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10.3389/fimmu.2020.02160

http://scihub22266oqcxt.onion/10.3389/fimmu.2020.02160
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32983180!7493648!32983180
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suck abstract from ncbi


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pmid32983180      Front+Immunol 2020 ; 11 (ä): 2160
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  • Neutrophil-to-Lymphocyte Ratios Are Closely Associated With the Severity and Course of Non-mild COVID-19 #MMPMID32983180
  • Qun S; Wang Y; Chen J; Huang X; Guo H; Lu Z; Wang J; Zheng C; Ma Y; Zhu Y; Xia D; Wang Y; He H; Wang Y; Fei M; Yin Y; Zheng M; Xu Y; Ge W; Hu F; Zhou J
  • Front Immunol 2020[]; 11 (ä): 2160 PMID32983180show ga
  • BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is spreading worldwide. Measuring the prevention and control of the disease has become a matter requiring urgent focus. OBJECTIVE: Based on coronavirus disease 2019 (COVID-19) clinical data from Wuhan, we conducted an in-depth analysis to clarify some of the pathological mechanisms of the disease and identify simple measures to predict its severity early on. METHODS: A total of 230 patients with non-mild COVID-19 were recruited, and information on their clinical characteristics, inflammatory cytokines, and T lymphocyte subsets was collected. Risk factors for severity were analyzed by binary logistic regression, and the associations of neutrophil-to-lymphocyte ratios (N/LRs) with illness severity, disease course, CT grading, inflammatory cytokines, and T lymphocyte subsets were evaluated. RESULTS: Our results showed that the N/LRs were closely related to interleukin (IL)-6 and IL-10 (P < 0.001, P = 0.024) and to CD3(+) and CD8(+) T lymphocytes (P < 0.001, P = 0.046). In particular, the N/LRs were positively correlated with the severity and course of the disease (P = 0.021, P < 0.001). Compared to the values at the first test after admission, IL-6 and IL-10 were significantly decreased and increased, respectively, as of the last test before discharge (P = 0.006, P < 0.001). More importantly, through binary logistic regression, we found that male sex, underlying diseases (such as cardiovascular disease), pulse, and N/LRs were all closely related to the severity of the disease (P = 0.004, P = 0.012, P = 0.013, P = 0.028). CONCLUSIONS: As a quick and convenient marker of inflammation, N/LRs may predict the disease course and severity level of non-mild COVID-19; male sex, cardiovascular disease, and pulse are also risk factors for the severity of non-mild COVID-19.
  • |*Severity of Illness Index[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Betacoronavirus/*immunology[MESH]
  • |Biomarkers[MESH]
  • |COVID-19[MESH]
  • |Cardiovascular Diseases[MESH]
  • |Coronavirus Infections/*immunology/virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Interleukin-10/blood[MESH]
  • |Interleukin-6/blood[MESH]
  • |Lymphocyte Count[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Neutrophils/*immunology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*immunology/virology[MESH]
  • |Pulse[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]
  • |Sex Factors[MESH]


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