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Association Between Thyroid Antibodies and Ultrasonic Imaging in Patients with Hashimoto’s Thyroiditis 桥本甲状腺炎患者甲状腺抗体与超声显像的关系
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-11-01 DOI: 10.4274/haseki.galenos.2022.8177
M. Unal, Iffet Dagdelen Duran, E. Karakiliç, Mehtap Navdar Başaran, S. Guler
Aim: The association between high levels of anti-thyroid antibodies and the extent of destruction of thyroid tissue is well documented. The aim of the present study was to analyze the relationship between anti-thyroid antibodies, thyroid hormones, and sonographic parenchymal changes. Methods: The study was designed as a case-control study. Four hundred and seventy-five patients with HT and 98 healthy subjects were included in the study. Serum levels of free thyroxine (fT4), free triiodothyronine (fT3), thyroid-stimulating hormone, and anti-thyroid antibodies (anti-thyroid peroxidase antibodies and anti-thyroglobulin antibodies) were measured. The ultrasonographic results of the patients were also recorded. Results: Serum levels of anti-TPO and anti-Tg were significantly associated with hypoechogenicity, heterogeneity, and pseudonodulation (p<0.001). There was no significant difference between the two groups in terms of cyst and nodule formation, however, a significant difference was found in terms of thyroid volume (p<0.001). Thyroid volumes were higher in the HT group. As serum anti-TPO levels increased in the HT group, parenchymal hypoechogenicity increased (p<0.001). Conclusion: Ultrasonography is a non-invasive method that provides information about the inflammatory activity of the thyroid gland. Significantly reduced echogenicity, heterogeneity, and multifocal pseudonodular infiltration were indicators of inflammatory activity and were associated with higher anti-TPO levels. Anti-TPO and ultrasonographical changes may be useful in the follow-up of Hashimoto’s thyroiditis.
目的:高水平的抗甲状腺抗体与甲状腺组织破坏程度之间的关系是有充分文献记载的。本研究的目的是分析抗甲状腺抗体、甲状腺激素和超声实质改变之间的关系。方法:采用病例-对照研究。该研究包括475名HT患者和98名健康受试者。测定血清游离甲状腺素(fT4)、游离三碘甲状腺原氨酸(fT3)、促甲状腺激素和抗甲状腺抗体(抗甲状腺过氧化物酶抗体和抗甲状腺球蛋白抗体)水平。同时记录患者的超声检查结果。结果:血清抗tpo和抗tg水平与低回声、异质性和假调节显著相关(p<0.001)。两组在囊肿和结节形成方面无显著差异,但在甲状腺体积方面有显著差异(p<0.001)。甲状腺体积在HT组较高。随着HT组血清抗tpo水平的升高,实质低回声性增加(p<0.001)。结论:超声检查是一种无创的方法,可以提供甲状腺炎症活动的信息。回声性、异质性和多灶性假结节浸润的显著降低是炎症活动的指标,并与较高的抗tpo水平相关。抗tpo和超声检查对桥本甲状腺炎的随访可能有帮助。
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引用次数: 0
A Comparative Analysis of the Blood Products used in the Emergency Room and other Clinics with the Pre-pandemic Period 大流行前急诊室和其他诊所使用血液制品的比较分析
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-11-01 DOI: 10.4274/haseki.galenos.2022.8469
Attila Beştemir, Alpay Tuncar
Aim: In this study, we evaluated the blood transfusion statistics by determining the frequency of blood component transfusions by year and the total number of transfusions administered in emergency departments (EDs) and all inpatient clinics across Turkey, to provide a foresight of the future and to guide planning. Method(s): The study was conducted retrospectively, covering the period between January 1, 2016, and January 1, 2022. The numerical data of the blood transfusions applied in the 2nd and 3rd level public hospitals in Turkey were collected as the number of units, and the data were used by obtaining the necessary permissions from the Ministry of Health. The most frequently used blood components in EDsand inpatient clinics in our country were examined. The total number of transfusions in EDs and all inpatient clinics was calculated, and the frequency changes over time were investigated. In the study, the 4-year period of 2016-2019 was specified as the prepandemic period. The 2-year data for 2020 and 2021 are also stated as the pandemic period. The mean values of the data belonging to both periods were taken, and their significance was evaluated with Fisher's exact test. Blood