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10.3389/fendo.2021.642452

http://scihub22266oqcxt.onion/10.3389/fendo.2021.642452
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suck abstract from ncbi


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pmid34234738      Front+Endocrinol+(Lausanne) 2021 ; 12 (ä): 642452
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  • Association Between the Concentration and Rangeability of Cystatin C and Mortality of COVID-19 Patients With or Without Type 2 Diabetes Mellitus: A Retrospective Analysis #MMPMID34234738
  • Yang L; Xu D; Tan Y; Li B; Zhu D; Wang J; Sun H; Liu X; Zheng X; Zhu L; Li Z
  • Front Endocrinol (Lausanne) 2021[]; 12 (ä): 642452 PMID34234738show ga
  • BACKGROUND: We investigated if the concentration and "rangeability" of cystatin C (CysC) influenced the prognosis of coronavirus disease 2019 (COVID-19) in patients suffering from, or not suffering from, type 2 diabetes mellitus (T2DM). METHODS: A total of 675 T2DM patients and 572 non-T2DM patients were divided into "low" and "high" CysC groups and low and high CysC-rangeability groups according to serum CysC level and range of change of CysC level, respectively. Demographic characteristics, clinical data, and laboratory results of the four groups were analyzed. RESULTS: COVID-19 patients with a high level and rangeability of CysC had more organ damage and a higher risk of death compared with those with a low level or low rangeability of CysC. Patients with a higher level and rangeability of CysC had more blood lymphocytes and higher levels of C-reactive protein, alanine aminotransferase, and aspartate aminotransferase. After adjustment for possible confounders, multivariate analysis revealed that CysC >0.93 mg/dL was significantly associated with the risk of heart failure (OR = 2.231, 95% CI: 1.125-5.312) and all-cause death (2.694, 1.161-6.252). CysC rangeability >0 was significantly associated with all-cause death (OR = 4.217, 95% CI: 1.953-9.106). These associations were stronger in patients suffering from T2DM than in those not suffering from T2DM. CONCLUSIONS: The level and rangeability of CysC may influence the prognosis of COVID-19. Special care and appropriate intervention should be undertaken in COVID-19 patients with an increased CysC level during hospitalization and follow-up, especially for those with T2DM.
  • |Aged[MESH]
  • |Biomarkers/*blood[MESH]
  • |COVID-19/blood/*diagnosis/*mortality/virology[MESH]
  • |Case-Control Studies[MESH]
  • |Cystatin C/*blood[MESH]
  • |Diabetes Mellitus, Type 2/*physiopathology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prognosis[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Factors[MESH]


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