Clinical features of Omicron variant infection in 445 patients with coronavirus 19 disease

BACKGROUND: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) can mutate frequently and many new strains have emerged thus far. The clinical and epidemiological characteristics differ with each dominant strain. OBJECTIVES: Obtain an understanding of the clinical characteristics of patient...

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Main Authors: Lihong Yang, Jianfeng Zhong, Weihong Wang, Feng Zhou, Zhaowei Tong, Yifeng Zheng, Xing Chen
Format: Article
Language:English
Published: King Faisal Specialist Hospital and Research Centre 2023-05-01
Series:Annals of Saudi Medicine
Online Access:http://www.annsaudimed.net/doi/10.5144/0256-4947.2023.27.03.1300
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author Lihong Yang
Jianfeng Zhong
Weihong Wang
Feng Zhou
Zhaowei Tong
Yifeng Zheng
Xing Chen
author_facet Lihong Yang
Jianfeng Zhong
Weihong Wang
Feng Zhou
Zhaowei Tong
Yifeng Zheng
Xing Chen
author_sort Lihong Yang
collection DOAJ
description BACKGROUND: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) can mutate frequently and many new strains have emerged thus far. The clinical and epidemiological characteristics differ with each dominant strain. OBJECTIVES: Obtain an understanding of the clinical characteristics of patients infected with the Omicron variants of the SARS CoV-2. DESIGN: Retrospective cohort SETTINGS: Teaching hospital in China. PATIENTS AND METHODS: Data on sociodemography, signs/symptoms, hospital stay, viral shedding period, comorbidities, treatment options and final outcome were retrieved from hospital electronic medical record. We collected nasopharyngeal samples, laboratory data, and clinical data from patients admitted to the hospital with SARS CoV-2. MAIN OUTCOME MEASURES: Clinical characteristics of the patients infected with Omicron variant of SARS CoV-2. SAMPLE SIZE: 445 patients RESULTS: The median age was 43.0 years with a range from 2 to 75 years. Two-thirds of the participants were male and one-third were female. Almost half of the participants (51.9%) had no symptoms, whereas 48.1% had at least one symptom. Of symptomatic patients, 26.7% had mild symptoms and 21.3% had moderate symptoms. No patients were admitted with severe or critical symptoms. All patients discharged from the hospital after complete recovery without any serious complications or death. The most common symptom was cough followed by sore throat and fever. Less common symptoms were having sputum, stuffy nose, and muscle pain. Rare symptoms were weakness, headache, diarrhea, hemoptysis and nausea/vomiting. CONCLUSIONS: All patients had mild to moderate symptoms. Shortness of breath was not a common symptom among the study group. No patients needed invasive oxygen therapy in this cohort. LIMITATIONS: Single center and retrospective design. CONFLICT OF INTEREST: None.
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spelling doaj-art-1b133b94e60b4c828ed9c6bfb877f6522025-08-20T02:10:01ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662023-05-0143316116510.5144/0256-4947.2023.27.03.1300Clinical features of Omicron variant infection in 445 patients with coronavirus 19 diseaseLihong Yang0Jianfeng Zhong1Weihong Wang2Feng Zhou3Zhaowei Tong4Yifeng Zheng5Xing Chen6From the Department of General Practice, Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, Huzhou, Zhejiang, ChinaFrom the Department of Infection, Huzhou Central Hospital, Huzhou, Zhejiang, ChinaFrom the Department of Infection, Huzhou Central Hospital, Huzhou, Zhejiang, ChinaFrom the Emergency Department, Huzhou Central Hospital, Huzhou, Zhejiang, ChinaFrom the Department of Infection, Huzhou Central Hospital, Huzhou, Zhejiang, ChinaFrom the Deparment of Radiology, Huzhou Central Hospital, Huzhou, Zhejiang, ChinaFrom the Department of Pediatrics, Huzhou Central Hospital, Huzhou, Zhejiang, ChinaBACKGROUND: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) can mutate frequently and many new strains have emerged thus far. The clinical and epidemiological characteristics differ with each dominant strain. OBJECTIVES: Obtain an understanding of the clinical characteristics of patients infected with the Omicron variants of the SARS CoV-2. DESIGN: Retrospective cohort SETTINGS: Teaching hospital in China. PATIENTS AND METHODS: Data on sociodemography, signs/symptoms, hospital stay, viral shedding period, comorbidities, treatment options and final outcome were retrieved from hospital electronic medical record. We collected nasopharyngeal samples, laboratory data, and clinical data from patients admitted to the hospital with SARS CoV-2. MAIN OUTCOME MEASURES: Clinical characteristics of the patients infected with Omicron variant of SARS CoV-2. SAMPLE SIZE: 445 patients RESULTS: The median age was 43.0 years with a range from 2 to 75 years. Two-thirds of the participants were male and one-third were female. Almost half of the participants (51.9%) had no symptoms, whereas 48.1% had at least one symptom. Of symptomatic patients, 26.7% had mild symptoms and 21.3% had moderate symptoms. No patients were admitted with severe or critical symptoms. All patients discharged from the hospital after complete recovery without any serious complications or death. The most common symptom was cough followed by sore throat and fever. Less common symptoms were having sputum, stuffy nose, and muscle pain. Rare symptoms were weakness, headache, diarrhea, hemoptysis and nausea/vomiting. CONCLUSIONS: All patients had mild to moderate symptoms. Shortness of breath was not a common symptom among the study group. No patients needed invasive oxygen therapy in this cohort. LIMITATIONS: Single center and retrospective design. CONFLICT OF INTEREST: None.http://www.annsaudimed.net/doi/10.5144/0256-4947.2023.27.03.1300
spellingShingle Lihong Yang
Jianfeng Zhong
Weihong Wang
Feng Zhou
Zhaowei Tong
Yifeng Zheng
Xing Chen
Clinical features of Omicron variant infection in 445 patients with coronavirus 19 disease
Annals of Saudi Medicine
title Clinical features of Omicron variant infection in 445 patients with coronavirus 19 disease
title_full Clinical features of Omicron variant infection in 445 patients with coronavirus 19 disease
title_fullStr Clinical features of Omicron variant infection in 445 patients with coronavirus 19 disease
title_full_unstemmed Clinical features of Omicron variant infection in 445 patients with coronavirus 19 disease
title_short Clinical features of Omicron variant infection in 445 patients with coronavirus 19 disease
title_sort clinical features of omicron variant infection in 445 patients with coronavirus 19 disease
url http://www.annsaudimed.net/doi/10.5144/0256-4947.2023.27.03.1300
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