机构:[1]Institute of Hematology, Union Hospital, Tongji Medical College,Huazhong University of Science and Technology, Wuhan 430022,China华中科技大学同济医学院附属协和医院[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华中科技大学同济医学院附属协和医院[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
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.
基金:
National Natural Science Foundation of China (NSFC)National Natural Science Foundation of China [81974009, 81974221]; Fundamental Research Funds for the Central UniversitiesFundamental Research Funds for the Central Universities [2020kfyXGYJ086]; National Institute of Health Research (NIHR) Biomedical Research CentreNational Institute for Health Research (NIHR)
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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推荐引用方式(GB/T 7714):
Lei Chen,Jianming Yu,Wenjuan He,et al.Risk factors for death in 1859 subjects with COVID-19[J].LEUKEMIA.2020,34(8):2173-2183.doi:10.1038/s41375-020-0911-0.
APA:
Lei Chen,Jianming Yu,Wenjuan He,Li Chen,Guolin Yuan...&Yu Hu.(2020).Risk factors for death in 1859 subjects with COVID-19.LEUKEMIA,34,(8)
MLA:
Lei Chen,et al."Risk factors for death in 1859 subjects with COVID-19".LEUKEMIA 34..8(2020):2173-2183