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Risk factors for death in 1859 subjects with COVID-19

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机构: [1]Institute of Hematology, Union Hospital, Tongji Medical College,Huazhong University of Science and Technology, Wuhan 430022,China [2]Department of Hematology, Wuhan Central Hospital, TongjiMedical College, Huazhong University of Science andTechnology, Wuhan, China [3]Department of Hematology, Xiangyang Central Hospital, theAffiliated Hospital of Hubei University of Arts and Science,Xiangyang 441021, China [4]Intensive Care Units of Wuhan Third Hospital, Tongren Hospitalof Wuhan University, Wuhan, China [5]Department of Urology Surgery, Union Hospital, Tongji MedicalCollege, Huazhong University of Science and Technology,Wuhan 430022, China [6]Department of Hematology, General Hospital of Central TheaterCommand, PLA, Wuhan 300700, China [7]Wuhan Jin-Yin-Tan Hospital, Wuhan, China [8]Medical Records Statistics Department of Wuhan Third Hospital,Tongren Hospital of Wuhan University, Wuhan, China [9]Center for Hematology Research, Department of Immunology andInflammation, Imperial College London, London, UK
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We studied 1859 subjects with confirmed COVID-19 from seven centers in Wuhan 1651 of whom recovered and 208 died. We interrogated diverse covariates for correlations with risk of death from COVID-19. In multi-variable Cox regression analyses increased hazards of in-hospital death were associated with several admission covariates: (1) older age (HR = 1.04; 95% Confidence Interval [CI], 1.03, 1.06peryear increase;P < 0.001); (2) smoking (HR = 1.84 [1.17, 2.92];P = 0.009); (3) admission temperatureper degrees C increase (HR = 1.32 [1.07, 1.64];P = 0.009); (4) Log(10)neutrophil-to-lymphocyte ratio (NLR; HR = 3.30 [2.10, 5.19];P < 0.001); (5) plateletsper10 E + 9/L decrease (HR = 0.996 [0.994, 0.998];P = 0.001); (6) activated partial thromboplastin (aPTT)persecond increase (HR = 1.04 [1.02, 1.05];P < 0.001); (7) Log(10)D-dimerpermg/l increase (HR = 3.00 [2.17, 4.16];P < 0.001); and (8) Log(10)serum creatinineper mu mol/L increase (HR = 4.55 [2.72, 7.62];P < 0.001). In piecewise linear regression analyses Log(10)NLR the interval from >= 0.4 to <= 1.0 was significantly associated with an increased risk of death. Our data identify covariates associated with risk of in hospital death in persons with COVID-19.

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出版当年[2019]版:
大类 | 1 区 医学
小类 | 1 区 血液学 1 区 肿瘤学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 血液学 2 区 肿瘤学
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出版当年[2018]版:
Q1 ONCOLOGY Q1 HEMATOLOGY
最新[2023]版:
Q1 HEMATOLOGY Q1 ONCOLOGY

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第一作者机构: [1]Institute of Hematology, Union Hospital, Tongji Medical College,Huazhong University of Science and Technology, Wuhan 430022,China
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