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10.1002/jmv.26039

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32437016!7280697!32437016
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suck abstract from ncbi


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pmid32437016      J+Med+Virol 2020 ; 92 (11): 2536-2542
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  • Obesity predisposes to the risk of higher mortality in young COVID-19 patients #MMPMID32437016
  • Zhang F; Xiong Y; Wei Y; Hu Y; Wang F; Li G; Liu K; Du R; Wang CY; Zhu W
  • J Med Virol 2020[Nov]; 92 (11): 2536-2542 PMID32437016show ga
  • Although emerging data demonstrated mortality of young COVID-19 patients, no data have reported the risk factors of mortality for these young patients, and whether obesity is a risk for young COVID-19 patients remains unknown. We conducted a retrospective study including 13 young patients who died of COVID-19 and 40 matched survivors. Logistic regression was employed to characterize the risk factors of mortality in young obese COVID-19 patients. Most of the young deceased COVID-19 patients were mild cases at the time of admission, but the disease progressed rapidly featured by a higher severity of patchy shadows (100.00% vs 48.70%; P = .006), pleural thickening (61.50% vs 12.80%; P = .012), and mild pericardial effusion (76.90% vs 0.00%; P < .001). Most importantly, the deceased patients manifested higher body mass index (odds ratio [OR] = 1.354; 95% confidence interval [CI] = 1.075-1.704; P = .010), inflammation-related index C-reactive protein (OR = 1.014; 95% CI = 1.003-1.025; P = .014), cardiac injury biomarker hs-cTnI (OR = 1.420; 95% CI = 1.112-1.814; P = .005), and increased coagulation activity biomarker D-dimer (OR = 418.7; P = .047), as compared with that of survivors. Our data support that obesity could be a risk factor associated with high mortality in young COVID-19 patients, whereas aggravated inflammatory response, enhanced cardiac injury, and increased coagulation activity are likely to be the mechanisms contributing to the high mortality.
  • |*Body Mass Index[MESH]
  • |*Disease Progression[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Age Factors[MESH]
  • |COVID-19/diagnostic imaging/*mortality[MESH]
  • |China[MESH]
  • |Disease Susceptibility[MESH]
  • |Female[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Inflammation/virology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Obesity/*complications[MESH]
  • |Odds Ratio[MESH]
  • |Prognosis[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Factors[MESH]
  • |Tomography, X-Ray Computed[MESH]


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