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重症 COVID-19 患者的维生素 D 状态与血型

Vitamin D status and blood group among severe COVID-19 patients.

作者信息

Aryafar Mohamad, Gholami Farshid, Bozorgmehr Rama

机构信息

Department of Anesthesiology, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University.

Clinical Research Development Unit, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Ann Med Surg (Lond). 2023 Jul 26;85(9):4262-4267. doi: 10.1097/MS9.0000000000000955. eCollection 2023 Sep.

DOI:10.1097/MS9.0000000000000955
PMID:37663733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10473361/
Abstract

OBJECTIVE

Prognosis of COVID-19 infection has been indicated to be associated with vitamin D status and ABO blood group. However, owing to discrepancies and an increased number of cases globally, the findings remain unclear. This study aimed to evaluate the association between vitamin D and ABO blood group systems in patients with severe COVID-19.

METHODS

In this cross-sectional study, COVID-19 patients referred to two hospitals in the capital of Iran, Tehran, admitted to the ICU ward due to the severity of COVID-19 were evaluated. Serum vitamin D and ABO levels were evaluated in these patients. The data obtained were statistically analyzed using SPSSv24.

RESULTS

Of 305 patients, 33.1% patients had O+ blood type, 27.8% had A+ blood type and 22.4% had B+ blood type. Vitamin D deficiency was significantly associated with a mortality rate among these patients, <0.05. The blood group of the patients was not correlated with mortality. Thirty-seven percent of the patients in the study died because of COVID-19.

CONCLUSION

In our study population, mortality due to COVID-19 was significantly associated with vitamin D deficiency but not the ABO blood group. We recommend further studies in this regard that include more variable and detailed biochemical analysis.

摘要

目的

已有研究表明,新型冠状病毒肺炎(COVID-19)感染的预后与维生素D水平和ABO血型有关。然而,由于全球范围内研究结果存在差异且病例数不断增加,这些发现仍不明确。本研究旨在评估重症COVID-19患者中维生素D与ABO血型系统之间的关联。

方法

在这项横断面研究中,对转诊至伊朗首都德黑兰两家医院、因COVID-19病情严重而入住重症监护病房的患者进行了评估。对这些患者的血清维生素D水平和ABO血型进行了评估。使用SPSSv24对获得的数据进行统计学分析。

结果

在305例患者中,33.1%为O+血型,27.8%为A+血型,22.4%为B+血型。维生素D缺乏与这些患者的死亡率显著相关,P<0.05。患者的血型与死亡率无关。本研究中37%的患者死于COVID-19。

结论

在我们的研究人群中,COVID-19导致的死亡与维生素D缺乏显著相关,但与ABO血型无关。我们建议在这方面开展进一步研究,包括更具变量性和详细的生化分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff8/10473361/bda9d084d966/ms9-85-4262-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff8/10473361/bda9d084d966/ms9-85-4262-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff8/10473361/bda9d084d966/ms9-85-4262-g001.jpg

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本文引用的文献

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Pharmaceuticals (Basel). 2023 Jan 16;16(1):130. doi: 10.3390/ph16010130.
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STROCSS 2021: Strengthening the reporting of cohort, cross-sectional and case-control studies in surgery.STROCSS 2021:加强外科学队列研究、横断面研究和病例对照研究报告规范。
Int J Surg. 2021 Dec;96:106165. doi: 10.1016/j.ijsu.2021.106165. Epub 2021 Nov 11.
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ABO blood group and risk of COVID-19 infection and complications: A systematic review and meta-analysis.
ABO血型与2019冠状病毒病感染及并发症风险:一项系统评价与荟萃分析
Transfusion. 2022 Feb;62(2):493-505. doi: 10.1111/trf.16748. Epub 2021 Nov 19.
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Can the Cytokine Profile According to ABO Blood Groups Be Related to Worse Outcome in COVID-19 Patients? Yes, They Can.根据 ABO 血型的细胞因子谱与 COVID-19 患者的预后更差有关吗?是的,它们有关。
Front Immunol. 2021 Oct 13;12:726283. doi: 10.3389/fimmu.2021.726283. eCollection 2021.
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Using new technicque in sigmoid volvulus surgery in patients affected by COVID19.在感染新冠病毒19的患者中,将新技术应用于乙状结肠扭转手术。
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Evaluating characteristics associated with the mortality among invasive ventilation COIVD -19 patients.评估有创通气的新冠病毒肺炎患者死亡相关特征。
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The association of ABO blood group with the asymptomatic COVID-19 cases in India.印度ABO血型与无症状新冠肺炎病例的关联。
Transfus Apher Sci. 2021 Dec;60(6):103224. doi: 10.1016/j.transci.2021.103224. Epub 2021 Jul 30.
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