PubMed:32167524 JSONTXT 37 Projects

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Id Subject Object Predicate Lexical cue
T1 0-143 Sentence denotes Risk Factors Associated With Acute Respiratory Distress Syndrome and Death in Patients With Coronavirus Disease 2019 Pneumonia in Wuhan, China.
T2 144-155 Sentence denotes Importance:
T3 156-305 Sentence denotes Coronavirus disease 2019 (COVID-19) is an emerging infectious disease that was first reported in Wuhan, China, and has subsequently spread worldwide.
T4 306-401 Sentence denotes Risk factors for the clinical outcomes of COVID-19 pneumonia have not yet been well delineated.
T5 402-412 Sentence denotes Objective:
T6 413-568 Sentence denotes To describe the clinical characteristics and outcomes in patients with COVID-19 pneumonia who developed acute respiratory distress syndrome (ARDS) or died.
T7 569-603 Sentence denotes Design, Setting, and Participants:
T8 604-775 Sentence denotes Retrospective cohort study of 201 patients with confirmed COVID-19 pneumonia admitted to Wuhan Jinyintan Hospital in China between December 25, 2019, and January 26, 2020.
T9 776-826 Sentence denotes The final date of follow-up was February 13, 2020.
T10 827-837 Sentence denotes Exposures:
T11 838-867 Sentence denotes Confirmed COVID-19 pneumonia.
T12 868-895 Sentence denotes Main Outcomes and Measures:
T13 896-930 Sentence denotes The development of ARDS and death.
T14 931-1056 Sentence denotes Epidemiological, demographic, clinical, laboratory, management, treatment, and outcome data were also collected and analyzed.
T15 1057-1065 Sentence denotes Results:
T16 1066-1181 Sentence denotes Of 201 patients, the median age was 51 years (interquartile range, 43-60 years), and 128 (63.7%) patients were men.
T17 1182-1269 Sentence denotes Eighty-four patients (41.8%) developed ARDS, and of those 84 patients, 44 (52.4%) died.
T18 1270-1763 Sentence denotes In those who developed ARDS, compared with those who did not, more patients presented with dyspnea (50 of 84 [59.5%] patients and 30 of 117 [25.6%] patients, respectively [difference, 33.9%; 95% CI, 19.7%-48.1%]) and had comorbidities such as hypertension (23 of 84 [27.4%] patients and 16 of 117 [13.7%] patients, respectively [difference, 13.7%; 95% CI, 1.3%-26.1%]) and diabetes (16 of 84 [19.0%] patients and 6 of 117 [5.1%] patients, respectively [difference, 13.9%; 95% CI, 3.6%-24.2%]).
T19 1764-2332 Sentence denotes In bivariate Cox regression analysis, risk factors associated with the development of ARDS and progression from ARDS to death included older age (hazard ratio [HR], 3.26; 95% CI 2.08-5.11; and HR, 6.17; 95% CI, 3.26-11.67, respectively), neutrophilia (HR, 1.14; 95% CI, 1.09-1.19; and HR, 1.08; 95% CI, 1.01-1.17, respectively), and organ and coagulation dysfunction (eg, higher lactate dehydrogenase [HR, 1.61; 95% CI, 1.44-1.79; and HR, 1.30; 95% CI, 1.11-1.52, respectively] and D-dimer [HR, 1.03; 95% CI, 1.01-1.04; and HR, 1.02; 95% CI, 1.01-1.04, respectively]).
T20 2333-2501 Sentence denotes High fever (≥39 °C) was associated with higher likelihood of ARDS development (HR, 1.77; 95% CI, 1.11-2.84) and lower likelihood of death (HR, 0.41; 95% CI, 0.21-0.82).
T21 2502-2620 Sentence denotes Among patients with ARDS, treatment with methylprednisolone decreased the risk of death (HR, 0.38; 95% CI, 0.20-0.72).
T22 2621-2647 Sentence denotes Conclusions and Relevance:
T23 2648-2770 Sentence denotes Older age was associated with greater risk of development of ARDS and death likely owing to less rigorous immune response.
T24 2771-2905 Sentence denotes Although high fever was associated with the development of ARDS, it was also associated with better outcomes among patients with ARDS.
T25 2906-2998 Sentence denotes Moreover, treatment with methylprednisolone may be beneficial for patients who develop ARDS.