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10.1002/jmv.26050

http://scihub22266oqcxt.onion/10.1002/jmv.26050
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32441789!7280666!32441789
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suck abstract from ncbi


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pmid32441789      J+Med+Virol 2020 ; 92 (10): 1875-1883
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  • Predictors of mortality in hospitalized COVID-19 patients: A systematic review and meta-analysis #MMPMID32441789
  • Tian W; Jiang W; Yao J; Nicholson CJ; Li RH; Sigurslid HH; Wooster L; Rotter JI; Guo X; Malhotra R
  • J Med Virol 2020[Oct]; 92 (10): 1875-1883 PMID32441789show ga
  • Mortality rates of coronavirus disease-2019 (COVID-19) continue to rise across the world. Information regarding the predictors of mortality in patients with COVID-19 remains scarce. Herein, we performed a systematic review of published articles, from 1 January to 24 April 2020, to evaluate the risk factors associated with mortality in COVID-19. Two investigators independently searched the articles and collected the data, in accordance with PRISMA guidelines. We looked for associations between mortality and patient characteristics, comorbidities, and laboratory abnormalities. A total of 14 studies documenting the outcomes of 4659 patients were included. The presence of comorbidities such as hypertension (odds ratio [OR], 2.5; 95% confidence interval [CI], 2.1-3.1; P < .00001), coronary heart disease (OR, 3.8; 95% CI, 2.1-6.9; P < .00001), and diabetes (OR, 2.0; 95% CI, 1.7-2.3; P < .00001) were associated with significantly higher risk of death amongst patients with COVID-19. Those who died, compared with those who survived, differed on multiple biomarkers on admission including elevated levels of cardiac troponin (+44.2 ng/L, 95% CI, 19.0-69.4; P = .0006); C-reactive protein (+66.3 microg/mL, 95% CI, 46.7-85.9; P < .00001); interleukin-6 (+4.6 ng/mL, 95% CI, 3.6-5.6; P < .00001); D-dimer (+4.6 microg/mL, 95% CI, 2.8-6.4; P < .00001); creatinine (+15.3 micromol/L, 95% CI, 6.2-24.3; P = .001); and alanine transaminase (+5.7 U/L, 95% CI, 2.6-8.8; P = .0003); as well as decreased levels of albumin (-3.7 g/L, 95% CI, -5.3 to -2.1; P < .00001). Individuals with underlying cardiometabolic disease and that present with evidence for acute inflammation and end-organ damage are at higher risk of mortality due to COVID-19 infection and should be managed with greater intensity.
  • |*Hospital Mortality[MESH]
  • |COVID-19/epidemiology/*mortality[MESH]
  • |Comorbidity[MESH]
  • |Diabetes Mellitus/epidemiology[MESH]
  • |Female[MESH]
  • |Hospitalization/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Hypertension/epidemiology[MESH]
  • |Male[MESH]
  • |Risk Factors[MESH]


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