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尿酸水平对新型冠状病毒肺炎严重程度的影响

THE EFFECT OF URIC ACID LEVEL ON THE SEVERITY OF COVID-19.

作者信息

Aydin Bahat Kubra

机构信息

Department of Internal Medicine, Division of Nephrology, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.

出版信息

Acta Clin Croat. 2024 Oct;63(2):251-259. doi: 10.20471/acc.2024.63.02.1.

Abstract

Epidemiological and clinical features of COVID-19 have been reported, but risk factors need to be determined to predict the course of the disease. In our study, we aimed to determine the effect of uric acid level on the severity of the disease. COVID-19 patients who received inpatient treatment between March 11, 2020 and May 30, 2020, and whose uric acid level was measured were included in the study. Demographic characteristics, comorbidities, symptoms, clinical course, laboratory parameters, and treatments were recorded. The study included 83 patients, of these 43 (52%) were males. The mean age was 59±17.1 years. The mean uric acid and albumin levels of the patients who needed oxygen were lower than in those who did not need oxygen (p=0.471 and p=0.057, respectively). There was a significant relationship between the presence of hypouricemia and mortality (p=0.019). In addition, the mean uric acid levels of patients who needed intensive care or died were lower than the mean uric acid levels of patients who did not need intensive care or who lived (p=0.665 and p=0.241, respectively). Oxygen need, intensive care need, and low uric acid level were found to be associated with increased length of hospital stay (p=0.00, p=0.001, p=0.012, and r=-0.276, respectively). Our study results suggest that uric acid levels may be associated with disease severity in the course of COVID-19.

摘要

新型冠状病毒肺炎(COVID-19)的流行病学和临床特征已有报道,但仍需确定风险因素以预测疾病进程。在我们的研究中,我们旨在确定尿酸水平对疾病严重程度的影响。纳入了2020年3月11日至2020年5月30日期间接受住院治疗且测量了尿酸水平的COVID-19患者。记录了人口统计学特征、合并症、症状、临床病程、实验室参数和治疗情况。该研究包括83例患者,其中43例(52%)为男性。平均年龄为59±17.1岁。需要吸氧的患者的平均尿酸和白蛋白水平低于不需要吸氧的患者(分别为p=0.471和p=0.057)。低尿酸血症的存在与死亡率之间存在显著关系(p=0.019)。此外,需要重症监护或死亡的患者的平均尿酸水平低于不需要重症监护或存活的患者(分别为p=0.665和p=0.241)。发现需要吸氧、需要重症监护和低尿酸水平与住院时间延长相关(分别为p=0.00、p=0.001、p=0.012,r=-0.276)。我们的研究结果表明,在COVID-19病程中尿酸水平可能与疾病严重程度相关。

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本文引用的文献

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COULD COVID-19 BE A HEMOGLOBINOPATHY?COVID-19 可能是一种血红蛋白病吗?
Acta Clin Croat. 2020 Dec;59(4):740-744. doi: 10.20471/acc.2020.59.04.21.
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Children Hospitalized With Severe COVID-19 in Wuhan.武汉因 COVID-19 住院的儿童。
Pediatr Infect Dis J. 2020 Jul;39(7):e91-e94. doi: 10.1097/INF.0000000000002739.

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