单位:[1]Department of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.华中科技大学同济医学院附属同济医院中医科中西医结合科[2]Institute of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.华中科技大学同济医学院附属同济医院中西医结合研究所中西医结合科[3]Clinical Research Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.华中科技大学同济医学院附属同济医院
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 alpha (TNF alpha) (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 TNF alpha might be promising therapeutic targets.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81904158, 81874382, 81974567]
第一作者单位:[1]Department of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
通讯作者:
推荐引用方式(GB/T 7714):
gong jing,dong hui,xia qing-song,et al.Correlation analysis between disease severity and inflammation-related parameters in patients with COVID-19: a retrospective study[J].BMC INFECTIOUS DISEASES.2020,20(1):doi:10.1186/s12879-020-05681-5.
APA:
gong,jing,dong,hui,xia,qing-song,huang,zhao-yi,wang,ding-kun...&lu,fu-er.(2020).Correlation analysis between disease severity and inflammation-related parameters in patients with COVID-19: a retrospective study.BMC INFECTIOUS DISEASES,20,(1)
MLA:
gong,jing,et al."Correlation analysis between disease severity and inflammation-related parameters in patients with COVID-19: a retrospective study".BMC INFECTIOUS DISEASES 20..1(2020)