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10.1186/s12890-021-01413-w

http://scihub22266oqcxt.onion/10.1186/s12890-021-01413-w
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33627118!7903375!33627118
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suck abstract from ncbi

pmid33627118      BMC+Pulm+Med 2021 ; 21 (1): 64
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  • Elevated glucose level leads to rapid COVID-19 progression and high fatality #MMPMID33627118
  • Wang W; Shen M; Tao Y; Fairley CK; Zhong Q; Li Z; Chen H; Ong JJ; Zhang D; Zhang K; Xing N; Guo H; Qin E; Guan X; Yang F; Zhang S; Zhang L; He K
  • BMC Pulm Med 2021[Feb]; 21 (1): 64 PMID33627118show ga
  • OBJECTIVES: We aimed to identify high-risk factors for disease progression and fatality for coronavirus disease 2019 (COVID-19) patients. METHODS: We enrolled 2433 COVID-19 patients and used LASSO regression and multivariable cause-specific Cox proportional hazard models to identify the risk factors for disease progression and fatality. RESULTS: The median time for progression from mild-to-moderate, moderate-to-severe, severe-to-critical, and critical-to-death were 3.0 (interquartile range: 1.8-5.5), 3.0 (1.0-7.0), 3.0 (1.0-8.0), and 6.5 (4.0-16.3) days, respectively. Among 1,758 mild or moderate patients at admission, 474 (27.0%) progressed to a severe or critical stage. Age above 60 years, elevated levels of blood glucose, respiratory rate, fever, chest tightness, c-reaction protein, lactate dehydrogenase, direct bilirubin, and low albumin and lymphocyte count were significant risk factors for progression. Of 675 severe or critical patients at admission, 41 (6.1%) died. Age above 74 years, elevated levels of blood glucose, fibrinogen and creatine kinase-MB, and low plateleta count were significant risk factors for fatality. Patients with elevated blood glucose level were 58% more likely to progress and 3.22 times more likely to die of COVID-19. CONCLUSIONS: Older age, elevated glucose level, and clinical indicators related to systemic inflammatory responses and multiple organ failures, predict both the disease progression and the fatality of COVID-19 patients.
  • |*Disease Progression[MESH]
  • |Adult[MESH]
  • |Age Factors[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Bilirubin/blood[MESH]
  • |Blood Glucose/*metabolism[MESH]
  • |C-Reactive Protein/metabolism[MESH]
  • |COVID-19/*blood/*mortality[MESH]
  • |China/epidemiology[MESH]
  • |Critical Illness[MESH]
  • |Female[MESH]
  • |Fever/virology[MESH]
  • |Humans[MESH]
  • |Hyperglycemia/*blood/complications[MESH]
  • |L-Lactate Dehydrogenase/blood[MESH]
  • |Lymphocyte Count[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Proportional Hazards Models[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Serum Albumin/metabolism[MESH]


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