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Risk factors for death in 1859 subjects with COVID-19
We studied 1859 subjects with confirmed COVID-19 from seven centers in Wuhan 1651 of whom recovered and 208 died. We interrogated diverse covariates for correlations with risk of death from COVID-19. In multi-variable Cox regression analyses increased hazards of in-hospital death were associated wit...
Autores principales: | , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296516/ https://www.ncbi.nlm.nih.gov/pubmed/32546725 http://dx.doi.org/10.1038/s41375-020-0911-0 |
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author | Chen, Lei Yu, Jianming He, Wenjuan Chen, Li Yuan, Guolin Dong, Fang Chen, Wenlan Cao, Yulin Yang, Jingyan Cai, Liling Wu, Di Ran, Qijie Li, Lei Liu, Qiaomei Ren, Wenxiang Gao, Fei Wang, Hongxiang Chen, Zhichao Gale, Robert Peter Li, Qiubai Hu, Yu |
author_facet | Chen, Lei Yu, Jianming He, Wenjuan Chen, Li Yuan, Guolin Dong, Fang Chen, Wenlan Cao, Yulin Yang, Jingyan Cai, Liling Wu, Di Ran, Qijie Li, Lei Liu, Qiaomei Ren, Wenxiang Gao, Fei Wang, Hongxiang Chen, Zhichao Gale, Robert Peter Li, Qiubai Hu, Yu |
author_sort | Chen, Lei |
collection | PubMed |
description | We studied 1859 subjects with confirmed COVID-19 from seven centers in Wuhan 1651 of whom recovered and 208 died. We interrogated diverse covariates for correlations with risk of death from COVID-19. In multi-variable Cox regression analyses increased hazards of in-hospital death were associated with several admission covariates: (1) older age (HR = 1.04; 95% Confidence Interval [CI], 1.03, 1.06 per year increase; P < 0.001); (2) smoking (HR = 1.84 [1.17, 2.92]; P = 0.009); (3) admission temperature per °C increase (HR = 1.32 [1.07, 1.64]; P = 0.009); (4) Log(10) neutrophil-to-lymphocyte ratio (NLR; HR = 3.30 [2.10, 5.19]; P < 0.001); (5) platelets per 10 E + 9/L decrease (HR = 0.996 [0.994, 0.998]; P = 0.001); (6) activated partial thromboplastin (aPTT) per second increase (HR = 1.04 [1.02, 1.05]; P < 0.001); (7) Log(10) D-dimer per mg/l increase (HR = 3.00 [2.17, 4.16]; P < 0.001); and (8) Log(10) serum creatinine per μmol/L increase (HR = 4.55 [2.72, 7.62]; P < 0.001). In piecewise linear regression analyses Log(10)NLR the interval from ≥0.4 to ≤1.0 was significantly associated with an increased risk of death. Our data identify covariates associated with risk of in hospital death in persons with COVID-19. |
format | Online Article Text |
id | pubmed-7296516 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-72965162020-06-16 Risk factors for death in 1859 subjects with COVID-19 Chen, Lei Yu, Jianming He, Wenjuan Chen, Li Yuan, Guolin Dong, Fang Chen, Wenlan Cao, Yulin Yang, Jingyan Cai, Liling Wu, Di Ran, Qijie Li, Lei Liu, Qiaomei Ren, Wenxiang Gao, Fei Wang, Hongxiang Chen, Zhichao Gale, Robert Peter Li, Qiubai Hu, Yu Leukemia Article We studied 1859 subjects with confirmed COVID-19 from seven centers in Wuhan 1651 of whom recovered and 208 died. We interrogated diverse covariates for correlations with risk of death from COVID-19. In multi-variable Cox regression analyses increased hazards of in-hospital death were associated with several admission covariates: (1) older age (HR = 1.04; 95% Confidence Interval [CI], 1.03, 1.06 per year increase; P < 0.001); (2) smoking (HR = 1.84 [1.17, 2.92]; P = 0.009); (3) admission temperature per °C increase (HR = 1.32 [1.07, 1.64]; P = 0.009); (4) Log(10) neutrophil-to-lymphocyte ratio (NLR; HR = 3.30 [2.10, 5.19]; P < 0.001); (5) platelets per 10 E + 9/L decrease (HR = 0.996 [0.994, 0.998]; P = 0.001); (6) activated partial thromboplastin (aPTT) per second increase (HR = 1.04 [1.02, 1.05]; P < 0.001); (7) Log(10) D-dimer per mg/l increase (HR = 3.00 [2.17, 4.16]; P < 0.001); and (8) Log(10) serum creatinine per μmol/L increase (HR = 4.55 [2.72, 7.62]; P < 0.001). In piecewise linear regression analyses Log(10)NLR the interval from ≥0.4 to ≤1.0 was significantly associated with an increased risk of death. Our data identify covariates associated with risk of in hospital death in persons with COVID-19. Nature Publishing Group UK 2020-06-16 2020 /pmc/articles/PMC7296516/ /pubmed/32546725 http://dx.doi.org/10.1038/s41375-020-0911-0 Text en © The Author(s), under exclusive licence to Springer Nature Limited 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Article Chen, Lei Yu, Jianming He, Wenjuan Chen, Li Yuan, Guolin Dong, Fang Chen, Wenlan Cao, Yulin Yang, Jingyan Cai, Liling Wu, Di Ran, Qijie Li, Lei Liu, Qiaomei Ren, Wenxiang Gao, Fei Wang, Hongxiang Chen, Zhichao Gale, Robert Peter Li, Qiubai Hu, Yu Risk factors for death in 1859 subjects with COVID-19 |
title | Risk factors for death in 1859 subjects with COVID-19 |
title_full | Risk factors for death in 1859 subjects with COVID-19 |
title_fullStr | Risk factors for death in 1859 subjects with COVID-19 |
title_full_unstemmed | Risk factors for death in 1859 subjects with COVID-19 |
title_short | Risk factors for death in 1859 subjects with COVID-19 |
title_sort | risk factors for death in 1859 subjects with covid-19 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296516/ https://www.ncbi.nlm.nih.gov/pubmed/32546725 http://dx.doi.org/10.1038/s41375-020-0911-0 |
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