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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Exp+Hematol+Oncol
2020 ; 9
(ä): 16
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
SARS-CoV-2 induced thrombocytopenia as an important biomarker significantly
correlated with abnormal coagulation function, increased intravascular blood clot
risk and mortality in COVID-19 patients
#MMPMID32695551
Bao C
; Tao X
; Cui W
; Yi B
; Pan T
; Young KH
; Qian W
Exp Hematol Oncol
2020[]; 9
(ä): 16
PMID32695551
show ga
BACKGROUND: Coronavirus disease 2019 (COVID-19) is a novel infectious viral
disease, which lacks well-established diagnostic laboratory parameters that could
be used to evaluate disease severity, thromboembolism or cardiovascular events
and to predict clinical prognosis. Coagulation cascade and platelet functions
have not been well studied in the COVID-19 patients. METHODS: A total of 178
patients enrolled in Wuhan Huoshenshan Hospital were included for the study.
Blood platelets and coagulation functions were analyzed in COVID-19 patients with
non-severe and severe subgroups. Other biochemical laboratory parameters were
also analyzed. RESULTS: Forty-nine (27.5%) out of 178 patients were diagnosed
with severe disease in this study, and 129 patients with non-severe disease.
Severe disease group had significant lower platelet count 186.00 (103.50-249.00)
×10(9)/L than 251.00 (202.00-317.00) ×10(9)/L of non-severe group, p?=?0.000.
Severe group also had significantly abnormal coagulation parameters than
non-severe group: prothrombin time (PT) 14.55 (13.40-16.53) s vs. 12.70
(12.15-13.59) s, p?=?0.000; international normalized ratio (INR) 1.21 (1.13-1.36)
vs. 1.06 (1.01-1.13), p?=?0.000; thrombin time (TT) 16.35 (15.69-17.47) s vs.
15.68 (14.79-16.69) s, p?=?0.011; D-Dimer 1.05 (0.68-5.90) mg/L vs. 0.42
(0.28-0.79) mg/L, p?=?0.000; While the liver function parameter alanine
aminotransferase (ALT) and aspartate aminotransferase (AST) didn't show
significance between two groups, ALT 30.80 (19.00-58.30) IU/L vs. 28.80
(15.75-50.15) IU/L, p?=?0.487; AST 27.80 (19.30-40.55) IU/L vs. 22.6 (16.7-32.03)
IU/L, p?=?0.102. Disseminated intravascular coagulation (DIC) rate was 6.1% in
severe group while 0% in non-severe group. Survival rate of severe disease group
was worse than non-severe group, 85.7% vs. 100%, p?=?0.000. Thrombocytopenia
correlated with coagulation function, DIC rate and survival. Six out of 7 death
case had thrombocytopenia during hospitalization, and platelet count decreased
subsequently until death. Thrombocytopenia occurred within 1 week after admission
in 6 recovered patients. And increased platelet levels followed by positive
SARS-CoV-2 IgM/IgG and negative coronavirus nucleic acid tested in 8 recovered
patients. CONCLUSIONS: Low platelet count is associated with abnormal coagulation
function and increased risk of DIC, severe disease manifestation and increased
mortality in patients with COVID-19.