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suck abstract from ncbi


10.1002/jmv.26656

http://scihub22266oqcxt.onion/10.1002/jmv.26656
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33165922!ä!33165922

suck abstract from ncbi


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pmid33165922      J+Med+Virol 2021 ; 93 (4): 2243-2251
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  • Non-severe immunosuppression might be associated with a lower risk of moderate-severe acute respiratory distress syndrome in COVID-19: A pilot study #MMPMID33165922
  • Monreal E; Maza S S; Gullon P; Natera-Villalba E; Chico-Garcia JL; Beltran-Corbellini A; Martinez-Sanz J; Garcia-Barragan N; Buisan J; Toledano R; Alonso-Canovas A; Perez-Torre P; Matute-Lozano MC; Lopez-Sendon JL; Garcia-Ribas G; Corral I; Fortun J; Montero-Errasquin B; Manzano L; Maiz-Carro L; Costa-Frossard L; Masjuan J
  • J Med Virol 2021[Apr]; 93 (4): 2243-2251 PMID33165922show ga
  • The role of immunosuppression among coronavirus disease 2019 (COVID-19) patients has not been elucidated and management may be challenging. This observational study included confirmed COVID-19 patients. The primary endpoint was the development of moderate-severe acute respiratory distress syndrome (ARDS). Time to moderate-severe ARDS, the need for mechanical or noninvasive ventilation (MV/NIV), death, and a composite of death or MV/NIV were secondary endpoints. Of 138 patients included, 27 (19.6%) were immunosuppressed (IS) and 95 (68.8%) were male, with a median (IQR) age of 68 (54-78) years. A significantly lower proportion of IS patients (25.9%) compared to non-IS patients (52.3%) developed moderate-severe ARDS, in both unadjusted (0.32; 95% CI, 0.13-0.83; p = .017) and adjusted (aOR, 0.25; 95% CI, 0.08-0.80; p = .019) analyses. After stratifying by pathologies, only IS patients with autoimmune diseases remained significant (aOR 0.25; 95% CI, 0.07-0.98; p = .046). Nonsignificant trends toward a longer time to moderate or severe ARDS, a lower need for MV/NIV, and a lower risk of death or MV/NIV were detected among IS. In our cohort of COVID-19 patients, nonsevere immunosuppression was associated with a lower risk of moderate-severe ARDS, especially among AD. This suggests a potential protective effect from a hypothesized hyper-inflammatory response.
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/epidemiology/*immunology/virology[MESH]
  • |Cohort Studies[MESH]
  • |Coinfection[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Immunosuppression Therapy[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pilot Projects[MESH]
  • |Respiratory Distress Syndrome/epidemiology/*immunology/virology[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2/immunology[MESH]
  • |Severity of Illness Index[MESH]


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