甲状腺刺激激素作为可能的额外COVID-19结局标志物
Anamarija Zrilic Vrkljan1, Ana Majic Tengg1, Tanja Palaversa2
1Department of Endocrinology, Diabetes, Metabolism and Clinical Pharmacology, Clinical Hospital Dubrava, 10000 Zagreb, Croatia.
Medicina (Kaunas, Lithuania)
|February 24, 2024
概括
在COVID-19住院期间,甲状腺刺激激素 (TSH) 水平较低,预测短期和中期结果较差. 监测TSH可能有助于预测患者的预后和持续的肺部问题.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 甲状腺功能与SARS-CoV-2感染之间的相互作用尚未完全阐明.
- 甲状腺刺激激素 (TSH) 水平可能提供有关COVID-19严重程度和结果的见解.
研究的目的:
- 调查血清TSH水平对住院COVID-19患者短期和中期结果的预测价值.
- 评估TSH水平与疾病严重程度指标之间的关联.
主要方法:
- 对580名没有先前甲状腺疾病的COVID-19患者电子健康记录的回顾性分析.
- 评估短期结果 (住院,肺部干扰,氧气需求,ICU入院,死亡率) 和中期结果 (出院6-8周后的肺部干扰).
主要成果:
- 较低的TSH水平与疾病严重程度的增加相关,包括更高的氧气需求,ICU入院,皮质类固醇使用和死亡率.
- 住院期间TSH水平较低的患者在出院后更有可能患有持续性肺部干扰.
- 在急性COVID-19阶段后,TSH水平显著增加.
结论:
- 在急性COVID-19期间抑制血清TSH是预测不利的短期和中期结果的潜在生物标志物.
- 将TSH测量纳入常规实验室评估可以提高COVID-19患者的预后.
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