上海市某医院3800例发热病人描述性调查分析

Descriptive Analysis of 3800 Fever Patients in a Hospital of Shanghai

目的探讨发热门诊疑似/确诊新型冠状病毒肺炎(COVID-19)的人群特征。方法收集上海市浦东新区公利医院(简称公利医院)2020年1月1日-2月29日的发热门诊登记册的相关数据进行流行病学分析。结果自2020年1月22日发热门诊就诊人数达高峰后逐渐下降;2018、2019和2020年的发热门诊人数逐年递增,高峰为1和2月份。累计上报疑似COVID-19病例共74例,男为35例(47%),女为39例(53%);年龄最大者92岁,最小3岁,中老年人占多数(61%);退休和职员占大多数(71%)。累计确诊COVID-19病例10例,其中男性4例,女性6例;年龄最大88岁,最小50岁,平均年龄66岁;除1例餐饮业和1例职员外,其余8例为退休人员;7例患者为湖北籍;涉及家庭聚集性发病8例,共2个家庭,每个家庭4例;9例有发热、咳嗽等呼吸道症状,并CT显示肺炎,1例无不适主诉。结论本发热门诊疑似/确诊的COVID-19以中老年的退休人员为主,10例确诊的COVID-19均有明确的流行病学史,8例家庭聚集现象明显。

Objective To investigate the population characteristics of suspected/confirmed corona virus disease-2019(COVID-19)in Shanghai Pudong New Area Gongli Hospital. Methods Epidemiological analysis was carried out by collecting the relevant data of fever clinic register of Shanghai Pudong New Area Public Hospital from January 1 to February 29,2020. Results The number of fever outpatients in our hospital decreased gradually after the peak on January 22. The number of fever outpatients gradually increased in 2018,2019 and 2020,and the peak value of each year was in January and February. Up to now,a total of 74 suspected cases of COVID-19 were reported. The sex ratio of men and women was close(47% for men and 53%for women);the oldest was 92 years old and the youngest was 3 years old,with the majority of middle-aged and elderly people(61%);the majority of retired and staff members(71%). Ten cases of COVID-19 were confirmed,including 4 males and 6 females;the age was 88 years old at the maximum,50 years old at the minimum,and the average age was 66 years old;except for one case of catering and one case of staff member,the rest 8 cases were retired;7 cases were Hubei Province census registers;9 cases were related to Hubei Province;8 cases were related to family aggregation,including 2 families,4 cases in each family;9 cases had respiratory symptoms such as fever and cough,and lung CT scan showed pneumonia,1 case had no symptoms.Conclusion The patients of COVID-19 were mainly middle-aged and old retirees. The Corona Virus Disease2019 hasobviousfamilyaggregation. Nocasesofcommunity transmission have been found. The suspected/confirmed COVID-19 in our hospital was mainly middle-aged and elderly retirees,and all 10 confirmed COVID-19 had definite epidemiological history. The incidence of 9 patients was related to Hubei. The phenomenon of family gathering was obvious in 8 cases.