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肿瘤COVID-19患者与非肿瘤COVID-19住院患者的人口统计学、临床实验室参数及结局评估

Evaluation of the Demographics, Clinical Laboratory Parameters, and Outcomes of Hospitalized Oncological Versus Non-oncological COVID-19 Patients.

作者信息

Georgescu Ilona, Artene Stefan Alexandru, Giubelan Lucian-Ion, Tache Daniela Elise, Dumitrescu Florentina, Duta Carmen, Mirea Adina Andreea, Manea Carneluti Elena-Victoria, Dricu Anica, Popescu Oana Stefana

机构信息

Biochemistry, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Craiova, ROU.

Infectious Diseases, "Victor Babeş" Clinical Hospital of Infectious Diseases and Pneumo-phtisiology, Craiova, ROU.

出版信息

Cureus. 2024 Nov 9;16(11):e73313. doi: 10.7759/cureus.73313. eCollection 2024 Nov.

Abstract

Introduction The COVID-19 pandemic emerged globally in 2019, exposing healthcare vulnerabilities. This study delves into the impact of COVID-19 on cancer patients, a high-risk group with increased susceptibility and mortality rates. Recent research underscores cancer patients' vulnerability to severe disease, often due to compromised immunity. Materials and methods This retrospective study analyzed data from 474 adult COVID-19 patients, admitted between March 2020 and July 2023. Patients were categorized into two groups: those with a medically recorded oncological disease (237) and those without any malignant history (237). Demographic and hematologic analysis aim to unveil COVID-19 impact on individuals with cancer history. Results Statistically significant differences in blood parameters highlighted distinctions, with cancer patients exhibiting higher creatinine, leukocyte, and D Dimers levels as well as lower hemoglobin, neutrophile, lymphocyte, and Serum Glutamate-Pyruvate Transaminase (SGPT) levels. Non-significant differences in certain parameters prompted a nuanced exploration of metabolic and coagulation variations. Conclusion This study unveils global COVID-19 effects on cancer patients, emphasizing clinical and laboratory differences. Findings underscore the imperative need for targeted interventions and enhanced support for cancer patients during the pandemic. Study limitations stress careful interpretation, urging further exploration of COVID-19 and cancer interplay.

摘要

引言 2019年,新冠疫情在全球爆发,暴露出医疗保健方面的脆弱性。本研究深入探讨新冠疫情对癌症患者的影响,这是一个易感性和死亡率增加的高危群体。近期研究强调了癌症患者因免疫力受损往往易患重症。

材料与方法 这项回顾性研究分析了2020年3月至2023年7月期间收治的474例成年新冠患者的数据。患者分为两组:有医学记录的肿瘤疾病患者(237例)和无任何恶性病史的患者(237例)。人口统计学和血液学分析旨在揭示新冠疫情对有癌症病史个体的影响。

结果 血液参数的统计学显著差异突出了不同之处,癌症患者的肌酐、白细胞和D-二聚体水平较高,而血红蛋白、中性粒细胞、淋巴细胞和血清谷丙转氨酶(SGPT)水平较低。某些参数的非显著差异促使对代谢和凝血变化进行细致探究。

结论 本研究揭示了新冠疫情对癌症患者的全球影响,强调了临床和实验室差异。研究结果强调了在疫情期间针对癌症患者进行有针对性干预和加强支持的迫切需要。研究局限性强调需谨慎解读,敦促进一步探索新冠疫情与癌症之间的相互作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bf3/11626416/47e12696ef87/cureus-0016-00000073313-i01.jpg

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