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.
基金:
National Natural Science Foundation of China [81671386, 81974222]; Foundation of Guiyang Municipal Science and Technology Bureau ([2020]) [6]
第一作者单位:[1]925th Hosp PLA Joint Logist Support Force, Dept Gastroenterol, Guiyang, Peoples R China
通讯作者:
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
推荐引用方式(GB/T 7714):
Fu Wei,Chen Chi,Chen Xin-Lin,et al.A U-shaped association between baseline neutrophil count and COVID-19-related mortality: A retrospective cohort study[J].JOURNAL OF MEDICAL VIROLOGY.2021,93(7):4265-4272.doi:10.1002/jmv.26794.
APA:
Fu, Wei,Chen, Chi,Chen, Xin-Lin,Wang, Kun,Zuo, Peiyuan...&Liu, Chengyun.(2021).A U-shaped association between baseline neutrophil count and COVID-19-related mortality: A retrospective cohort study.JOURNAL OF MEDICAL VIROLOGY,93,(7)
MLA:
Fu, Wei,et al."A U-shaped association between baseline neutrophil count and COVID-19-related mortality: A retrospective cohort study".JOURNAL OF MEDICAL VIROLOGY 93..7(2021):4265-4272