transfusion statistics for each year were recorded on the tabulation software, and the frequency changes were calculated using the statistical formulas of the tabulation software. Patient consent was waived because of the study. Result(s): The most common types of blood components transfused in Turkey were packed red blood cell (PRBC), fresh frozen plasma (FFP), platelet concentrate, whole blood, and cryoprecipitate. When the blood component transfusion rates in the EDs were evaluated, the most frequently transfused blood component was found to be PRBC, followed by FFP (64.4% and 29.8%, respectively). Platelet concentrate, cryoprecipitate, and whole blood transfusion rates were found to be 5.5%, 0.17%, and 0.13%, respectively. 6.6% of all blood transfusions were administered in EDs. The use of all blood and blood products, except PRBC, has decreased in the ED. In all departments, there was a decrease in the use of platelets and whole blood and an increase in the use of cryoprecipitate. Conclusion(s): Since the current study shows blood and blood product replacement and includes a broad comparison with the pandemic and pre-pandemic periods, it can guide the blood replacement strategies of the ED and all departments. Copyright © 2022 by The Medical Bulletin of Istanbul Haseki Training and Research Hospital The Medical Bulletin of Haseki published by Galenos Yayinevi.
目的:在本研究中,我们通过确定每年血液成分输血的频率以及土耳其急诊科(EDs)和所有住院诊所的输血总数来评估输血统计数据,以提供对未来的预见并指导计划。方法:回顾性研究,研究时间为2016年1月1日至2022年1月1日。土耳其二级和三级公立医院的输血数字数据作为单位数收集,这些数据在获得卫生部的必要许可后使用。对我国门诊和门诊门诊常用的血液成分进行了分析。计算急诊科和所有住院诊所的总输血次数,并调查频率随时间的变化。在这项研究中,2016-2019年的4年期间被指定为大流行前期。2020年和2021年的两年数据也被列为大流行期。取两个时期数据的平均值,用Fisher精确检验评估其显著性。在制表软件中记录每年的输血统计数据,使用制表软件的统计公式计算输血频次变化。由于这项研究,患者同意被放弃。结果:土耳其输血最常见的血液成分类型是包装红细胞(PRBC)、新鲜冷冻血浆(FFP)、浓缩血小板、全血和低温沉淀。当评估急诊科的血液成分输血率时,发现最常输入的血液成分是PRBC,其次是FFP(分别为64.4%和29.8%)。血小板浓缩物、低温沉淀和全血输注率分别为5.5%、0.17%和0.13%。6.6%的输血是在急诊室进行的。在急诊科,除PRBC外,所有血液和血液制品的使用都有所减少。在所有科室,血小板和全血的使用都有所减少,冷沉淀的使用有所增加。结论:由于目前的研究显示了血液和血液制品的替代,并与大流行期间和大流行前进行了广泛的比较,因此可以指导急诊科和所有科室的血液替代策略。伊斯坦布尔Haseki培训和研究医院医学公报版权所有©2022。Galenos Yayinevi出版的Haseki医学公报。
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引用次数: 1
Health Literacy and Cyberchondria Levels in Healthcare Workers and Their Relationship with Body Awareness and Physical Activity 卫生保健工作者的健康素养和网络病症水平及其与身体意识和身体活动的关系
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-30 DOI: 10.4274/haseki.galenos.2022.8258
R. Şavkın, Izgi Guven, Nihal Buker
Aim: The level of health literacy and cyberchondria of healthcare providers can affect service beneficiaries, and the influence of health literacy and cyberchondria on physical activity and body awareness remains unclear. The aim of this study was to determine the health literacy and cyberchondria levels of healthcare workers and examine their relationship with physical activity level and body awareness. Methods: This cross-sectional study was conducted between August and November 2021 on 168 healthcare professionals working at the university hospital. The Turkish Health Literacy scale (TSOY-32), Cyberchondria scale, Body Awareness Questionnaire (BAQ), and International Physical Activity Questionnaire-Short Form (IPAQ-SF) were used for outcome measurements. Results: The TSOY-32 and Cyberchondria scale total scores were 37.76±7.98 and 63.83±19.45, respectively. There were low positive and significant correlations with TSOY-32, BAQ (r=0.213, p=0.006) and IPAQ-SF (r=0.162, p=0.036), while a low negative correlation was found between cyberchondria level and BAQ (r=-0.179, p=0.022) and IPAQ-SF (r=-0.193, p=0.013). Conclusion: This study shows that, unlike predicted, health professionals did not have perfect health literacy and were found to have moderate cyberchondria. Physical activity and body awareness may affect increasing health literacy and reducing cyberchondria, which will empower individuals to make beneficial health decisions.
