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10.1016/j.intimp.2021.108163

http://scihub22266oqcxt.onion/10.1016/j.intimp.2021.108163
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suck abstract from ncbi


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pmid34583122      Int+Immunopharmacol 2021 ; 100 (ä): 108163
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  • Plasma zinc status and hyperinflammatory syndrome in hospitalized COVID-19 patients: An observational study #MMPMID34583122
  • Verschelden G; Noeparast M; Noparast M; Goossens MC; Lauwers M; Cotton F; Michel C; Goyvaerts C; Hites M
  • Int Immunopharmacol 2021[Nov]; 100 (ä): 108163 PMID34583122show ga
  • Zinc deficiency is associated with impaired antiviral response, cytokine releasing syndrome (CRS), and acute respiratory distress syndrome. Notably, similar complications are being observed during severe SARS-CoV-2 infection. We conducted a prospective, single-center, observational study in a tertiary university hospital (CUB-Hopital Erasme, Brussels) to address the zinc status, the association between the plasma zinc concentration, development of CRS, and the clinical outcomes in PCR-confirmed and hospitalized COVID-19 patients. One hundred and thirty-nine eligible patients were included between May 2020 and November 2020 (median age of 65 years [IQR = 54, 77]). Our cohort's median plasma zinc concentration was 57 microg/dL (interquartile range [IQR] = 45, 67) compared to 74 microg/dL (IQR = 64, 84) in the retrospective non-COVID-19 control group (N = 1513; p < 0.001). Markedly, the absolute majority of COVID-19 patients (96%) were zinc deficient (<80 microg/dL). The median zinc concentration was lower in patients with CRS compared to those without CRS (-5 microg/dL; 95% CI = -10.5, 0.051; p = 0.048). Among the tested outcomes, zinc concentration is significantly correlated with only the length of hospital stay (rho = -0.19; p = 0.022), but not with mortality or morbidity. As such, our findings do not support the role of zinc as a robust prognostic marker among hospitalized COVID-19 patients who in our cohort presented a high prevalence of zinc deficiency. It might be more beneficial to explore the role of zinc as a biomarker for assessing the risk of developing a tissue-damaging CRS and predicting outcomes in patients diagnosed with COVID-19 at the early stage of the disease.
  • |*SARS-CoV-2[MESH]
  • |Aged[MESH]
  • |COVID-19/blood/*complications[MESH]
  • |Cytokine Release Syndrome/blood/*etiology[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prospective Studies[MESH]


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