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10.1080/07853890.2020.1851394

http://scihub22266oqcxt.onion/10.1080/07853890.2020.1851394
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33183091!7877944!33183091
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suck abstract from ncbi


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pmid33183091      Ann+Med 2021 ; 53 (1): 181-188
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  • Time-course analysis reveals that corticosteroids resuscitate diminished CD8+ T cells in COVID-19: a retrospective cohort study #MMPMID33183091
  • Ye F; Liu J; Chen L; Zhu B; Yu L; Liang B; Xu L; Li S; Lu S; Fan L; Yang D; Zheng X
  • Ann Med 2021[Dec]; 53 (1): 181-188 PMID33183091show ga
  • OBJECTIVE: To illustrate the effect of corticosteroids and heparin, respectively, on coronavirus disease 2019 (COVID-19) patients' CD8+ T cells and D-dimer. METHODS: In this retrospective cohort study involving 866 participants diagnosed with COVID-19, patients were grouped by severity. Generalized additive models were established to explore the time-course association of representative parameters of coagulation, inflammation and immunity. Segmented regression was performed to examine the influence of corticosteroids and heparin upon CD8+ T cell and D-dimer, respectively. RESULTS: There were 541 moderate, 169 severe and 156 critically ill patients involved in the study. Synchronous changes of levels of NLR, D-dimer and CD8+ T cell in critically ill patients were observed. Administration of methylprednisolone before 14 DFS compared with those after 14 DFS (beta = 0.154%, 95% CI=(0, 0.302), p=.048) or a dose lower than 40 mg per day compared with those equals to 40 mg per day (beta = 0.163%, 95% CI=(0.027, 0.295), p=.020) significantly increased the rising rate of CD8+ T cell in 14-56 DFS. CONCLUSIONS: The parameters of coagulation, inflammation and immunity were longitudinally correlated, and an early low-dose corticosteroid treatment accelerated the regaining of CD8+ T cell to help battle against SARS-Cov-2 in critical cases of COVID-19.
  • |*COVID-19 Drug Treatment[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Blood Coagulation/drug effects/immunology[MESH]
  • |CD8-Positive T-Lymphocytes/*drug effects/immunology[MESH]
  • |COVID-19/blood/diagnosis/immunology[MESH]
  • |Dose-Response Relationship, Drug[MESH]
  • |Female[MESH]
  • |Fibrin Fibrinogen Degradation Products/analysis/immunology[MESH]
  • |Glucocorticoids/*administration & dosage[MESH]
  • |Heparin/administration & dosage[MESH]
  • |Humans[MESH]
  • |Inflammation/blood/diagnosis/*drug therapy/immunology[MESH]
  • |Linear Models[MESH]
  • |Longitudinal Studies[MESH]
  • |Lymphocyte Count[MESH]
  • |Male[MESH]
  • |Methylprednisolone/administration & dosage[MESH]
  • |Middle Aged[MESH]
  • |Models, Biological[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2/immunology/isolation & purification[MESH]
  • |Severity of Illness Index[MESH]
  • |Time Factors[MESH]
  • |Time-to-Treatment[MESH]


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