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华中科技大学同济医学院附属同济医院急诊医学科[2]Huazhonng Univ Sci & Technol, Tongji Med Coll, Wuhan 430030, Hubei, Peoples R China
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.
基金:
Fundamental Research Funds for Central Universities [2019kfyRCPY098]
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
通讯作者:
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
推荐引用方式(GB/T 7714):
Xiao Liu-Niu,Ran Xiao,Zhong Yan-Xia,et al.Clinical value of blood markers to assess the severity of coronavirus disease 2019[J].BMC INFECTIOUS DISEASES.2021,21(1):doi:10.1186/s12879-021-06623-5.
APA:
Xiao, Liu-Niu,Ran, Xiao,Zhong, Yan-Xia&Li, Shu-Sheng.(2021).Clinical value of blood markers to assess the severity of coronavirus disease 2019.BMC INFECTIOUS DISEASES,21,(1)
MLA:
Xiao, Liu-Niu,et al."Clinical value of blood markers to assess the severity of coronavirus disease 2019".BMC INFECTIOUS DISEASES 21..1(2021)