COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Male Case definition; COVID-19; Diagnosis; SARS-CoV-2; Symptoms; Aged; Child; Female; Hospitalization; Hospitals; Humans; Male; Middle Aged; Prospective Studies; SARS-CoV-2; COVID-19 Case definition [SDV]Life Sciences [q-bio] 150 610 Clinical sciences COVID-19; Case definition; Diagnosis; SARS-CoV-2; Symptoms Microbiology 1117 Public Health and Health Services 03 medical and health sciences 0302 clinical medicine [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system Diagnosis wc_505 Humans ISARIC Clinical Characterisation Group Prospective Studies Child Aged wa_105 Original Paper Science & Technology COVID-19; Case definition; Diagnosis; SARS-CoV-2; Symptoms; Aged; Child; Female; Hospitalization; Hospitals; Humans; Male; Middle Aged; Prospective Studies; SARS-CoV-2; COVID-19 SARS-CoV-2 COVID-19 1103 Clinical Sciences Middle Aged Hospitals 3. Good health Hospitalization Infectious Diseases Case definition; COVID-19; Diagnosis; SARS-CoV-2; Symptoms; Case definition; COVID-19; Diagnosis; SARS-CoV-2; Symptoms Symptoms qw_160 Female wf_100 Life Sciences & Biomedicine
DOI: 10.1007/s15010-021-01599-5 Publication Date: 2021-06-25T15:03:16Z
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ABSTRACT
Abstract Background The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships age, sex, and nationality to presenting symptoms. Methods International, 60 109 symptomatic laboratory-confirmed COVID-19 recruited from 43 countries between 30 January 3 August 2020. Logistic regression was performed evaluate age sex published case definitions most commonly reported Results ‘Typical’ symptoms fever (69%), cough (68%) shortness breath (66%) were reported. 92% experienced at least one these. Prevalence typical greatest in 30- 60-year-olds (respectively 80, 79, 69%; 95%). They less frequently children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 61, 62, 65; 90%), women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). common atypical presentations under years nausea vomiting abdominal pain, over confusion. Regression models showed significant differences country. Interpretation This international collaboration has allowed us report reliable symptom data admitted hospital Adults are likely Nausea years. Confusion a frequent presentation Women experience than men.
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