tetano
Editor, Senior Moderator
Sci Rep
. 2021 Apr 13;11(1):8062.
doi: 10.1038/s41598-021-87413-6.
A comprehensive evaluation of early potential risk factors for disease aggravation in patients with COVID-19
Qiang Tang[SUP] #[/SUP][SUP] 1 [/SUP], Yanwei Liu[SUP] #[/SUP][SUP] 1 [/SUP], Yingfeng Fu[SUP] #[/SUP][SUP] 1 [/SUP], Ziyang Di[SUP] 1 [/SUP], Kailiang Xu[SUP] 2 [/SUP], Bo Tang[SUP] 2 [/SUP], Hui Wu[SUP] 3 [/SUP], Maojun Di[SUP] 4 [/SUP]
Affiliations
Abstract
The 2019 Coronavirus Disease (COVID-19) has become an unprecedented public crisis. We retrospectively investigated the clinical data of 197 COVID-19 patients and identified 88 patients as disease aggravation cases. Compared with patients without disease aggravation, the aggravation cases had more comorbidities, including hypertension (25.9%) and diabetes (20.8%), and presented with dyspnoea (23.4%), neutrophilia (31.5%), and lymphocytopenia (46.7%). These patients were more prone to develop organ damage in liver, kidney, and heart (P < 0.05). A multivariable regression analysis showed that advanced age, comorbidities, dyspnea, lymphopenia, and elevated levels of Fbg, CTnI, IL-6, and serum ferritin were significant predictors of disease aggravation. Further, we performed a Kaplan-Meier analysis to evaluate the prognosis of COVID-19 patients, which suggested that 64.9% of the patients had not experienced ICU transfers and survival from the hospital.
. 2021 Apr 13;11(1):8062.
doi: 10.1038/s41598-021-87413-6.
A comprehensive evaluation of early potential risk factors for disease aggravation in patients with COVID-19
Qiang Tang[SUP] #[/SUP][SUP] 1 [/SUP], Yanwei Liu[SUP] #[/SUP][SUP] 1 [/SUP], Yingfeng Fu[SUP] #[/SUP][SUP] 1 [/SUP], Ziyang Di[SUP] 1 [/SUP], Kailiang Xu[SUP] 2 [/SUP], Bo Tang[SUP] 2 [/SUP], Hui Wu[SUP] 3 [/SUP], Maojun Di[SUP] 4 [/SUP]
Affiliations
- PMID: 33850192
- DOI: 10.1038/s41598-021-87413-6
Abstract
The 2019 Coronavirus Disease (COVID-19) has become an unprecedented public crisis. We retrospectively investigated the clinical data of 197 COVID-19 patients and identified 88 patients as disease aggravation cases. Compared with patients without disease aggravation, the aggravation cases had more comorbidities, including hypertension (25.9%) and diabetes (20.8%), and presented with dyspnoea (23.4%), neutrophilia (31.5%), and lymphocytopenia (46.7%). These patients were more prone to develop organ damage in liver, kidney, and heart (P < 0.05). A multivariable regression analysis showed that advanced age, comorbidities, dyspnea, lymphopenia, and elevated levels of Fbg, CTnI, IL-6, and serum ferritin were significant predictors of disease aggravation. Further, we performed a Kaplan-Meier analysis to evaluate the prognosis of COVID-19 patients, which suggested that 64.9% of the patients had not experienced ICU transfers and survival from the hospital.