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A U-shaped association between baseline neutrophil count and COVID-19-related mortality: A retrospective cohort study

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单位: [1]925th Hosp PLA Joint Logist Support Force, Dept Gastroenterol, Guiyang, Peoples R China [2]GuiZhou Univ Tradit Chinese Med, Dept Immunol & Microbiol, Guiyang, Guizhou, Peoples R China [3]Empower UX&Y Solut Inc, Dept Epidemiol & Biostat, Boston, MA USA [4]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Geriatr, Wuhan, Peoples R China [5]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Geriatr, Wuhan, Peoples R China [6]Wuhan Univ, Zhongnan Hosp, Dept Geriatr, Wuhan, Peoples R China [7]923th Hosp PLA Joint Logist Support Force, Dept Gastroenterol, Nanning, Peoples R China
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关键词: baseline neutrophil count change rate COVID-19-infection nonlinearity

摘要:
Several descriptive studies have reported that higher neutrophil count (NC) may be correlated with poor prognosis in patients with confirmed COVID-19 infection. However, the findings from these studies are limited by methodology and data analysis. This study is a cohort study. We nonselectively and consecutively collected a total of 663 participants in a Chinese hospital from January 7 to February 28. Standardized and two-piecewise Cox regression model were employed to evaluate the association between baseline neutrophil count (bNC), neutrophil count change rate (NCR), and death. bNC had a U-shaped association with death. In the range of 0.1 to <= 1.49 x 10(9)/L (hazard ratio [HR] = 0.19, 95% confidence interval [CI] = 0.05-0.66) and >3.55 x 10(9)/L of bNC (HR = 2.82, 95% CI = 1.19-6.67), the trends on bNC with mortality were opposite. By recursive algorithm, the bNC at which the risk of the death was lower in the range of >1.49 to <= 3.55 x 10(9)/L (HR = 13.64, 95% CI = 0.25-74.71). In addition, we find that NCRs (NCR1 and NCR2) are not associated with COVID-19-related deaths. Compared with NCR, bNC has the potential to be used for early risk stratification in patients with COVID-19 infection. The relationship between bNC and mortality was U-shaped. The safe range of bNC was 1.64-4.0 x 10(9)/L. Identifying the correlation may be helpful for early risk stratification and medical decision-making.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 病毒学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 病毒学
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出版当年[2019]版:
Q4 VIROLOGY
最新[2023]版:
Q1 VIROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者单位: [1]925th Hosp PLA Joint Logist Support Force, Dept Gastroenterol, Guiyang, Peoples R China
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通讯机构: [3]Empower UX&Y Solut Inc, Dept Epidemiol & Biostat, Boston, MA USA [4]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Geriatr, Wuhan, Peoples R China
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