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中国扬州地区 COVID-19 患者低钾血症的评估及其临床预后

Assessment of hypokalemia and clinical prognosis in Patients with COVID-19 in Yangzhou, China.

机构信息

Department of Critical Care Medicine, Affiliated Hospital of Jiangsu University, Zhenjiang, People's Republic of China.

Institute of Digestive Diseases, Jiangsu University, Zhenjiang, People's Republic of China.

出版信息

PLoS One. 2022 Jul 8;17(7):e0271132. doi: 10.1371/journal.pone.0271132. eCollection 2022.

Abstract

BACKGROUND

Hypokalemia is a frequent electrolyte imbalance in patients with COVID-19. The aim of this study was to estimate the association between hypokalemia and clinical prognosis in patients with moderate COVID-19.

METHODS

A single-center, retrospective, observational study was conducted on 81 non-ICU admitted patients with moderate COVID-19 according to the criteria issued by the Chinese Health Bureau in the Third People's Hospital of Yangzhou (Northern Jiangsu People's Hospital New District Branch) from 4th to 25th August 2021. The demographic, clinical, and laboratory data were reviewed and collected, then the correlation between hypokalemia and prognosis was determined.

RESULTS

The level of serum potassium of patients ranged from 2.80 mmol/L to 4.70 mmol/L. Hypokalemia was detected in 39 out of the 81 included patients (48.15%) during hospitalization. Patients with hypokalemia had prolonged days of negative nucleic acid conversion and hospital stay. Correlation analysis showed that the level of serum potassium was negatively correlated with days of negative nucleic acid conversion and length of hospital stay. Bivariate logistic regression analysis proved that hypokalemia was a risk factor for prolonged hospital stay in patients with moderate COVID-19.

CONCLUSION

Hypokalemia was prevalent in patients with moderate COVID-19 in Yangzhou, China. Hypokalemia was associated with the prolonged hospital stay in patients with moderate COVID-19.

摘要

背景

低钾血症是 COVID-19 患者常见的电解质失衡。本研究旨在评估低钾血症与中度 COVID-19 患者临床预后的关系。

方法

2021 年 8 月 4 日至 25 日,在扬州第三人民医院(苏北人民医院新区分院)按照中国卫健委发布的标准,对 81 例非 ICU 收治的中度 COVID-19 患者进行了单中心、回顾性、观察性研究。回顾和收集了患者的人口统计学、临床和实验室数据,然后确定低钾血症与预后的相关性。

结果

患者血清钾水平在 2.80mmol/L 至 4.70mmol/L 之间。在 81 例纳入患者中,有 39 例(48.15%)在住院期间出现低钾血症。低钾血症患者的核酸转阴天数和住院时间延长。相关性分析显示,血清钾水平与核酸转阴天数和住院时间呈负相关。二元逻辑回归分析证明,低钾血症是中度 COVID-19 患者住院时间延长的危险因素。

结论

中国扬州中度 COVID-19 患者中低钾血症较为常见。低钾血症与中度 COVID-19 患者住院时间延长有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a61/9269409/dbae31a25b54/pone.0271132.g001.jpg

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