低血量对COVID-19相关结果的影响:回顾性分析
Pedro Maciel de Toledo Piza1, Victor Muniz de Freitas1, Isabella Aguiar-Brito1
1Paulista School of Medicine, Federal University of São Paulo, São Paulo 04023-062, SP, Brazil.
Biomedicines
|September 28, 2024
概括
低血症是COVID-19患者常见的疾病,与严重的疾病和死亡率有关. 监测水平可以帮助识别高风险个体,以获得更好的结果.
科学领域:
- 内部医学 内部医学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 干扰,特别是低血症,影响了三分之一的COVID-19患者.
- 低血是COVID-19中疾病进展和死亡率的重要预测因素.
研究的目的:
- 为了调查低血量对COVID-19结果的影响.
- 为了将低血症与大流行初期的临床和实验室发现相关联.
主要方法:
- 在558名COVID-19患者中分析水平.
- 线性和皮尔森相关性分析以评估水平,结果,人口统计,症状和实验室参数之间的关系.
主要成果:
- 在35.3%的住院患者中观察到低血症.
- 低血与重症监护室转移,机械通风和特定患者群体 (瘤学,移植接受者) 相相关.
- 在水平与各种临床症状和实验室标记之间发现的关联,包括血压,咳,胃肠道症状,血红素,淋巴细胞,pCO2,二碳酸盐,基过量,中性粒细胞与淋巴细胞的比率,血小板与淋巴细胞的比率和动脉血糖.
结论:
- 低血是COVID-19中不良结果的危险因素之一.
- 水平与COVID-19患者的人口,临床和实验室参数相关.
- 低血量是COVID-19管理中风险分层的一个有价值的工具.
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