目的:卫生保健提供者的健康素养和网络疑病症水平可以影响服务受益人,健康素养和网络疑病症对身体活动和身体意识的影响尚不清楚。本研究的目的是确定卫生保健工作者的健康素养和网络疑病水平,并检查其与身体活动水平和身体意识的关系。方法:本横断面研究于2021年8月至11月对168名在大学医院工作的医护人员进行。结果测量采用土耳其健康素养量表(TSOY-32)、网络疑病量表、身体意识问卷(BAQ)和国际体育活动问卷简表(IPAQ-SF)。结果:TSOY-32总分为37.76±7.98分,网络疑病症总分为63.83±19.45分。与TSOY-32、BAQ (r=0.213, p=0.006)、IPAQ-SF (r=0.162, p=0.036)呈低正相关,与BAQ (r=-0.179, p=0.022)、IPAQ-SF (r=-0.193, p=0.013)呈低负相关。结论:本研究表明,与预测不同,卫生专业人员没有完善的健康素养,并被发现有中度网络疑病症。体育活动和身体意识可能影响提高健康素养和减少网络疑病症,这将使个人能够做出有益的健康决定。
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引用次数: 1
Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study 土耳其黑海东部地区神经管缺损发生率逐年变化及其与叶酸使用关系的病例对照研究
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-30 DOI: 10.4274/haseki.galenos.2022.8245
Omer Demir, H. Şal, Mirac Ozalp, M. Topbaş
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引用次数: 0
The Relationship Between Dietary Intakes and Total Kidney Volume in Patients with Autosomal Dominant Polycystic Kidney Disease Dietary Intake and Polycystic Kidney Volume 常染色体显性多囊肾病患者膳食摄入量与总肾容量的关系
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-30 DOI: 10.4274/haseki.galenos.2022.8019
Yonca Sevim, E. Cebeci, Ozlem Persil Ozkan, Y. Savaş, S. Ozturk, G. Kiziltan
Aim: There is a need to understand autosomal dominant polycystic kidney disease (ADPKD) patients’ dietary habits since dietary interventions may have potential effects on ADPKD. In this study, we aimed to analyze the relationship between dietary nutrient intake and total kidney volume (TKV). Methods: This cross-sectional study was conducted on 54 ADPKD patients recruited from the Nephrology outpatient clinic between June and July 2014. TKV was determined by magnetic-resonance imaging and general characteristics, biochemical and urinary parameters were determined. The nutrient intakes of patients were calculated using the three-day dietary records obtained on three consecutive days. Results: The total kidney-volume median was found to be 1407 mL. Patients’ total dietary energy and protein intakes were 25.8±9.4 kcal/kg, 0.9±0.3 g/kg, respectively. The percentage of carbohydrates, protein, and fat in energy was 49±7%, 14±3%, 37±7%, respectively. The mean intakes of thiamin, riboflavin, B6, calcium, magnesium, and zinc were sufficient, the mean dietary potassium intake was insufficient; and sodium intake was excessive in both sexes. In females, there was a negative but weak correlation between dietary vitamin C intake and TKV. In males, a negative but weak correlation was found between TKV and dietary intake of fiber, water, vitamin B6, vitamin K, magnesium, and iron. Conclusions: Dietary micronutrient intake may affect TKV according to sex.
