Abstract:

Objective We analyzed 32 death cases caused by COVID-19 to provide evidence for standardizing clinical management and prevention of the disease. Methods 32 cases died of COVID-19 from 9th to 24th January in 2020 were retrospectively analyzed. Age，comorbidity，first clinical symptom，time of illness onset，time from onset to medical consultation，time from onset to death and so on were collected. Then we explored the clinical management strategies for COVID-19 according to national policy and guideline. Results Among the 32 patients，25 were male accounting for 78.13% and the median age was 70 years old. The comorbidities included hyperten-

Sion，diabetes，heart disease，stroke，pulmonary disease and etc. The clinical symptoms varied，including fever，cough，chest tightness，dyspnea，fatigue，muscle ache，diarrhea and etc. The median time from the onset of illness to medical consultation was 6 days，the median time from the onset to death was 13 days. Conclusions We don t recommend home care for the elderly and patients with comorbidities. They should be detected and treated as early as possible. The clinical management plan should be made on the basis of a comprehensive evaluation of history，clinical symptoms and laboratory tests. We should dynamically assess and monitor patients in home care and encourage patients to take active part in self-management strategy，be screened and seek treatment timely.

Key words:

COVID-19, Disease Characteristics, Clinical Governance, Home Nursing