血液淋巴细胞数量的早期降低与COVID-19患者的预后不佳有关:一项回顾性队列研究
Gong Chen1, Xiaofang Zhao2, Xinglin Chen3
1Department of Anesthesiology, the Third Xiangya Hospital, Central South University, Changsha, China.
BMC pulmonary medicine
|November 21, 2023
概括
在COVID-19患者的动态淋巴细胞计数变化可以预测死亡率. 在早期疾病阶段淋巴细胞数量下降表明死亡风险更高,而数量增加表明生存.
科学领域:
- 医学研究 医学研究
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 以前的研究将基线淋巴细胞计数与COVID-19死亡率联系起来.
- 在COVID-19进展期间动态淋巴细胞变化的预后价值仍然不清楚.
研究的目的:
- 研究淋巴细胞计数动态在预测COVID-19患者结果中的重要性.
- 分析随着时间的推移,淋巴细胞计数的趋势与生存状态的关系.
主要方法:
- 对532名COVID-19患者进行了回顾性队列研究.
- 一般化添加混合模型用于比较幸存者和非幸存者之间的淋巴细胞计数趋势.
- 经过对潜在混因素进行调整后的统计分析.
主要成果:
- 淋巴细胞数量在没有幸存者中下降,并在住院10天内幸存者中增加.
- 在调整后,在幸存者和非幸存者之间观察到淋巴细胞计数差异的每日显著增加 (0.0731 × 10 ^ 9 / L).
- 整体住院死亡率为5.45%.
结论:
- 在早期COVID-19期间淋巴细胞数量的动态变化反映了病理生理学变化.
- 淋巴细胞数量的早期减少是COVID-19患者死亡率的重要预测因素.
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