目的:有必要了解常染色体显性多囊肾病(ADPKD)患者的饮食习惯,因为饮食干预可能对ADPKD有潜在的影响。在本研究中,我们旨在分析膳食营养摄入与肾脏总容积(TKV)的关系。方法:对2014年6月至7月肾内科门诊的54例ADPKD患者进行横断面研究。采用磁共振成像法测定TKV,并测定一般特征、生化及泌尿系统参数。根据连续三天的饮食记录计算患者的营养摄入量。结果:总肾体积中位数为1407 mL,患者膳食总能量和蛋白质摄入量分别为25.8±9.4 kcal/kg、0.9±0.3 g/kg。碳水化合物、蛋白质和脂肪占总能量的比例分别为49±7%、14±3%和37±7%。维生素、核黄素、B6、钙、镁、锌的平均摄取量充足,钾的平均摄取量不足;男女的钠摄入量都过高。在女性中,膳食维生素C摄入量与TKV呈弱负相关。在男性中,TKV与膳食中纤维、水、维生素B6、维生素K、镁和铁的摄入量呈负但弱相关。结论:膳食微量营养素的摄入可能对TKV有不同性别的影响。
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引用次数: 0
Bell’s Palsy and COVID-19 Infection: A Comparative Analysis with the Pre-pandemic Period 贝尔麻痹与COVID-19感染:与大流行前时期的比较分析
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-30 DOI: 10.4274/haseki.galenos.2022.8235
G. Gursoy, Ayla Culha Oktar, A. Çokar
Aim: Bell's palsy is an acute peripheral facial nerve paralysis affecting one side of the face and can be associated with various causes, such as infectious and autoimmune conditions. In line with this, an increase has been observed in the incidence of peripheral facial paralysis during the coronavirus disease-2019 (COVID-19) infection pandemic. We aimed to investigate whether the incidence of Bell's palsy increased before and after the COVID-19 in the pre-vaccine period. Method(s): All cases diagnosed with Bell's palsy in a tertiary hospital aged 18 and up in 2020 were analyzed, and to compare these numbers to pre-pandemic numbers, patients' data from 2019 was accessed. Excluding those who had recurrent facial palsy, those whose conditions were due to central causes, and those who were misdiagnosed, the frequency of the disease was calculated by proportioning it to the total number of patients presenting to Neurology, and Ear, Nose, and Throat Diseases Outpatient Clinics and the Green Zone of the Emergency Department at that time;and the Bell's palsy distribution within three-month periods and whether this distribution is correlated with the distribution of COVID-19 infection were examined. Result(s): Three hundred twenty five cases from 2019 and 291 cases from 2020 were included in the study. No significant difference was detected between those years in terms of age and sex. The frequency of Bell's palsy in 2019 was 0.059% while it was 0.071% in 2020, which suggested a significant difference between the years. The significant difference could be clearly observed in the second and fourth quarters when the cases of COVID-19 infection were at their peak. Conclusion(s): This study suggests that patients with complaints of peripheral facial paralysis should also be examined for COVID-19 infection. Copyright © 2022, Galenos Publishing House. All rights reserved.
