Santos-Silva Miguel A, Sousa Nuno, Sousa João Carlos
Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Campus Gualtar, 4750-057 Braga, Portugal.
Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Campus Gualtar, 4805-017 Braga, Portugal.
J Clin Med. 2021 Nov 19;10(22):5411. doi: 10.3390/jcm10225411.
Anemia and inflammation are common clinical conditions in emergency departments. This study explored a cohort of patients admitted to the emergency department with a particular interest in determining the frequency of anemia and inflammation and the association between hemoglobin (Hb) and C-reactive protein (CRP) concentrations. The study included 125 patients categorized according to their demographic (gender and age) and clinical condition (Hb and CRP concentrations, pathological background, and diagnostic). We found that anemia and inflammation were simultaneously present in 36.0% of the cohort, reaching 67.0% in patients that were subsequently hospitalized. The Hb level was significantly lower in patients with elevated concentration of CRP when compared to individuals with normal CRP levels (11.58 ± 2.23 vs. 13.25 ± 1.80, = 0.001); furthermore, we found a significantly negative correlation between Hb concentration and the CRP level (rs = -0.42, < 0.001). The linear regression model applied to the cohort showed that CRP levels explain 15% of Hb variations. The sensitivity of the CRP/Hb ratio (cut-off = 1.32) as a predictor of hospitalization was 80.0%, with a specificity of 68.4% for all patients. These findings confirmed the prevalence of anemia and inflammation and identified a moderate but significant association between Hb and serum CRP in a heterogeneous group of patients admitted to the emergency department.
贫血和炎症是急诊科常见的临床病症。本研究对一组急诊科收治的患者进行了探究,特别关注确定贫血和炎症的发生率以及血红蛋白(Hb)与C反应蛋白(CRP)浓度之间的关联。该研究纳入了125例患者,这些患者根据其人口统计学特征(性别和年龄)以及临床状况(Hb和CRP浓度、病理背景和诊断结果)进行分类。我们发现,该队列中有36.0%的患者同时存在贫血和炎症,在随后住院的患者中这一比例达到67.0%。与CRP水平正常的个体相比,CRP浓度升高的患者Hb水平显著更低(11.58±2.23 vs. 13.25±1.80,P = 0.001);此外,我们发现Hb浓度与CRP水平之间存在显著的负相关(rs = -0.42,P < 0.001)。应用于该队列的线性回归模型显示,CRP水平可解释15%的Hb变化。CRP/Hb比值(临界值 = 1.32)作为住院预测指标的敏感度为80.0%,对所有患者的特异度为68.4%。这些研究结果证实了贫血和炎症的普遍性,并在一组急诊科收治的异质性患者中确定了Hb与血清CRP之间存在中度但显著的关联。