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http://dx.doi.org/10.14369/jkmc.2022.35.1.001

Clinical features of COVID-19 as presented in journal articles : A Korean Medical Approach  

Kim, Jong-hyun (Dept. of Korean Medical Classics & History, College of Korean Medicine, Gachon University)
Ahn, Jinhee (Dept. of Korean Medical Classics, College of Korean Medicine, Kyunghee University)
Kim, Sanghyun (KM Data Division, Korea Institute of Oriental Medicine)
Publication Information
Journal of Korean Medical classics / v.35, no.1, 2022 , pp. 1-32 More about this Journal
Abstract
Objectives : This paper examines major symptoms representation in COVID-19 patients as groundwork for development of an effective clinical data collection format in Korean Medicine. Methods : Major symptoms representation in COVID-19 related papers published worldwide were collected. Corresponding symptoms in Korean Medicine were then examined, followed by discussion of symptomatic features that require further consideration in regards to a more systematic clinical data collection. Results : Of 256 papers, most papers listed fever and cough while symptoms such as difficulty breathing, diarrhea, muscle pain, headache, nausea, fatigue, chest pain, phlegm, nasal discharge were also mostly listed. Clinical representations could be categorized into general symptoms, throat symptoms, chest symptoms, head and facial symptoms, gastrointestinal symptoms, musculo-skeletal and cutaneous symptoms, psychiatric symptoms and sensory problems. Conclusions : Although each clinical representation could be likened to certain clinical representations of Korean Medicine, the variety of symptoms were too limiting and lacking in detail to be applied in the pattern identification[辨證] of Korean Medicine. For effective clinical data collection and analysis in the future, symptom change according to time, comparison between location, climate and ethnicity, existence of interior symptoms when diagnosing exterior symptoms, deficiency-excessiveness of blood patterns, consciousness levels, etc., need to be considered in establishing criteria for symptom evaluation.
Keywords
COVID-19; clinical representation; clinical symptom; six channels pattern identification; defense-qi-nutrient-blood pattern identification;
Citations & Related Records
Times Cited By KSCI : 12  (Citation Analysis)
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1 Gonzalez FJ et al. Clinical characteristics and in-hospital mortality of patients with COVID-19 in Chile: A prospective cohort study. Int J Clin Pract. 2021. 75(12). https://doi.org/10.1111/ijcp.14919   DOI
2 Hasani Azad M et al. Clinical and Epidemiological Characteristics of Hospitalized COVID-19 Patients in Hormozgan, Iran: A Retrospective, Multicenter Study. Arch Iran Med. 2021. 24(5). https://doi.org/10.34172/aim.2021.62   DOI
3 Ismail F et al. Clinical Characteristics of the First 100 Patients of COVID-19 in Tobruk, Libya: A Brief Report From Low-Resource Settings. Disaster Med Public Health Prep. 2021. https://doi.org/10.1017/dmp.2021.123   DOI
4 Jang et al. Telemedicine and the Use of Korean Medicine for Patients With COVID-19 in South Korea: Observational Study. JMIR Public Health Surveill. 2021. 7(1). https://doi.org/10.2196/20236   DOI
5 Kim D et al. Telemedicine Center of Korean Medicine for treating patients with COVID-19: a retrospective analysis. IMR. 2020. 9(3). https://doi.org/10.1016/j.imr.2020.100492   DOI
6 Kim SW et al. Clinical Characteristics and Outcomes of COVID-19 Cohort Patients in Daegu Metropolitan City Outbreak in 2020. J Korean Med Sci. 2021. 36(1). https://doi.org/10.3346/jkms.2021.36.e12   DOI
7 Lee N et al. A Major Outbreak of Severe Acute Respiratory Syndrome in Hong Kong. N Engl J Med 2003. 348. https://doi.org/10.1056/NEJMoa030685   DOI
8 Marcolino MS et al. Clinical characteristics and outcomes of patients hospitalized with COVID-19 in Brazil: Results from the Brazilian COVID-19 registry. Int J Infect Dis. 2021. 107. https://doi.org/10.1016/j.ijid.2021.01.019   DOI
9 Otsuka Y et al. Clinical Characteristics of Japanese Patients Who Visited a COVID-19 Aftercare Clinic for Post-Acute Sequelae of COVID-19/Long COVID. Cureus. 2021. 13(10). https://doi.org/10.7759/cureus.18568   DOI
10 Park HY et al. Presenting characteristics and clinical outcome of patients with COVID-19 in South Korea: A nationwide retrospective observational study. Lancet Reg Health West Pac. 2020. 5. https://doi.org/10.1016/j.lanwpc.2020.100061   DOI
11 Surendra H et al. Clinical characteristics and mortality associated with COVID-19 in Jakarta, Indonesia: A hospital-based retrospective cohort study. Lancet Reg Health West Pac. 2021. 9. https://doi.org/10.1016/j.lanwpc.2021.100108   DOI
12 대한한의사협회. 코로나바이러스감염증-19 한의진료 권고안. 서울. 대한한의사협회. 2020.
