Department of Clinical Pathology, Henan Provincial People's Hospital, Department of Clinical Pathology of Central China Fuwai Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Department of Clinical Microbiology, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Medicine (Baltimore). 2023 Jul 21;102(29):e34325. doi: 10.1097/MD.0000000000034325.
This study investigated the clinical characteristics and risk factors of coronavirus disease 2019 (COVID-19) in patients in designated hospitals (Port Hospital) in the Henan province. A total of 391 COVID-19 patients with complete case information from August 6, 2021 to February 26, 2022 were selected. Logistic regression was used to analyze the differences between the clinical types, ages, and sex of the patients. Multivariate regression analysis of the severe group indicated that underlying diseases [odds ratio (OR):6.76, 95% confidence interval (CI):1.83-24.93], increased urea levels (OR: 1.41, 95% CI: 1.04-1.91), old age (OR: 1.05, 95% CI: 1.00-1.10), and increased lactic dehydrogenase (OR: 1.02, 95% CI: 1.01-1.03) levels and decreased hemoglobin (OR: 0.95, 95% CI: 0.91-1.00) levels were predictors of illness severity. Multivariate regression analysis for those > 50 years of age showed that underlying diseases (OR: 7.06, 95% CI: 2.79-17.89) and increased urea (OR: 1.91, 95% CI: 1.47-2.48), total bilirubin (OR: 1.14, 95% CI: 1.08-1.21), total protein (OR: 1.08, 95% CI: 1.00-1.17), and lactic dehydrogenase (OR: 1.01, 95% CI: 1.00-1.02) levels and decreased albumin (OR: 0.66, 95% CI: 0.58-0.76) levels were characteristics of COVID-19. Multivariate regression analysis stratified by sex showed that the characteristics of COVID-19 patients were increased white blood cell count in males (OR: 0.66, 95% CI: 0.55-0.78) as well as increased creatinine levels (OR: 0.89, 95% CI: 0.87-0.91). This retrospective analysis provides useful information to support the clinical management of patients with COVID-19.
这项研究调查了河南省指定医院(港口医院) COVID-19 患者的临床特征和危险因素。从 2021 年 8 月 6 日至 2022 年 2 月 26 日,共选择了 391 名具有完整病例信息的 COVID-19 患者。采用逻辑回归分析患者的临床类型、年龄和性别差异。对重症组进行多变量回归分析表明,基础疾病[比值比(OR):6.76,95%置信区间(CI):1.83-24.93]、尿素水平升高(OR:1.41,95%CI:1.04-1.91)、年龄较大(OR:1.05,95%CI:1.00-1.10)和乳酸脱氢酶水平升高(OR:1.02,95%CI:1.01-1.03)以及血红蛋白水平降低(OR:0.95,95%CI:0.91-1.00)是疾病严重程度的预测因素。对>50 岁人群的多变量回归分析表明,基础疾病(OR:7.06,95%CI:2.79-17.89)和尿素升高(OR:1.91,95%CI:1.47-2.48)、总胆红素(OR:1.14,95%CI:1.08-1.21)、总蛋白(OR:1.08,95%CI:1.00-1.17)和乳酸脱氢酶水平升高(OR:1.01,95%CI:1.00-1.02)以及白蛋白水平降低(OR:0.66,95%CI:0.58-0.76)是 COVID-19 的特征。按性别分层的多变量回归分析表明,COVID-19 男性患者的特征是白细胞计数升高(OR:0.66,95%CI:0.55-0.78)和肌酐水平升高(OR:0.89,95%CI:0.87-0.91)。这项回顾性分析提供了有用的信息,为 COVID-19 患者的临床管理提供支持。