目的:贝尔氏麻痹是一种影响一侧面部的急性周围面神经麻痹,可与多种原因相关,如感染性和自身免疫性疾病。与此相吻合的是,在冠状病毒病-2019 (COVID-19)感染大流行期间,周围性面瘫的发病率有所增加。我们的目的是调查在疫苗接种前,贝尔麻痹的发病率在COVID-19前后是否增加。方法:分析2020年在一家三级医院诊断为贝尔麻痹的所有18岁及以上病例,并将这些数字与大流行前的数字进行比较,获取2019年的患者数据。排除那些复发性面瘫患者,那些病情是由于中心原因造成的,以及那些被误诊的患者,疾病的频率是通过将其与神经病学,耳,鼻,以及当时的咽喉科门诊和急诊科绿区,三个月内的贝尔麻痹分布,以及该分布是否与COVID-19感染分布相关。结果:2019年共纳入325例,2020年共纳入291例。在年龄和性别方面,这些年份之间没有发现显著差异。2019年贝尔氏麻痹的发病率为0.059%,2020年为0.071%,两者之间存在显著差异。在第二季度和第四季度,新型冠状病毒感染病例最多,差异明显。结论:本研究提示主诉周围性面瘫患者也应进行COVID-19感染检查。版权所有©2022,Galenos出版社。版权所有。
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引用次数: 0
The Protective Effect of Resveratrol on Cisplatin Induced Damage in Rat Liver 白藜芦醇对顺铂所致大鼠肝脏损伤的保护作用
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-30 DOI: 10.4274/haseki.galenos.2022.8098
Ozlem Kara, A. Kilitçi
Aim: One of the underlying causes of cisplatin-induced hepatotoxicity is oxidative stress. We assessed the effect of an antioxidant, resveratrol, on cisplatin-induced damage in the rat liver. Methods: The project-starting date was designed as 01.10.2020 and the project-ending date was planned as 01.04.2021. Three groups were created with 30 female Wistar-Albino rats: In group 1 (control group), 1 mL of 0.9% NaCl (saline) was administered intraperitoneally for 3 days. In group 2 (cisplatin group), 7.5 mg/kg intraperitoneal cisplatin was given for 3 days. In group 3 (cisplatin + resveratrol group), 7.5 mg/kg cisplatin and 10 mg/kg resveratrol were given via the intraperitoneal route. The livers were surgically extirpated in all the groups. In both blood and tissues, malondialdehyde (MDA) levels and activities of catalase (CAT) and superoxide dismutase (SOD) were measured. Also, toxicity markers such as hepatocyte damage (cellular changes), inflammation, hemorrhage, congestion, fibrosis, disorganization of the hepatic cords, and necrosis were assessed by examining the preparations prepared from hepatic tissue with light microscopy and immunohistochemistry. Results: Histopathological tissue damage was significantly higher in group 2 than in other groups (p 0.03). MDA levels were significantly higher and the activities of SOD and CAT were lower in group 2 than in the other groups (p=0.04 and p=0.01, respectively). Conclusion: According to our short-term findings, resveratrol might be an effective molecule for preventing the harmful effects of cisplatin in the rat liver.
目的:氧化应激是顺铂引起肝毒性的潜在原因之一。我们评估了抗氧化剂白藜芦醇对顺铂诱导的大鼠肝脏损伤的影响。方法:项目启动日期为2020年10月1日,项目结束日期为2021年1月1日。雌性Wistar-Albino大鼠30只,分为三组:第一组(对照组)腹腔注射0.9% NaCl(生理盐水)1 mL,连续3 d;2组(顺铂组)腹腔注射顺铂7.5 mg/kg,连续3 d。第3组(顺铂+白藜芦醇组)腹腔注射顺铂7.5 mg/kg,白藜芦醇10 mg/kg。所有组均手术切除肝脏。测定血液和组织中丙二醛(MDA)水平、过氧化氢酶(CAT)和超氧化物歧化酶(SOD)活性。此外,通过光镜和免疫组织化学检查肝组织制备的制剂,评估肝细胞损伤(细胞改变)、炎症、出血、充血、纤维化、肝索紊乱和坏死等毒性标志物。结果:2组大鼠组织病理损伤明显高于其他各组(p 0.03)。MDA水平显著高于其他各组(p=0.04和p=0.01), SOD和CAT活性显著低于其他各组(p=0.04和p=0.01)。结论:根据我们的短期研究结果,白藜芦醇可能是预防顺铂对大鼠肝脏有害作用的有效分子。
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引用次数: 1