13 류징위안 저, 정창현, 김상현 역. 유경원 온병학강의. 경기도 파주. 물고기숲. 2017.
14 오국통 저, 정창현 역. 국역 온병조변. 서울. 집문당. 2004.
15 Rodriguez-Nava G et al. Clinical Characteristics and Risk Factors for Death of Hospitalized Patients With COVID-19 in a Community Hospital: A Retrospective Cohort Study. Mayo Clin Proc Innov Qual Outcomes. 2021. 5(1). https://doi.org/10.1016/j.mayocpiqo.2020.10.007   DOI
16 Shields AM et al. Serological responses to SARS-CoV-2 following non-hospitalised infection: clinical and ethnodemographic features associated with the magnitude of the antibody response. BMJ Open Resp Res. 2021. 8. https://doi.org/10.1136/bmjresp-2020-000872   DOI
17 Salinas Aguirre JE et al. Clinical characteristics and comorbidities associated with mortality in patients with COVID-19 in Coahuila (Mexico). Rev Clin Esp. 2021. https://doi.org/10.1016/j.rce.2020.12.006   DOI
18 Shiel E et al. Clinical characteristics and outcomes of COVID-19 in a low-prevalence, well resourced setting, Sydney, Australia. Intern Med J. 2021. 51(10). https://doi.org/10.1111/imj.15445   DOI
19 Wen S et al. Clinical Characteristics and Outcomes of COVID-19 in West Virginia. Viruses. 2021. 13(5). https://doi.org/10.3390/v13050835   DOI
20 Yang BY et al. Clinical Characteristics of Patients With Coronavirus Disease 2019 (COVID-19) Receiving Emergency Medical Services in King County, Washington. JAMA Netw Open. 2020. 3(7). https://doi.org/10.1001/jamanetworkopen.2020.14549   DOI
21 Yu C et al. Epidemiological and clinical characteristics of 1663 hospitalized patients infected with COVID-19 in Wuhan, China: a single-center experience. J Infect Public Health. 2020. 13(9). https://doi.org/10.1016/j.jiph.2020.07.002   DOI
22 최영화. '메르스 환자 임상증례 분석' 정책연구용역 보고서. 2015.
23 Abraha HE et al. Clinical features and risk factors associated with morbidity and mortality among patients with COVID-19 in northern Ethiopia. Int J Infect Dis. 2021. 105. https://doi.org/10.1016/j.ijid.2021.03.037   DOI
24 Chen X et al. Associations of clinical characteristics and treatment regimens with the duration of viral RNA shedding in patients with COVID-19. Int J Infect Dis. 2020. 98. https://doi.org/10.1016/j.ijid.2020.06.091   DOI
25 Cotton DM et al. Clinical characteristics of COVID-19 patients evaluated in the emergency department: A retrospective cohort study of 801 cases. J Am Coll Emerg Physicians Open. 2021. 2(4). https://doi.org/10.1002/emp2.12538   DOI
26 Kozak R et al. Recognition of Long-COVID-19 Patients in a Canadian Tertiary Hospital Setting: A Retrospective Analysis of Their Clinical and Laboratory Characteristics. Pathogens. 2021. 10(10). https://doi.org/10.3390/pathogens10101246   DOI