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预测 SARS-CoV-2 引起的 COVID-19 肺炎患者死亡率的前瞻性队列研究。

Predictors of mortality for patients with COVID-19 pneumonia caused by SARS-CoV-2: a prospective cohort study.

机构信息

Dept of Respiratory and Critical Care Medicine, Wuhan Pulmonary Hospital, Wuhan, China.

These authors contributed equally.

出版信息

Eur Respir J. 2020 May 7;55(5). doi: 10.1183/13993003.00524-2020. Print 2020 May.

Abstract

The aim of this study was to identify factors associated with the death of patients with COVID-19 pneumonia caused by the novel coronavirus SARS-CoV-2.All clinical and laboratory parameters were collected prospectively from a cohort of patients with COVID-19 pneumonia who were hospitalised to Wuhan Pulmonary Hospital (Wuhan City, Hubei Province, China) between 25 December 2019 and 7 February 2020. Univariate and multivariate logistic regression analysis revealed that age ≥65 years (OR 3.765, 95% CI 1.146–17.394; p=0.023), pre-existing concurrent cardiovascular or cerebrovascular diseases (OR 2.464, 95% CI 0.755–8.044; p=0.007), CD3+CD8+ T-cells ≤75 cells·μL−1 (OR 3.982, 95% CI 1.132–14.006; p<0.001) and cardiac troponin I ≥0.05 ng·mL−1 (OR 4.077, 95% CI 1.166–14.253; p<0.001) were associated with an increase in risk of mortality from COVID-19 pneumonia.” has been corrected to: “Univariate and multivariate logistic regression analysis revealed that age ≥65 years (OR 3.765, 95% CI 1.201−11.803; p=0.023), pre-existing concurrent cardiovascular or cerebrovascular diseases (OR 2.464, 95% CI 1.279−4.747; p=0.007), CD3+CD8+ T-cells ≤75 cells·μL−1 (OR 3.982, 95% CI 1.761–9.004; p<0.001) and cardiac troponin I ≥0.05 ng·mL−1 (OR 4.077, 95% CI 1.778–9.349; p<0.001) were associated with an increase in risk of mortality from COVID-19 pneumonia. In a sex-, age- and comorbid illness-matched case-control study, CD3CD8 T-cells ≤75 cells·μL and cardiac troponin I ≥0.05 ng·mL remained as predictors for high mortality from COVID-19 pneumonia.We identified four risk factors: age ≥65 years, pre-existing concurrent cardiovascular or cerebrovascular diseases, CD3CD8 T-cells ≤75 cells·μL and cardiac troponin I ≥0.05 ng·mL The latter two factors, especially, were predictors for mortality of COVID-19 pneumonia patients.

摘要

这项研究的目的是确定与由新型冠状病毒 SARS-CoV-2 引起的 COVID-19 肺炎患者死亡相关的因素。所有临床和实验室参数均前瞻性地从 2019 年 12 月 25 日至 2020 年 2 月 7 日期间在武汉肺科医院(中国湖北省武汉市)住院的 COVID-19 肺炎患者队列中收集。单变量和多变量逻辑回归分析显示,年龄≥65 岁(OR 3.765,95%CI 1.146-17.394;p=0.023)、预先存在的并发心血管或脑血管疾病(OR 2.464,95%CI 0.755-8.044;p=0.007)、CD3+CD8+T 细胞≤75 cells·μL-1(OR 3.982,95%CI 1.132-14.006;p<0.001)和肌钙蛋白 I≥0.05 ng·mL-1(OR 4.077,95%CI 1.166-14.253;p<0.001)与 COVID-19 肺炎死亡风险增加相关。

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