多国CRIT-COV-U研究中的急性COVID-19幸存者的死亡风险和尿路蛋白质组变化
Justyna Siwy1, Felix Keller2, Mirosław Banasik3
1Mosaiques Diagnostics GmbH, 30659 Hannover, Germany.
Biomedicines
|September 28, 2024
概括
后COVID-19患者面临高达一年的死亡风险增加,特别是年轻人. 尿可以预测这种增加的死亡风险,有助于长期COVID的个性化干预.
科学领域:
- 传染性疾病 传染性疾病
- 腎臟病學 (nephrology) 是一種醫學.
- 生物标志物 生物标志物
背景情况:
- 在SARS-CoV-2感染后的生存是复杂的,受年龄,健康和严重程度的影响.
- 除了急性COVID-19之外的死亡风险需要详细调查.
研究的目的:
- 在CRIT-COV-U队列中调查后急性COVID-19患者的死亡风险.
- 确定与SARS-CoV-2感染后的长期死亡率相关的尿.
主要方法:
- 分析了截至2023年12月的651名急性后COVID-19患者的生存数据.
- 将死亡率趋势与年龄和性别匹配的对照进行了比较.
- 开发并验证了使用尿的死亡预测分类器 (DP201).
主要成果:
- 13.98%的COVID-19后患者在随访期间死亡,超过对照组的死亡率.
- 感染SARS-CoV-2显著增加了感染后长达一年的死亡风险,特别是在65岁以下的人群中.
- 确定了201种与死亡相关的尿,并纳入DP201分类器;较高的得分预测死亡.
结论:
- 一个基于的分类器显示了急性COVID-19后死亡率的显著预测价值.
- 尿可以改善COVID-19后患者的风险分层和个性化干预措施.
- 应认识到死亡率是SARS-CoV-2感染的潜在后果.
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