Comparison of Incidence and Clinical Outcomes of COVID-19 among Healthcare Workers in the Prevaccination and Post-vaccination Periods: A Real-world Impact Study 预防接种和接种后医护人员COVID-19发病率和临床结果的比较:一项现实世界影响研究
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-30 DOI: 10.4274/haseki.galenos.2022.8505
S. Surme, B. Copur, O. Bayramlar, G. Tuncer, Y. Ozdemir, F. Pehlivanoğlu, G. Sengoz
Aim: Real-life data on the effect of coronavirus disease-2019 (COVID-19) vaccination is limited. We aimed to compare the incidence of COVID-19 among healthcare workers (HCWs) in the pre-vaccination and post-vaccination periods during the COVID-19 pandemic and identify associated factors for COVID-19 development. Method(s): In this single-center and cross-sectional study, HCWs employed in a tertiary care hospital were included. Pre-vaccination (14 October, 2020 and 14 January, 2021) and post-vaccination periods (1 March, 2021 and 1 June, 2021) were compared. A subgroup analysis was performed on HCWs without a previous history of COVID-19. Additionally, univariate regression analysis of COVID-19 development in the post-vaccination period was performed. Result(s): Of 2,922 HCWs, 2,096 (71.7%) were vaccinated. The incidence of COVID-19 was higher in the pre-vaccination period (16.3%) than in the post-vaccination (6.6%) (p<0.01). In the subgroup analysis, the incidence of COVID-19 was 16.6% in the pre-vaccination period and 8.1% in the post-vaccination period (p<0.01). Previous history of COVID-19 (p<0.01) and double-dose vaccination (p<0.01) were associated with a decreased risk of COVID-19 development. Conclusion(s): This study demonstrates the real-life impact of COVID-19 vaccination in reducing disease development and preventing poor clinical outcomes in a setting where the vaccination rate among HCWs was fairly low. Copyright © 2022 by The Medical Bulletin of Istanbul Haseki Training and Research Hospital The Medical Bulletin of Haseki published by Galenos Yayinevi.
目的:关于2019冠状病毒病(COVID-19)疫苗接种效果的实际数据有限。我们的目的是比较COVID-19大流行期间接种疫苗前和接种疫苗后医护人员(HCWs)的COVID-19发病率,并确定COVID-19发展的相关因素。方法:在这项单中心横断面研究中,纳入了在三级保健医院工作的医护人员。对接种前(2020年10月14日和2021年1月14日)和接种后(2021年3月1日和2021年6月1日)进行比较。对无COVID-19病史的医护人员进行亚组分析。此外,对疫苗接种后COVID-19的发展情况进行单因素回归分析。结果:2922名卫生保健员中,2096名(71.7%)接种了疫苗。新冠肺炎的发病率在接种前(16.3%)高于接种后(6.6%)(p<0.01)。亚组分析中,接种前和接种后的新冠肺炎发病率分别为16.6%和8.1% (p<0.01)。既往COVID-19病史(p<0.01)和双剂量疫苗接种(p<0.01)与COVID-19发展风险降低相关。结论:本研究证明了在卫生保健工作者疫苗接种率相当低的情况下,COVID-19疫苗接种在减少疾病发展和预防不良临床结果方面的现实影响。伊斯坦布尔Haseki培训和研究医院医学公报版权所有©2022。Galenos Yayinevi出版的Haseki医学公报。
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引用次数: 0
The Long-term Outcomes of Completion Pneumonectomy from a Tertiary Center 三级中心完成全肺切除术的长期结果
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-30 DOI: 10.4274/haseki.galenos.2022.8372
Y. Aksoy, Ozkan Saydam, N. Çıtak, C. Sezen, V. Erdoğu, L. Cansever, M. Bedirhan, M. Metin, A. Kutluk, A. Pekçolaklar
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引用次数: 0
Can We Use Inflammation Biomarkers Based on Complete Blood Cell Count in the Follow-up of COVID-19 in Hemodialysis Patients? 基于全血细胞计数的炎症生物标志物能否用于血液透析患者COVID-19随访?
