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Hematological features of persons with COVID-19

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机构: [1]Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, China [2]Department of Hematology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [3]Intensive Care Units of Wuhan Third Hospital, Tongren Hospital of Wuhan University, Wuhan, China [4]Key Laboratory for Molecular Diagnosis of Hubei Province, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [5]Wuhan Jin-Yin-Tan Hospital, Wuhan, China [6]Department of Hematology, General Hospital of Central Theater Command, PLA, 300700 Wuhan, China [7]Medical Records Statistics Department of Wuhan Third Hospital, Tongren Hospital of Wuhan University, Wuhan, China [8]Center for Hematology Research, Department of Immunology and Inflammation, Imperial College London, London, UK
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We studied admission and dynamic demographic, hematological and biochemical co-variates in 1449 hospitalized subjects with coronavirus infectious disease-2019 (COVID-19) in five hospitals in Wuhan, Hubei province, China. We identified two admission co-variates: age (Odds Ratio [OR] = 1.18, 95% Confidence Interval [CI] [1.02, 1.36];P = 0.026) and baseline D-dimer (OR = 3.18 [1.48, 6.82];P = 0.003) correlated with an increased risk of death in persons with COVID-19. We also found dynamic changes in four co-variates, Delta fibrinogen (OR = 6.45 [1.31, 31.69];P = 0.022), Delta platelets (OR = 0.95 [0.90-0.99];P = 0.029), Delta C-reactive protein (CRP) (OR = 1.09 [1.01, 1.18];P = 0.037), and Delta lactate dehydrogenase (LDH) (OR = 1.03 [1.01, 1.06];P = 0.007) correlated with an increased risk of death. The potential risk factors of old age, high baseline D-dimer, and dynamic co-variates of fibrinogen, platelets, CRP, and LDH could help clinicians to identify and treat subjects with poor prognosis.

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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, 430022 Wuhan, China
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