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10.1007/s10875-020-00821-7

http://scihub22266oqcxt.onion/10.1007/s10875-020-00821-7
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32661797!7357264!32661797
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suck abstract from ncbi


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pmid32661797      J+Clin+Immunol 2020 ; 40 (7): 960-969
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  • Prediction Model Based on the Combination of Cytokines and Lymphocyte Subsets for Prognosis of SARS-CoV-2 Infection #MMPMID32661797
  • Luo Y; Mao L; Yuan X; Xue Y; Lin Q; Tang G; Song H; Wang F; Sun Z
  • J Clin Immunol 2020[Oct]; 40 (7): 960-969 PMID32661797show ga
  • BACKGROUND: There are currently rare satisfactory markers for predicting the death of patients with coronavirus disease 2019 (COVID-19). The aim of this study is to establish a model based on the combination of serum cytokines and lymphocyte subsets for predicting the prognosis of the disease. METHODS: A total of 739 participants with COVID-19 were enrolled at Tongji Hospital from February to April 2020 and classified into fatal (n = 51) and survived (n = 688) groups according to the patient's outcome. Cytokine profile and lymphocyte subset analysis was performed simultaneously. RESULTS: The fatal patients exhibited a significant lower number of lymphocytes including B cells, CD4(+) T cells, CD8(+) T cells, and NK cells and remarkably higher concentrations of cytokines including interleukin-2 receptor, interleukin-6, interleukin-8, and tumor necrosis factor-alpha on admission compared with the survived subjects. A model based on the combination of interleukin-8 and the numbers of CD4(+) T cells and NK cells showed a good performance in predicting the death of patients with COVID-19. When the threshold of 0.075 was used, the sensitivity and specificity of the prediction model were 90.20% and 90.26%, respectively. Meanwhile, interleukin-8 was found to have a potential value in predicting the length of hospital stay until death. CONCLUSIONS: Significant increase of cytokines and decrease of lymphocyte subsets are found positively correlated with in-hospital death. A model based on the combination of three markers provides an attractive approach to predict the prognosis of COVID-19.
  • |*Models, Biological[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus/genetics/*immunology/isolation & purification[MESH]
  • |Biomarkers/blood[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |China/epidemiology[MESH]
  • |Clinical Laboratory Techniques/methods[MESH]
  • |Coronavirus Infections/blood/diagnosis/epidemiology/immunology/*mortality[MESH]
  • |Cytokines/*blood/immunology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Length of Stay[MESH]
  • |Lymphocyte Count[MESH]
  • |Lymphocyte Subsets/*immunology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/blood/epidemiology/immunology/*mortality[MESH]
  • |Prognosis[MESH]
  • |RNA, Viral/isolation & purification[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction[MESH]
  • |Risk Assessment/methods[MESH]


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