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10.1007/s11427-020-1733-4

http://scihub22266oqcxt.onion/10.1007/s11427-020-1733-4
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32567003!7306450!32567003
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suck abstract from ncbi


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pmid32567003      Sci+China+Life+Sci 2020 ; 63 (11): 1678-1687
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  • Decreased serum albumin level indicates poor prognosis of COVID-19 patients: hepatic injury analysis from 2,623 hospitalized cases #MMPMID32567003
  • Huang W; Li C; Wang Z; Wang H; Zhou N; Jiang J; Ni L; Zhang XA; Wang DW
  • Sci China Life Sci 2020[Nov]; 63 (11): 1678-1687 PMID32567003show ga
  • Coronavirus disease 2019 (COVID-19) is a global pandemic which has caused numerous deaths worldwide. The present study investigated the roles of hypoproteinemia in the clinical outcome and liver dysfunction of COVID-19 patients. In this retrospective study, we extracted data from 2,623 clinically confirmed adult COVID-19 patients (>18 years old) between January 29, 2020 and March 6, 2020 in Tongji Hospital, Wuhan, China. The patients were divided into three groups-non-critically ill, critically ill, and death groups-in accordance with the Chinese Clinical Guideline for COVID-19. Serum albumin, low-density lipoproteins cholesterol (LDL-C), and high-density lipoproteins cholesterol (HDL-C) concentrations and inflammatory cytokines levels were measured and compared among these three groups. The median age of these 2,623 patients was 64 years old (interquartile range (IQR), 52-71). Among the patients enrolled in the study, 2,008 (76.6%) were diagnosed as non-critically ill and 615 (23.4%) were critically ill patients, including 383 (14.6%) critically ill survivors and 232 (8.8%) critically ill deaths in the hospital. Marked hypoalbuminemia occurred in 38.2%, 71.2%, and 82.4% patients in non-critically ill, critically ill, and death groups, respectively, on admission and 45.9%, 77.7%, and 95.6% of these three groups, respectively, during hospitalization. We also discovered that serum low-density lipoprotein (LDL) and HDL levels were significantly lower in critically ill and death groups compared to non-critically ill group. Meanwhile, the patients displayed dramatically elevated levels of serum inflammatory factors, while a markedly prolonged activated partial thromboplastin time (APTT) in critically ill patients reflected coagulopathy. This study suggests that COVID-19-induced cytokine storm causes hepatotoxicity and subsequently critical hypoalbuminemia, which are associated with exacerbation of disease-associated inflammatory responses and progression of the disease and ultimately leads to death for some critically ill patients.
  • |Aged[MESH]
  • |COVID-19/*blood/*complications/mortality[MESH]
  • |China[MESH]
  • |Cholesterol, HDL/blood[MESH]
  • |Cholesterol, LDL/blood[MESH]
  • |Coronavirus Infections/*blood/*complications/mortality[MESH]
  • |Critical Illness[MESH]
  • |Cytokines/blood[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Liver Diseases/blood/*etiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prognosis[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]
  • |Serum Albumin, Human/*metabolism[MESH]
  • |Thromboplastin/metabolism[MESH]


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