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Analysis of Mortality in Patients With COVID-19: Clinical and Laboratory Parameters

BACKGROUND: Several reports on epidemiological and clinical features of the 2019 coronavirus disease (COVID-19) have been published. However, mortality and morbidity analyses, important for better understanding the pathogenesis of this disease, are scarce. We examine the clinical and laboratory feat...

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Autores principales: Tian, Sufang, Liu, Huan, Liao, Meiyan, Wu, Yingjie, Yang, Chunxiu, Cai, Yuxiang, Peng, Zhiyong, Xiao, Shu-Yuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7197556/
https://www.ncbi.nlm.nih.gov/pubmed/32457924
http://dx.doi.org/10.1093/ofid/ofaa152
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author Tian, Sufang
Liu, Huan
Liao, Meiyan
Wu, Yingjie
Yang, Chunxiu
Cai, Yuxiang
Peng, Zhiyong
Xiao, Shu-Yuan
author_facet Tian, Sufang
Liu, Huan
Liao, Meiyan
Wu, Yingjie
Yang, Chunxiu
Cai, Yuxiang
Peng, Zhiyong
Xiao, Shu-Yuan
author_sort Tian, Sufang
collection PubMed
description BACKGROUND: Several reports on epidemiological and clinical features of the 2019 coronavirus disease (COVID-19) have been published. However, mortality and morbidity analyses, important for better understanding the pathogenesis of this disease, are scarce. We examine the clinical and laboratory features of 14 patients who died of COVID-19. METHODS: The cohort consisted of 11 male and 3 female patients, with 9 patients aged 70 years or above, and nearly all had underlying diseases. RESULTS: Fever with bilateral pneumonia was the main manifestation. Most patients had consolidations combined with ground glass opacity (GGO) on chest computed tomography scan. Laboratory tests showed lymphocytopenia in 10 patients, high blood glucose in 11, GGT in 5 of the 14 patients, and high LDH in 5 of 6 patients tested. In addition, this cohort had high level of cytokines such as interleukin-6 in all 8 patients tested. CONCLUSIONS: The clinical and laboratory parameters in the cohort of fatal cases may be incorporated into future clinical prognosis models and will be of help in understanding the pathogenesis of this disease.
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spelling pubmed-71975562020-05-05 Analysis of Mortality in Patients With COVID-19: Clinical and Laboratory Parameters Tian, Sufang Liu, Huan Liao, Meiyan Wu, Yingjie Yang, Chunxiu Cai, Yuxiang Peng, Zhiyong Xiao, Shu-Yuan Open Forum Infect Dis Major Article BACKGROUND: Several reports on epidemiological and clinical features of the 2019 coronavirus disease (COVID-19) have been published. However, mortality and morbidity analyses, important for better understanding the pathogenesis of this disease, are scarce. We examine the clinical and laboratory features of 14 patients who died of COVID-19. METHODS: The cohort consisted of 11 male and 3 female patients, with 9 patients aged 70 years or above, and nearly all had underlying diseases. RESULTS: Fever with bilateral pneumonia was the main manifestation. Most patients had consolidations combined with ground glass opacity (GGO) on chest computed tomography scan. Laboratory tests showed lymphocytopenia in 10 patients, high blood glucose in 11, GGT in 5 of the 14 patients, and high LDH in 5 of 6 patients tested. In addition, this cohort had high level of cytokines such as interleukin-6 in all 8 patients tested. CONCLUSIONS: The clinical and laboratory parameters in the cohort of fatal cases may be incorporated into future clinical prognosis models and will be of help in understanding the pathogenesis of this disease. Oxford University Press 2020-04-29 /pmc/articles/PMC7197556/ /pubmed/32457924 http://dx.doi.org/10.1093/ofid/ofaa152 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Major Article
Tian, Sufang
Liu, Huan
Liao, Meiyan
Wu, Yingjie
Yang, Chunxiu
Cai, Yuxiang
Peng, Zhiyong
Xiao, Shu-Yuan
Analysis of Mortality in Patients With COVID-19: Clinical and Laboratory Parameters
title Analysis of Mortality in Patients With COVID-19: Clinical and Laboratory Parameters
title_full Analysis of Mortality in Patients With COVID-19: Clinical and Laboratory Parameters
title_fullStr Analysis of Mortality in Patients With COVID-19: Clinical and Laboratory Parameters
title_full_unstemmed Analysis of Mortality in Patients With COVID-19: Clinical and Laboratory Parameters
title_short Analysis of Mortality in Patients With COVID-19: Clinical and Laboratory Parameters
title_sort analysis of mortality in patients with covid-19: clinical and laboratory parameters
topic Major Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7197556/
https://www.ncbi.nlm.nih.gov/pubmed/32457924
http://dx.doi.org/10.1093/ofid/ofaa152
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