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10.1080/1354750X.2020.1829056

http://scihub22266oqcxt.onion/10.1080/1354750X.2020.1829056
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32981387!7711742!32981387
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suck abstract from ncbi


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pmid32981387      Biomarkers 2020 ; 25 (8): 626-633
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  • High sensitivity Troponin-T for prediction of adverse events in patients with COVID-19 #MMPMID32981387
  • Singh N; Anchan RK; Besser SA; Belkin MN; Cruz MD; Lee L; Yu D; Mehta N; Nguyen AB; Alenghat FJ
  • Biomarkers 2020[Dec]; 25 (8): 626-633 PMID32981387show ga
  • BACKGROUND: High sensitivity cardiac troponin-T (hs-TnT) has been associated with mortality in patients hospitalized with COVID-19. We aimed to determine if hs-TnT levels and their timing are independent predictors of adverse events in these patients. DESIGN: Retrospective chart review was performed for all patients hospitalized at our institution between 23 March 2020 and 13 April 2020 who were found to be COVID-19-positive. Clinical, demographic, and laboratory variables including initial and peak hs-TnT were recorded. Univariable and multivariable analyses were completed for a primary composite endpoint of in-hospital death, intubation, need for critical care, or cardiac arrest. RESULTS: In the 276 patients analysed, initial hs-TnT above the median (>/=17 ng/L) was associated with increased length of stay, need for vasoactive medications, and death, along with the composite endpoint (OR 3.92, p < 0.001). Multivariable analysis demonstrated that elevated initial hs-TnT was independently associated with the primary endpoint (OR 2.92, p = 0.01). Late-peaking hs-TnT (OR 2.19 for each additional day until peak, p < 0.001) was also independently associated with the composite endpoint. CONCLUSIONS: In patients hospitalized with COVID-19, hs-TnT identifies patients at high risk for adverse in-hospital events, and trends of hs-TnT over time, particularly during the first day, provide additional prognostic information.
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Biomarkers/*blood[MESH]
  • |COVID-19/*blood/epidemiology/virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Predictive Value of Tests[MESH]
  • |Prognosis[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Assessment/methods/statistics & numerical data[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2/physiology[MESH]
  • |Sensitivity and Specificity[MESH]


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