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SheltieLover

(57,073 posts)
Wed Apr 22, 2020, 10:40 PM Apr 2020

Study out of New York may change everything we thought we knew about fevers and coronavirus

https://www.rawstory.com/2020/04/study-out-of-new-york-may-change-everything-we-thought-we-knew-about-fevers-and-coronavirus/

Very difficult to copy, but here is the takeaway:

A new study published in the Journal of the American Medical Association shares what doctors have discovered in New York state’s largest health system.

“The analysis is the largest and most comprehensive look at outcomes in the United States to be published so far. Researchers looked at the electronic medical records of 5,700 patients infected with covid-19 between Mar. 1 and Apr. 4 who were treated at Northwell Health’s 12 hospitals located in New York City, Long Island, and Westchester County — all epicenters of the outbreak. Sixty percent were male, 40 percent female and the average age was 63,” The Washington Post reported Wednesday.

“One other surprising finding from the study was that 70 percent of the patients sick enough to be admitted to the hospital did not have a fever. Fever is currently listed as the top symptom of covid-19 by the CDC, and for weeks, many testing centers for the virus turned away patients if they did not have one,” the newspaper reported.

More at link.
26 replies = new reply since forum marked as read
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Study out of New York may change everything we thought we knew about fevers and coronavirus (Original Post) SheltieLover Apr 2020 OP
Link to the Journal article Yonnie3 Apr 2020 #1
Thanks - far better source material. RS always feels like a hit-n-run. n/t MFGsunny Apr 2020 #17
That's why EVERYONE needs to be tested. onecaliberal Apr 2020 #2
Aside from testing, everyone should have a pulse oximeter at home... regnaD kciN Apr 2020 #5
Exactly. Oximeters are cheap, you can get them in any drug store. SunSeeker Apr 2020 #11
They are out locally spinbaby Apr 2020 #15
Wow. Got mine at CVS for $30 two weeks ago. SunSeeker Apr 2020 #24
I picked one up on a friend's recommendation... brooklynite Apr 2020 #18
Normal is between 95 and 100% Maeve Apr 2020 #20
The idea that stores can check your temp to know it is safe SoonerPride Apr 2020 #3
It's ridiculous whether or not this study is correct... regnaD kciN Apr 2020 #4
Part of it is because that's what "successful" countries did. Igel Apr 2020 #22
K&R for the post and the discussion. crickets Apr 2020 #6
KNR and bookmarking. niyad Apr 2020 #7
I had a fever until it broke jberryhill Apr 2020 #8
No Quarter for you, jberryhill JustABozoOnThisBus Apr 2020 #14
Well done! littlemissmartypants Apr 2020 #26
Could There Be Other Undisclosed Factors In Play DallasNE Apr 2020 #9
Kick burrowowl Apr 2020 #10
National numbers will be severely distorted by 1. lack of testing, 2. false assumptions Hermit-The-Prog Apr 2020 #12
K & R N/T w0nderer Apr 2020 #13
Hmmmm! ProfessorGAC Apr 2020 #16
Glad you are OK, Professor! SheltieLover Apr 2020 #19
Well, I Had The Cough ProfessorGAC Apr 2020 #21
It is very suspicious with such a high rate of infection SheltieLover Apr 2020 #23
I would not take anything to fight the fever BrightKnight Apr 2020 #25

Yonnie3

(17,462 posts)
1. Link to the Journal article
Wed Apr 22, 2020, 10:58 PM
Apr 2020
https://jamanetwork.com/journals/jama/fullarticle/2765184

April 22, 2020
Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area

Key Points


Question What are the characteristics, clinical presentation, and outcomes of patients hospitalized with coronavirus disease 2019 (COVID-19) in the US?

Findings
In this case series that included 5700 patients hospitalized with COVID-19 in the New York City area, the most common comorbidities were hypertension, obesity, and diabetes. Among patients who were discharged or died (n?=?2634), 14.2% were treated in the intensive care unit, 12.2% received invasive mechanical ventilation, 3.2% were treated with kidney replacement therapy, and 21% died.

Meaning This study provides characteristics and early outcomes of patients hospitalized with COVID-19 in the New York City area.

<snip>



It is worth a look at the source IMO. Diabetes seems to be a strong factor in poor outcomes.

Edit to add; There is a lot there and I've only skimmed it. I'll be reading it later when I'm not so tired.

regnaD kciN

(26,045 posts)
5. Aside from testing, everyone should have a pulse oximeter at home...
Wed Apr 22, 2020, 11:12 PM
Apr 2020

That's the thing that clips on your finger and measures you oxygen saturation. Physicians are learning that the pneumonia that results from COVID-19 behaves differently from most other varieties, and lowers your oxygen level well before actually showing noticeable symptoms. By the time you notice difficulty breathing, you're already in critical condition. It's estimated that, if people diagnosed with COVID-19 checked their oxygen saturation at home, and communicated the results to their doctor, many would have been hospitalized before feeling like they needed to, and could be treated before they were in such extreme condition that survival is difficult.

