SARS-CoV-2患者电解质失衡、凝血功能障碍、降钙素原与死亡率的关系

Q4 Biochemistry, Genetics and Molecular Biology Biomedicine (India) Pub Date : 2023-11-09 DOI:10.51248/.v43i5.2203
Aleena Varughese, Greeshma B. Kotian, Raghavendra L.S. Hallur, Manjula Shantaram
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摘要

简介和目的:“SARS-CoV-2”(严重急性呼吸综合征冠状病毒-2)是冠状病毒家族的一员,是COVID-19(冠状病毒病2019)的罪魁祸首。本研究旨在检查急诊科冠状病毒患者感染的危险因素,并报告COVID-19患者的电解质紊乱、凝血功能障碍、降钙素原和死亡率。目的是研究电解质、凝血参数和降钙素原与COVID-19患者死亡率的关系。材料与方法:回顾性观察分析,收集106例SARS-CoV-2感染患者的信息,并进一步确定幸存者和非幸存者。连续参数变量以Mean±SD进行统计报告。分析生化指标与死亡率的关系。结果:存活的“严重COVID-19患者”的钠(P = 0.09)、钾(P = 0.01)和氯化物(P = 0.000)水平明显低于非存活者,尽管氯化物的P值与非存活者显著相关。凝血酶原时间(PT)无统计学意义的数据报道。生存组患者的国际标准化比值(INR)升高,p值为0.05,相关性显著(p = 0.04)。幸存者和非幸存者的p值均为0.01,激活的部分凝血活素时间(APTT)略有升高,二聚体值在幸存者和非幸存者中均明显升高,且两者的p值均为0.05。p值为0.01,存活组降钙素原水平较高。结论:该分析表明,COVID-19的四肢与酸碱失衡、凝血功能障碍和死亡有关。
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Association of electrolyte imbalance, coagulopathy, procalcitonin and mortality in patients with SARS-CoV-2
Introduction and Aim: “SARS-CoV-2” (Severe Acute Respiratory Syndrome Coronavirus -2), a member of the coronavirus family, is the culprit behind COVID-19 (coronavirus disease 2019). We intended to examine the risk factors for infection in patients presenting with corona virus in the emergency department and to report electrolyte disturbance, coagulopathy, procalcitonin, and mortality in COVID-19 patients. The aim was to examine how electrolytes, coagulation parameters, and procalcitonin are associated with mortality in patients with COVID-19. Materials and Methods: Retrospective observational analysis, information on 106 individuals with SARS-CoV-2 infection was gathered, and survivors and non-survivors were further identified. Continuous parametric variables were statistically reported as Mean ±SD. Analysis was done on the relationship between biochemical markers and mortality. Results: Substantially low Sodium (P = 0.09), Potassium (P = 0.01), and Chloride (P = 0.000) levels were identified in ‘severe COVID-19 patients’ with survivors than in non-survivors, although the p-value for chloride was significantly connected with non-survivors. No statistically significant data were reported for Prothrombin Time (PT). In patients in the survival group, there was an elevated International Normalized Ratio (INR) with a 0.05 p-value and a significant correlation (p = 0.04). With a p-value of 0.01 in both survivors and non-survivors, activated partial thromboplastin time (APTT) was marginally elevated dimer values were discovered to be noticeably higher in both survivors and non-survivors, and they were substantially connected with a p-value of 0.05. With a p-value of 0.01 the surviving group was shown to have higher procalcitonin levels. Conclusion: This analysis demonstrates that the extremity of COVID-19 is linked to acid-base imbalance, coagulopathy, and death.
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Biomedicine (India)
Biomedicine (India) Biochemistry, Genetics and Molecular Biology-Biochemistry, Genetics and Molecular Biology (all)
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