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Asymptomatic hypoxia in COVID-19 is associated with poor outcome

International Journal of Infectious Diseases Nov 02, 2020

Brouqui P, Amrane S, Million M, et al. - Researchers analyzed the outcome of COVID patients without shortness of breath. They studied retrospectively obtained data from COVID-19 patients in Marseille France. Participants were patients who had at admission, a low dose CT scanner, dyspnea status and oxygen saturation available. A sample subset of patients was used for blood-gas analysis. A shortness of breath at admission was not experienced by 1,107 (64.7%) of 1,712 patients with COVID-19. A very poor outcome was observed in relation to asymptomatic hypoxia (33.3% were transferred to ICU and 25.9% died). Old patients with co-morbidity should be offered medical attention if they show absence of shortness of breath, which should not be regarded as a good sign of wellbeing. Asymptomatic hypoxia was associated with a poor prognosis; this emphasizes the severity of this mild clinical presentation. Pulse oximetry, along with news score and LDCT scanner, affords a crucial means to predict the outcome in these patients.

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