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10.1007/s00277-021-04735-1

http://scihub22266oqcxt.onion/10.1007/s00277-021-04735-1
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suck abstract from ncbi


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pmid34865201      Ann+Hematol 2022 ; 101 (3): 513-520
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  • Hemophagocytosis, hyper-inflammatory responses, and multiple organ damages in COVID-19-associated hyperferritinemia #MMPMID34865201
  • Dong G; Yu J; Gao W; Guo W; Zhu J; Wang T
  • Ann Hematol 2022[Mar]; 101 (3): 513-520 PMID34865201show ga
  • Hyperferritinemia comes to light frequently in general practice. However, the characteristics of COVID-19-associated hyperferritinemia and the relationship with the prognosis were not well described. The retrospective study included 268 documented COVID-19 patients. They were divided into the hyperferritinemia group (>/= 500 microg/L) and the non-hyperferritinemia group (< 500 microg/L). The prevalence of fever and thrombocytopenia and the proportion of patients with mechanical ventilator support and in-hospital death were much higher in the hyperferritinemia group (P < 0.001). The hyperferritinemia patients showed higher median IL-6, D-dimer, and hsCRP (P < 0.001) and lowered FIB level (P = 0.036). The hyperferritinemia group had a higher proportion of patients with AKI, ARDS, and CSAC (P < 0.001). According to the multivariate analysis, age, chronic pulmonary disease, and hyperferritinemia were found to be significant independent predictors for in-hospital mortality [HR 1.041 (95% CI 1.015-1.068), P = 0.002; HR 0.427 (95% CI 0.206-0.882), P = 0.022; HR 6.176 (95% CI 2.447-15.587), P < 0.001, respectively]. The AUROC curve was 0.88, with a cut-off value of >/= 971 microg/L. COVID-19 patients with hyperferritinemia had a high proportion of organ dysfunction, were more likely to show hyper-inflammation, progressed to hemophagocytic lymphohistiocytosis, and indicated a higher proportion of death.
  • |*Phagocytosis[MESH]
  • |Aged[MESH]
  • |C-Reactive Protein/immunology/metabolism[MESH]
  • |COVID-19/*blood/complications/mortality[MESH]
  • |Female[MESH]
  • |Fibrin Fibrinogen Degradation Products/immunology/metabolism[MESH]
  • |Hospital Mortality[MESH]
  • |Humans[MESH]
  • |Hyperferritinemia/*blood/etiology/immunology/mortality[MESH]
  • |Inflammation/blood/immunology/mortality[MESH]
  • |Interleukin-6/blood/immunology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prevalence[MESH]
  • |Retrospective Studies[MESH]


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