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Two novel nomograms based on inflammatory cytokines or lymphocyte subsets to differentially diagnose severe or critical and Non-Severe COVID-19

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单位: [1]Jilin Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Changchun 130021, Peoples R China [2]Jilin Univ, Dept Emergency, China Japan Union Hosp, Changchun 130021, Peoples R China [3]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Inst Organ Transplantat,Wuhan 430000,Peoples R China [4]Jilin Univ, Dept Cardiol, China Japan Union Hosp, Changchun 130021, Peoples R China [5]Jilin Univ, Dept Crit Care Unit, China Japan Union Hosp, Changchun 130021, Peoples R China [6]Jilin Univ, Dept Neurosurg, China Japan Union Hosp, Changchun 130021, Peoples R China
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关键词: COVID-19 SARS-CoV-2 cytokine profiles lymphocyte subsets nomogram

摘要:
We intend to evaluate the differences of the clinical characteristics, cytokine profiles and immunological features in patients with different severity of COVID-19, and to develop novel nomograms based on inflammatory cytokines or lymphocyte subsets for the differential diagnostics for severe or critical and non-severe COVID-19 patients. We retrospectively studied 254 COVID-19 patients, 90 of whom were severe or critical patients and 164 were non-severe patients. Severe or critical patients had significantly higher levels of inflammatory cytokines than non-severe patients as well as lower levels of lymphocyte subsets. Significantly positive correlations between cytokine profiles were observed, while they were all significantly negatively correlated with lymphocyte subsets. Two effective nomograms were developed according to two multivariable logistic regression cox models based on inflammatory cytokine profiles and lymphocyte subsets separately. The areas under the receiver operating characteristics of two nomograms were 0.834 (95% CI: 0.779-0.888) and 0.841 (95% CI: 0.756-0.925). The bootstrapped-concordance indexes of two nomograms were 0.834 and 0.841 in training set, and 0.860 and 0.852 in validation set. Calibration curves and decision curve analyses demonstrated that the nomograms were well calibrated and had significantly more clinical net benefits. Our novel nomograms can accurately predict disease severity of COVID-19, which may facilitate the identification of severe or critical patients and assist physicians in making optimized treatment suggestions.

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出版当年[2020]版:
大类 | 2 区 医学
小类 | 1 区 老年医学 3 区 细胞生物学
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出版当年[2019]版:
Q1 GERIATRICS & GERONTOLOGY Q2 CELL BIOLOGY
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Q2 CELL BIOLOGY Q2 GERIATRICS & GERONTOLOGY

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第一作者单位: [1]Jilin Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Changchun 130021, Peoples R China
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