2020 年 12 月至 2021 年 9 月期间英国国际医院 45-70 岁 COVID-19 阳性患者的 D-Dimer 水平特征

D. Luhulima, Welly Saluntondok, Nafisah Erica Maulidiani Irwan
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引用次数: 0

摘要

COVID-19 是一种由 SARS-CoV-2 病毒引起的疾病。COVID-19 根据患者的经历可分为几种临床症状。COVID-19 临床症状严重时,D-二聚体会明显升高。本研究旨在确定 45-70 岁 COVID-19 患者的 D-Dimer 水平,采用了回顾性横断面设计的描述性分析方法。样本数量为 198 名接受 D-Dimer 水平检查的患者和 127 名接受抗凝剂预防治疗的患者。研究样本为2020年12月至2021年9月期间在RSU UKI检查过D-二聚体水平的所有COVID-19患者的病历,年龄在45-70岁之间,发现145名患者(73.2%)的D-二聚体水平正常,53名患者(26.8%)的D-二聚体水平升高。其中,女性患者有 100 人(50.5%),男性患者有 98 人(49.5%);年龄在 54 - 62 岁之间的患者最多,有 74 人(37.4%);有 122 人(61.6%)出现临床症状;合并高血压是最常见的疾病,有 64 人(32.3%)。研究发现,D-二聚体水平与合并症之间存在明显关系(P=0.04)。127 名患者接受了抗凝剂预防治疗,其中 5 名患者(3.6%)出现轻度症状,73 名患者(57.5%)出现中度症状,49 名患者(38.6%)出现重度症状。然而,在轻度、中度或重度症状患者中,抗凝剂预防与 D-Dimer 水平之间没有发现明显的关系(P=0.66)。
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Characteristics of D-Dimer Levels in Patients Confirmed Positive for COVID-19 Aged 45 – 70 Years at UKI Hospital for the Period December 2020 – September 2021
COVID-19 is a disease caused by the SARS-CoV-2 virus. COVID-19 is divided into several clinical symptoms based on a person's experiences. In severe clinical signs of COVID-19, D –Dimer will be significantly higher. This study aims to determine D-Dimer levels in COVID-19 patients aged 45 – 70 and uses a descriptive-analytic method with a retrospective cross-sectional design. The number of samples was 198 patients whose D-Dimer levels were checked and 127 patients who received anticoagulant prophylaxis. The research samples were all medical records of patients suffering from COVID-19 aged 45 - 70 years and who had checked D-Dimer levels at RSU UKI from December 2020 to September 2021 found that 145 patients (73.2%) had normal D-Dimer levels, 53 patients (26.8%) had increased D-Dimer levels. The distribution of women were 100 patients (50.5%), and men were 98 patients (49.5%), the highest range was aged 54 - 62 years with 74 patients (37.4%), clinical symptoms were being experienced by 122 patients (61.6%), and comorbid hypertension was the most common disease with 64 patients (32.3%). A significant relationship was found between D-Dimer levels and comorbidities (p=0.04). Anticoagulant prophylaxis was given to 127 patients, with mild symptoms experienced by five patients (3.6%), moderate symptoms experienced by 73 patients (57.5%), and severe symptoms experienced by 49 patients (38.6%). However, no significant relationship was found (p=0.66) between administering anticoagulant prophylaxis and D-Dimer levels in patients with mild, moderate, or severe symptoms.
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