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Pearson’s patterns correlational of clinical risks at admissions with hospitalization outcomes during initial COVID-19 outbreak

COVID-19 outbreaks have crushed our healthcare systems, which requires clinical guidance for the healthcare following the outbreaks. We conducted retrospective cohort studies with Pearson’s pattern-based analysis of clinical parameters of 248 hospitalized patients with COVID-19. We found that dysreg...

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Detalles Bibliográficos
Autores principales: Li, Jingwen, Long, Xi, Zhang, Qing, Fang, Xi, Luo, Huiling, Fang, Fang, Lv, Xuefei, Zhang, Dandan, Sun, Yu, Li, Na, Hu, Shaoping, Li, Jinghong, Xiong, Nian, Lin, Zhicheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9113760/
https://www.ncbi.nlm.nih.gov/pubmed/35600840
http://dx.doi.org/10.1016/j.isci.2022.104415
Descripción
Sumario:COVID-19 outbreaks have crushed our healthcare systems, which requires clinical guidance for the healthcare following the outbreaks. We conducted retrospective cohort studies with Pearson’s pattern-based analysis of clinical parameters of 248 hospitalized patients with COVID-19. We found that dysregulated neutrophil densities were correlated with hospitalization duration before death (p = 0.000066, r = −0.45 for % neutrophil; p = 0.0001, r = −0.47 for neutrophil count). As such, high neutrophil densities were associated with mortality (p = 4.23 × 10(−31) for % neutrophil; p = 4.14 × 10(−27) for neutrophil count). These findings were further illustrated by a representative “second week crash” pattern and validated by an independent cohort (p = 5.98 × 10(−11) for % neutrophil; p = 1.65 × 10(−7) for neutrophil count). By contrast, low aspartate aminotransferase (AST) or lactate dehydrogenase (LDH) levels were correlated with quick recovery (p ≤ 0.00005). Collectively, these correlational at-admission findings may provide healthcare guidance for patients with COVID-19 in the absence of targeted therapy.