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-30 DOI: 10.4274/haseki.galenos.2022.8694
Kubra Aydin Bahat, Tugba Tahtali
Aim: Coronavirus disease-2019 (COVID-19) is more severe in hemodialysis patients than in the average population and causes much higher mortality. This study investigated the effect of inflammation parameters obtained from complete blood count on the prognosis of COVID-19 in hemodialysis patients with COVID-19. Method(s): Hemodialysis patients admitted to our hospital between 11.03.2020 and 01.12.2020 with the diagnosis of COVID-19 were included in this study. The relationship between the oxygen requirement, intensive care requirements, and mortality development of the patients and the parameters obtained from the complete blood count, C-reactive protein (CRP), secondary infection, and demographic characteristics of the patients were investigated. Result(s): A total of 94 hemodialysis patients were included in the study. There was a correlation between secondary infections and the need for oxygen and intensive care (p=0.001 and p<0.001, respectively). CRP levels were associated with mortality, need for intensive care and oxygen demand (p=0.031, p=0.019 and p=0.014, respectively). Systemic inflammation index, derived neutrophil-lymphocyte ratio, and platelet-lymphocyte ratio were associated with oxygen demand (p=0.002, p=0.009 and p=0.044, respectively). The systemic inflammation index, platelet-lymphocyte ratio, and derived neutrophil-lymphocyte ratio exhibited the highest specificity (19.4% vs 26.9% vs 16.4%) and sensitivity (96.7% vs 92.6% vs 96.7%) and the largest areas under the curve of 0.672 vs 0.652 vs 0.666, respectively. Conclusion(s): Systemic inflammation index, neutrophil-lymphocyte ratio, and platelet-lymphocyte ratio obtained from complete blood count parameters in hemodialysis patients are functional parameters that can be used to predict the course of COVID-19. Copyright © 2022 by The Medical Bulletin of Istanbul Haseki Training and Research Hospital The Medical Bulletin of Haseki published by Galenos Yayinevi.
目的:冠状病毒病-2019 (COVID-19)在血液透析患者中比在平均人群中更严重,死亡率也高得多。本研究探讨全血细胞计数获得的炎症参数对血液透析患者COVID-19预后的影响。方法:选取2020年3月11日至2020年12月1日期间我院确诊为COVID-19的血液透析患者为研究对象。研究患者的血氧需要量、重症监护需要量、死亡率发展与患者全血细胞计数、c反应蛋白(CRP)、继发感染、人口学特征等参数的关系。结果:共纳入血透患者94例。继发感染与氧气需求和重症监护之间存在相关性(p=0.001和p<0.001)。CRP水平与死亡率、重症监护需求和需氧量相关(p=0.031、p=0.019和p=0.014)。全身炎症指数、衍生中性粒细胞-淋巴细胞比率和血小板-淋巴细胞比率与需氧量相关(p=0.002、p=0.009和p=0.044)。全身炎症指数、血小板-淋巴细胞比值和衍生中性粒细胞-淋巴细胞比值的特异性最高(19.4% vs 26.9% vs 16.4%),敏感性最高(96.7% vs 92.6% vs 96.7%),曲线下面积最大(0.672 vs 0.652 vs 0.666)。结论:血透患者全血细胞计数参数获得的全身炎症指数、中性粒细胞-淋巴细胞比值、血小板-淋巴细胞比值是预测COVID-19病程的功能参数。伊斯坦布尔Haseki培训和研究医院医学公报版权所有©2022。Galenos Yayinevi出版的Haseki医学公报。
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引用次数: 0
期刊
Haseki TIp Bulteni-Medical Bulletin of Haseki
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