Early predictors of clinical outcomes of COVID-19 outbreak in Milan, Italy

Early predictors of clinical outcomes of COVID-19 outbreak in Milan, Italy

Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 217(2020) vom: 01. Aug., Seite 108509
1. Verfasser: Ciceri, Fabio (VerfasserIn)
Weitere Verfasser: Castagna, Antonella, Rovere-Querini, Patrizia, De Cobelli, Francesco, Ruggeri, Annalisa, Galli, Laura, Conte, Caterina, De Lorenzo, Rebecca, Poli, Andrea, Ambrosio, Alberto, Signorelli, Carlo, Bossi, Eleonora, Fazio, Maria, Tresoldi, Cristina, Colombo, Sergio, Monti, Giacomo, Fominskiy, Efgeny, Franchini, Stefano, Spessot, Marzia, Martinenghi, Carlo, Carlucci, Michele, Beretta, Luigi, Scandroglio, Anna Maria, Clementi, Massimo, Locatelli, Massimo, Tresoldi, Moreno, Scarpellini, Paolo, Martino, Gianvito, Bosi, Emanuele, Dagna, Lorenzo, Lazzarin, Adriano, Landoni, Giovanni, Zangrillo, Alberto
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Clinical Trial Journal Article ARDS COVID-19 Infection RALE score
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100 1 |a Ciceri, Fabio  |e verfasserin  |4 aut 
245 1 0 |a Early predictors of clinical outcomes of COVID-19 outbreak in Milan, Italy 
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500 |a Date Revised 10.01.2021 
500 |a published: Print-Electronic 
500 |a Citation Status MEDLINE 
520 |a Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved. 
520 |a BACKGROUND: National health-system hospitals of Lombardy faced a heavy burden of admissions for acute respiratory distress syndromes associated with coronavirus disease (COVID-19). Data on patients of European origin affected by COVID-19 are limited 
520 |a METHODS: All consecutive patients aged ≥18 years, coming from North-East of Milan's province and admitted at San Raffaele Hospital with COVID-19, between February 25th and March 24th, were reported, all patients were followed for at least one month. Clinical and radiological features at admission and predictors of clinical outcomes were evaluated 
520 |a RESULTS: Of the 500 patients admitted to the Emergency Unit, 410 patients were hospitalized and analyzed: median age was 65 (IQR 56-75) years, and the majority of patients were males (72.9%). Median (IQR) days from COVID-19 symptoms onset was 8 (5-11) days. At hospital admission, fever (≥ 37.5 °C) was present in 67.5% of patients. Median oxygen saturation (SpO2) was 93% (range 60-99), with median PaO2/FiO2 ratio, 267 (IQR 184-314). Median Radiographic Assessment of Lung Edema (RALE) score was 9 (IQR 4-16). More than half of the patients (56.3%) had comorbidities, with hypertension, coronary heart disease, diabetes and chronic kidney failure being the most common. The probability of overall survival at day 28 was 66%. Multivariable analysis showed older age, coronary artery disease, cancer, low lymphocyte count and high RALE score as factors independently associated with an increased risk of mortality 
520 |a CONCLUSION: In a large cohort of COVID-19 patients of European origin, main risk factors for mortality were older age, comorbidities, low lymphocyte count and high RALE 
650 4 |a Clinical Trial 
650 4 |a Journal Article 
650 4 |a ARDS 
650 4 |a COVID-19 
650 4 |a Infection 
650 4 |a RALE score 
700 1 |a Castagna, Antonella  |e verfasserin  |4 aut 
700 1 |a Rovere-Querini, Patrizia  |e verfasserin  |4 aut 
700 1 |a De Cobelli, Francesco  |e verfasserin  |4 aut 
700 1 |a Ruggeri, Annalisa  |e verfasserin  |4 aut 
700 1 |a Galli, Laura  |e verfasserin  |4 aut 
700 1 |a Conte, Caterina  |e verfasserin  |4 aut 
700 1 |a De Lorenzo, Rebecca  |e verfasserin  |4 aut 
700 1 |a Poli, Andrea  |e verfasserin  |4 aut 
700 1 |a Ambrosio, Alberto  |e verfasserin  |4 aut 
700 1 |a Signorelli, Carlo  |e verfasserin  |4 aut 
700 1 |a Bossi, Eleonora  |e verfasserin  |4 aut 
700 1 |a Fazio, Maria  |e verfasserin  |4 aut 
700 1 |a Tresoldi, Cristina  |e verfasserin  |4 aut 
700 1 |a Colombo, Sergio  |e verfasserin  |4 aut 
700 1 |a Monti, Giacomo  |e verfasserin  |4 aut 
700 1 |a Fominskiy, Efgeny  |e verfasserin  |4 aut 
700 1 |a Franchini, Stefano  |e verfasserin  |4 aut 
700 1 |a Spessot, Marzia  |e verfasserin  |4 aut 
700 1 |a Martinenghi, Carlo  |e verfasserin  |4 aut 
700 1 |a Carlucci, Michele  |e verfasserin  |4 aut 
700 1 |a Beretta, Luigi  |e verfasserin  |4 aut 
700 1 |a Scandroglio, Anna Maria  |e verfasserin  |4 aut 
700 1 |a Clementi, Massimo  |e verfasserin  |4 aut 
700 1 |a Locatelli, Massimo  |e verfasserin  |4 aut 
700 1 |a Tresoldi, Moreno  |e verfasserin  |4 aut 
700 1 |a Scarpellini, Paolo  |e verfasserin  |4 aut 
700 1 |a Martino, Gianvito  |e verfasserin  |4 aut 
700 1 |a Bosi, Emanuele  |e verfasserin  |4 aut 
700 1 |a Dagna, Lorenzo  |e verfasserin  |4 aut 
700 1 |a Lazzarin, Adriano  |e verfasserin  |4 aut 
700 1 |a Landoni, Giovanni  |e verfasserin  |4 aut 
700 1 |a Zangrillo, Alberto  |e verfasserin  |4 aut 
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