SunSeeker

(51,630 posts)
11. Exactly. Oximeters are cheap, you can get them in any drug store.
Thu Apr 23, 2020, 01:51 AM
Apr 2020

They give a really important data point. If your oxygen saturation dips below normal (normal is 95-99%) then you need to watch it like a hawk. I would call your doctor at that point and ask for COVID-19 test.

brooklynite

(94,679 posts)
18. I picked one up on a friend's recommendation...
Thu Apr 23, 2020, 07:01 AM
Apr 2020

What I don't know is: what's a GOOD or BAD measure of OXY level?

SoonerPride

(12,286 posts)
3. The idea that stores can check your temp to know it is safe
Wed Apr 22, 2020, 11:03 PM
Apr 2020

Are obviously ridiculous.

A temperature scan isn’t predictive of COVID. You can have it and be presymptomatic, asymptomatic, or fever May not be one or your symptoms.

regnaD kciN

(26,045 posts)
4. It's ridiculous whether or not this study is correct...
Wed Apr 22, 2020, 11:06 PM
Apr 2020

...because, supposedly, you're most contagious a day or two before showing symptoms. A temperature check is merely closing the barn door after the horse has fled.

Igel

(35,337 posts)
22. Part of it is because that's what "successful" countries did.
Thu Apr 23, 2020, 08:27 AM
Apr 2020

And we want to be successful.

Part is that if you get 90% of the sick people, maybe you can get them treatment early and maybe slow the spread (and maybe save more people the agony of COVID).


Better to catch the horse when it's still near the barn and hasn't cleared the last couple of fences than wait a few hours.

Good. Perfect. They really shouldn't be archenemies.

DallasNE

(7,403 posts)
9. Could There Be Other Undisclosed Factors In Play
Thu Apr 23, 2020, 01:22 AM
Apr 2020

Since they were already sick could they have been taking Tylenol where that could be suppressing the fever? Just a thought.

Hermit-The-Prog

(33,389 posts)
12. National numbers will be severely distorted by 1. lack of testing, 2. false assumptions
Thu Apr 23, 2020, 02:07 AM
Apr 2020

The Grotesque Orange Pustule strikes again. We will never know the full extent of this disease because of the fool's incompetence.

How many have been turned away to spread the disease because they didn't exhibit symptoms that were wrongly assumed to be determinate?

ProfessorGAC

(65,134 posts)
16. Hmmmm!
Thu Apr 23, 2020, 06:47 AM
Apr 2020

When I had the sudden, oppressive bronchitis in December my only doubt that it could be CV19 was I ran no fever. (And, I guess, my wife never got sick.)
But, I had the other symptoms of a moderate case.
Maybe I did have it.
I was especially suspicious because I got it about 5 days after I subbed where, in 7 school days, 19 people got sick with bronchitis or pneumonia, out of 130 total!

SheltieLover

(57,073 posts)
19. Glad you are OK, Professor!
Thu Apr 23, 2020, 07:17 AM
Apr 2020

Here is an article from NEJM about the relatively low percentage of patients initially presenting with fever (43.8%):

https://www.nejm.org/doi/full/10.1056/NEJMoa2002032

The most common symptoms were fever (43.8% on admission and 88.7% during hospitalization) and cough (67.8%).


ProfessorGAC

(65,134 posts)
21. Well, I Had The Cough
Thu Apr 23, 2020, 07:26 AM
Apr 2020

In a major way. Terribly unproductive, too. Hard cough & felt NOTHING moving inside the chest.
Albuterol helped a lot. Along with OTC expectorant. About 5 rough days.
My blood oxygen was over 95 even at quick care, so still not sure I had this virus. Just that it's more possible than I thought, originally.
The thing that keeps sounding the alarm is 1/9th of the students, and over 30% of the adults at that school all got sick with respiratory problems in 2 weeks. That's suspiciously high.

SheltieLover

(57,073 posts)
23. It is very suspicious with such a high rate of infection
Thu Apr 23, 2020, 08:36 AM
Apr 2020

Glad you are fine & I hope the others are as well.

BrightKnight

(3,567 posts)
25. I would not take anything to fight the fever
Thu Apr 23, 2020, 02:22 PM
Apr 2020

unless a doctor tells you to. Fever naturally slows viruses and gives your immune system time to react.

Also, there are studies that show that people that use saunas to briefly elevate body temperature have more robust immune response.

Some have suggested that the virus initially suppresses the immune response and some have a delayed response that can be too strong. IDK

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