单位:[1]Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, People’s Republic of China华中科技大学同济医学院附属同济医院肝脏外科外科学系[2]Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, People’s Republic of China华中科技大学同济医学院附属同济医院胸外科外科学系[3]Department of Intensive Care Unit, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, People’s Republic of China华中科技大学同济医学院附属同济医院[4]Department of Intensive Care Unit, Jinyintan Hospital, Wuhan 430023, People’s Republic of China
Background: SARS-CoV-2 infection activates coagulation and stimulates innate immune system. Little is known about coagulopathy and response of inflammation and infection in ICU patients with COVID-19. Derangement of coagulation and markers of infection and inflammation induced by SARS-CoV-2 infection, as well as their correlations were elucidated. Methods: One hundred eight ICU patients with COVID-19 (28 survivors and 80 non-survivors) in Tongji hospital and Wuhan Jinyintan hospital, in Wuhan, China were included. Coagulation parameters, infectious and inflammatory markers were dynamically analysed. The correlation between coagulopathy of patients and infectious and inflammatory markers was verified. Results: SARS-CoV-2-associated coagulopathy occurred in most cases of critical illness. Raised values of d-dimer and FDP were measured in all patients, especially in non-survivors, who had longer PT, APTT, INR, as well as TT, and lower PTA and AT compared to survivors. SIC and DIC mostly occurred in non-survivors. CRP, ESR, serum ferritin, IL-8, and IL-2R increased in all patients, and were much higher in non-survivors who had significantly higher levels of IL-6 and IL-10. D-dimer was positively associated with CRP, serum ferritin (p = 0.02), PCT (p < 0.001), and IL-2R (p = 0.007). SIC scores were positively correlated with CRP (p = 0.006), PCT (p = 0.0007), IL-1 beta (p = 0.048), and IL-6 (p = 0.009). DIC scores were positively associated with CRP (p < 0.0001), ESR (p = 0.02), PCT (p < 0.0001), serum ferritin (p < 0.0001), IL-10 (p = 0.02), and IL-2R (p = 0.0005). Conclusion: Prothrombotic state, SIC, and DIC are the characteristics of coagulation in ICU patients with COVID-19. CRP, ESR, serum ferritin, IL-8, IL-2R, IL-6, and PCT were stimulated by SARS-CoV-2 infection. CRP, PCT, serum ferritin, and IL-2R indicate the coagulopathy severity of patients with COVID-19.
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外文
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中科院(CAS)分区:
出版当年[2019]版:
大类|4 区医学
小类|3 区卫生保健与服务
最新[2025]版:
大类|3 区医学
小类|4 区卫生保健与服务4 区卫生政策与服务
JCR分区:
出版当年[2018]版:
Q2HEALTH CARE SCIENCES & SERVICESQ2HEALTH POLICY & SERVICES
最新[2023]版:
Q2HEALTH CARE SCIENCES & SERVICESQ2HEALTH POLICY & SERVICES
第一作者单位:[1]Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, People’s Republic of China
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推荐引用方式(GB/T 7714):
long xin,zhang zhanguo,zou wenbin,et al.Coagulopathy of Patients with COVID-19 is Associated with Infectious and Inflammatory Markers[J].RISK MANAGEMENT AND HEALTHCARE POLICY.2020,13:1965-1974.doi:10.2147/RMHP.S268238.
APA:
long,xin,zhang,zhanguo,zou,wenbin,ling,jianmin,li,donghui...&fang,minghao.(2020).Coagulopathy of Patients with COVID-19 is Associated with Infectious and Inflammatory Markers.RISK MANAGEMENT AND HEALTHCARE POLICY,13,
MLA:
long,xin,et al."Coagulopathy of Patients with COVID-19 is Associated with Infectious and Inflammatory Markers".RISK MANAGEMENT AND HEALTHCARE POLICY 13.(2020):1965-1974