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Clinical value of blood markers to assess the severity of coronavirus disease 2019

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单位: [1]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Intens Care Unit,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China [2]Huazhonng Univ Sci & Technol, Tongji Med Coll, Wuhan 430030, Hubei, Peoples R China
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关键词: COVID-19 IL-6 IL-8 CRP Platelet

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Background Severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) is threatening the world with the symptoms of seasonal influenza. This study was conducted to investigate the patient characteristics and clinical value of blood markers to assess the severity of coronavirus disease 2019 (COVID-19). Methods 187 patients, diagnosed with COVID-19 (non-severe and severe cases) and admitted to hospital between January 27th and March 8th of 2020, were enrolled in the present study. Results A higher proportion of clinical symptoms, including cough, expectoration, myalgia, and fatigue were observed in the non-severe group. The level of white blood cell count, neutrophils, CRP, IL-6 and IL-8 were significantly increased, while the platelet count was remarkedly decreased in the severe group. The risk model based on lymphocyte, IL-6, IL-8, CRP and platelet counts had the highest area under the receiver operator characteristic curve (AUROC). The baseline of IL-6, IL-8 and CRP was positively correlated with other parameters except in the cases of lymphocyte, hemoglobin and platelet counts. The baseline of the platelet count was negatively correlated with other parameters except in the lymphocyte and hemoglobin counts. Additionally, there was no connection between the severity of COVID-19 and cultures of blood, sputum or catheter secretion. Conclusions The present study suggested that high leucocyte and low platelets counts were independent predictive markers of the severity of COVID-19.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 4 区 传染病学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 传染病学
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出版当年[2019]版:
Q3 INFECTIOUS DISEASES
最新[2023]版:
Q2 INFECTIOUS DISEASES

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第一作者单位: [1]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Intens Care Unit,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China [2]Huazhonng Univ Sci & Technol, Tongji Med Coll, Wuhan 430030, Hubei, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Intens Care Unit,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China [2]Huazhonng Univ Sci & Technol, Tongji Med Coll, Wuhan 430030, Hubei, Peoples R China
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