirus 2019 (Covid-19) was detected in the state of Washington in February 2020. We identified 24 patients with confirmed Covid-19. The mean (±SD) age of the patients was 64±18 years, 63% were men, and symptoms began 7±4 days before admission. The most common symptoms were cough and shortness of breath; 50% of patients had fever on admission, and 58% had diabetes mellitus. All the patients were admitted for hypoxemic respiratory failure; 75% (18 patients) needed mechanical ventilation. Most of the patients (17) also had hypotension and needed vasopressors. No patient tested positive for influenza A, influenza B, or other respiratory viruses. Half the patients (12) died between ICU day 1 and day 18, including 4 patients who had a do-not-resuscitate order on admission. Of the 12 surviving patients, 5 were discharged home, 4 were discharged from the ICU but remained in the hospital, and 3 continued to receive mechanical ventilation in the ICU.

    کوید-19 در بیماران با وضع وخیم در ناحیه سیاتل

    در برج 2 میلادی زنجیره انتقال کوید-19 در ایالت واشنگتن ظاهر شد. گروه تحقیق 24 بیمار تایید شده کوید-19 را مشخص کردند. سن متوسط این بیماران حدود 64 سال بود. شایعترین علامت سرفه و تنگی نفس بود. 58 درصد بیماران دیابت داشتند. 75 درصد بیماران به ونتیلاسیون نیازمند شدند. بیشتر بیماران دچار افت فشار خون شدند. نصف بیماران در طی 18 روز مردند. از بیماران نجات یافته 5 نفر از شفاخانه مرخص شدند.

  • له کرونا ویروس پر اړه لږ څه معلومات،

    درنو دوستانو او وطنوالو زه د یو ورور او داکتر په حیث تاسو وطنوالو ته دا لاندنی .معلومات لیکم د کرونا د ویروس ناروغی د دیسامبر پر میاشت کی په وهان کی چه د چین یو ولایت دی په لمړی ځل تشخیص شو. دی ناروغی ته کوفیټ-۱۹ وایی. دا یوه انتانی ناروغی ده. هر یو شخص په هر سن چه د دی ویروس سره په تماس شی، امکان لری چه په دی ناروغی .اخته شی ... دلته کلیک وکړئ

  • Clinical Characteristics of Coronavirus Disease 2019 in China

    Abstract from the new england journal; February 28, 2020; Wei-jie Guan, Ph.D.,..., Lan-juan Li, M.D., et al.

    We extracted data regarding 1099 patients with laboratory-confirmed Covid-19 from 552 hospitals China. The primary composite end point was admission to an intensive care unit (ICU), the use of mechanical ventilation, or death. The median age of the patients was 47 years. The primary composite end point occurred in 67 patients (6.1%), including 5.0% who were admitted to the ICU, 2.3% who underwent invasive mechanical ventilation, and 1.4% who died. The most common symptoms were fever (43.8% on admission and 88.7% during hospitalization) and cough (67.8%). Diarrhea was uncommon (3.8%). The median incubation period was 4 days (interquartile range, 2 to 7). On admission, ground-glass opacity was the most common radiologic finding on chest computed tomography (CT) (56.4%). No radiographic or CT abnormality was found in 157 of 877 patients (17.9%) with nonsevere disease and in 5 of 173 patients (2.9%) with severe disease. Lymphocytopenia was present in 83.2% of the patients on admission.

    مشخصه های کلینیکی بیماری کرونا-19 در چین

    اطلاعات 1099 بیمار کوید-19 از 552 بیمارستان در چین استخراج شد. سن متوسط بیماران 47 سال بود. پنج درصد نیاز به درمان در آی سی یو پیدا کردند. 2.3 درصد نیاز به ونتیلاسیون پیدا کردند. 1.4 درصد مردند. شیوع تب 44 درصد در هنگام پذیرش در بیمارستان و 89 درصد در زمان درمان در بیمارستان بود. شیوع سرفه 68 درصد بود.