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Correlation analysis between disease severity and inflammation-related parameters in patients with COVID-19: a retrospective study
Open accessPublished version of a preprint
Abstract
Background: COVID-19 is highly contagious, and the crude mortality rate could reach 49% in critical patients. Inflammation concerns on disease progression. This study analyzed blood inflammation indicators among mild, severe and critical patients, helping to identify severe or critical patients early. Methods: In this cross-sectional study, 100 patients were included and divided into mild, severe or critical groups according to disease condition. Correlation of peripheral blood inflammation-related indicators with disease criticality was analyzed. Cut-off values for critically ill patients were speculated through the ROC curve. Results: Significantly, disease severity was associated with age ( R = -0.564, P < 0.001), interleukin-2 receptor (IL2R) ( R = -0.534, P < 0.001), interleukin-6 (IL-6) ( R = -0.535, P < 0.001), interleukin-8 (IL-8) ( R = -0.308, P < 0.001), interleukin-10 (IL-10) ( R = -0.422, P < 0.001), tumor necrosis factor α (TNFα) ( R = -0.322, P < 0.001), C-reactive protein (CRP) ( R = -0.604, P < 0.001), ferroprotein ( R = -0.508, P < 0.001), procalcitonin ( R = -0.650, P < 0.001), white cell counts (WBC) ( R = -0.54, P < 0.001), lymphocyte counts (LC) ( R = 0.56, P < 0.001), neutrophil count (NC) ( R = -0.585, P < 0.001) and eosinophil counts (EC) ( R = 0.299, P < 0.001). With IL2R > 793.5 U/mL or CRP > 30.7 ng/mL, the progress of COVID-19 to critical stage should be closely observed and possibly prevented. Conclusions: Inflammation is closely related to severity of COVID-19, and IL-6 and TNFα might be promising therapeutic targets.
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Metadata
- Authors
- Gong, J., Dong, H., Xia, Q.-S., Huang, Z.-Y., Wang, D.-K., Zhao, Y., Liu, W.-H., Tu, S.-H., Zhang, M.-M., Wang, Q., & Lu, F.-E.
- Venue
- BMC Infectious Diseases
- Published
- 2020-12
- Volume
- 20
- Issue
- 1
- Pages
- 963-963
- ISSN
- 1471-2334 (ISSN-L)
- OpenAlex
- W3117854652
- Cited by
- 435
- References
- 12
- FWCI
- 11.89
- Type
- journal article
- Language
- en
- Open access
- gold
- Licence
- creativecommons.org/licenses/by/4.0/ (tdm)
- creativecommons.org/licenses/by/4.0/ (vor, 20 d)
- Funders
- National Natural Science Foundation of China (81904158)
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- Gong, J., Dong, H., Xia, Q.-S., Huang, Z.-Y., Wang, D.-K., Zhao, Y., Liu, W.-H., Tu, S.-H., Zhang, M.-M., Wang, Q., & Lu, F.-E. (2020). Correlation analysis between disease severity and inflammation-related parameters in patients with COVID-19: a retrospective study. BMC Infectious Diseases. https://doi.org/10.1186/s12879-020-05681-5
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