Evidence map›Paper›PMID 32675033›Full record

ArticleSurgery2020

Clinical characteristics of emergency surgery patients infected with coronavirus disease 2019 (COVID-19) pneumonia in Wuhan, China.

Jinpeng Li, Rongfen Gao, Gaosong Wu, Xiaolin Wu, Zeming Liu, Hongjing Wang, Yihui Huang, Zhenyu Pan, Jincao Chen, Xiaohui Wu

Abstract read
In one paragraph

Article in Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jinpeng LiDepartment of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of Thyroid and Breast Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Rongfen GaoDepartment of Rheumatology and Immunology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Gaosong WuDepartment of Thyroid and Breast Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Xiaolin WuDepartment of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Zeming LiuDepartment of Plastic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Hongjing WangDepartment of Medical Affairs, Gansu Provincial Hospital, Lanzhou, Gansu, China.
Yihui HuangDepartment of Plastic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Zhenyu PanDepartment of Orthopedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Jincao ChenDepartment of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Xiaohui WuDepartment of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China. Electronic address: wuxiaohui1971@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to investigate clinical symptoms and epidemiologic features of emergency surgery patients infected with the 2019 novel coronavirus disease (COVID-19). More than 5 million people worldwide have been diagnosed with COVID-19 since December 2019 to the time of this publication. Thousands of emergency operations have been carried out since December 2019. To date, however, no literature has focused on the clinical symptoms of emergency surgery patients with COVID-19 pneumonia.

methodsWe conducted a retrospective cohort study of 164 emergency surgery patients with or without COVID-19 pneumonia in Zhongnan Hospital of Wuhan University in Wuhan, China, from January 1, 2020, to January 20, 2020. For this report, the final date of follow-up was February 5, 2020. The associated clinical, laboratory, epidemiologic, demographic, radiologic, and outcome data were collected and analyzed.

resultsOf the 164 emergency surgery patients, the median age was 41 years (interquartile range, 29-89), and 136 (82.9%) were women. The associated main clinical symptom included fever (93 [56.7%]),dry cough (56 [34.2%]), fatigue (86 [52.4%]), nausea (78 [47.6%]), and dizziness (77 [47%]). Of 54 emergency surgery patients infected with COVID-19, the median age was 46 years (interquartile range: 25-89), and 45 (83.3%) were women. The pathologic clinical symptoms investigated included fever (54 [100%]), fatigue (48 [88.9%]), nausea (52 [96.3%]), dizziness (46 [85.2%]), and dry cough (44 [81.5%]). The lymphopenia (0.37 × 10

conclusionIn our study, the clinical symptoms of emergency surgery patients infected with COVID-19 displayed marked differences from those reporting common COVID-19 pneumonia. In addition, the health care workers were suspected to have been exposed to a great risk when caring for emergency surgery patients with COVID-19 pneumonia. Management guidelines of emergency surgery patients are described in in this report.

Indexed as

BetacoronavirusEmergenciesPandemicsAdultAgedAged, 80 and overCoronavirus InfectionsCOVID-19FemaleFollow-Up StudiesHumansMaleMiddle AgedPneumonia, ViralRetrospective StudiesSARS-CoV-2

Identifiers

PMID32675033
PMCPMC7236668

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.