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葡萄糖-6-磷酸脱氢酶缺乏症是否与住院 COVID-19 患者的严重结局相关?

Is glucose-6-phosphatase dehydrogenase deficiency associated with severe outcomes in hospitalized COVID-19 patients?

机构信息

Royal College of Surgeons in Ireland, Busaiteen, Bahrain.

Mohammed Bin Khalifa Cardiac Centre, Manama, Bahrain.

出版信息

Sci Rep. 2021 Sep 28;11(1):19213. doi: 10.1038/s41598-021-98712-3.

Abstract

Glucose-6-phosphate dehydrogenase deficiency (G6PDd) is known to suppress the antioxidant system and is likely to aggravate severity of COVID-19, which results in a pro-oxidant response. This possible association has not been explored adequately in human studies. In this research, we report that the occurrence of non-invasive ventilation, intubation or death-all of which are indicative of severe COVID-19, are not significantly different in hospitalized COVID-19 patients with and without G6PDd (4.6 vs. 6.4%, p = 0.33). The likelihood of developing any of these severe outcomes were slightly lower in patients with G6PDd after accounting for age, nationality, presence of comorbidities and drug interventions (Odds ratio 0.40, 95% confidence intervals 0.142, 1.148). Further investigation that extends to both, hospitalized and non-hospitalized COVID-19 patients, is warranted to study this potential association.

摘要

葡萄糖-6-磷酸脱氢酶缺乏症(G6PDd)已知会抑制抗氧化系统,并可能加重 COVID-19 的严重程度,导致氧化应激反应。这种可能的关联在人类研究中尚未得到充分探讨。在这项研究中,我们报告称,在接受住院治疗的 COVID-19 患者中,发生无创通气、插管或死亡(均表明 COVID-19 严重程度)的情况在有和没有 G6PDd 的患者中没有显著差异(4.6% vs. 6.4%,p=0.33)。在考虑了年龄、国籍、合并症存在和药物干预等因素后,G6PDd 患者出现这些严重结局的可能性略低(比值比 0.40,95%置信区间 0.142,1.148)。需要进一步对住院和非住院 COVID-19 患者进行调查,以研究这种潜在的关联。

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