General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsStudy 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 states 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 Healths 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.
Yonnie3
(17,462 posts)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.
MFGsunny
(2,356 posts)onecaliberal
(32,880 posts)regnaD kciN
(26,045 posts)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)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.
spinbaby
(15,090 posts)You can still find them on Amazon in the $50 range.
SunSeeker
(51,630 posts)Guess word travels fast.
brooklynite
(94,679 posts)What I don't know is: what's a GOOD or BAD measure of OXY level?
Maeve
(42,287 posts)Unless you have COPD or other lung disease
https://www.healthline.com/health/normal-blood-oxygen-level#oxygen-levels
SoonerPride
(12,286 posts)Are obviously ridiculous.
A temperature scan isnt 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)...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)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.
crickets
(25,982 posts)niyad
(113,508 posts)jberryhill
(62,444 posts)Then I just had four ones, two quarters and five dimes.
JustABozoOnThisBus
(23,362 posts)littlemissmartypants
(22,722 posts)DallasNE
(7,403 posts)Since they were already sick could they have been taking Tylenol where that could be suppressing the fever? Just a thought.
burrowowl
(17,642 posts)Hermit-The-Prog
(33,389 posts)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?
w0nderer
(1,937 posts)ProfessorGAC
(65,134 posts)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)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)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)Glad you are fine & I hope the others are as well.
BrightKnight
(3,567 posts)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