Objective We analyzed 32 death cases caused
by COVID-19 to provide evidence for standardizing clinical management and prevention of the
disease.Methods32 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 clinicalmanagement
strategies for COVID-19 according to national policy and guideline.ResultsAmong
the 32 patients-25 were male accounting for 78.13% and the median age was 70
years old. The comorbidities included hypertension-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 medicalconsultation was 6 days,the median time from the
onset to death was 13 days.ConclusionsWe don,t recommendhome care for the
elderly and patients with comorbidities. They should be detected and treated as
early as possi ble. 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.
