Etiopathogenetic aspects of anemic syndrome effect on onset, course and outcome of COVID-19

Ekaterina B. Zvonareva, Natalia Yu. Churbanova
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Abstract

We consider relevant to modern realities coronavirus infection, which most of us, if not all of us, have encountered. And no less common among the population of the clinical and hematological syndrome is anemia. Anemia in coronavirus infection can be both a contributing factor to its development and a direct consequence of infection. We consider dyserythropoietic “deficiency” anemia – iron deficiency and anemia of chronic diseases characterized by a decrease in serum iron levels. In turn, iron is an active participant in tissue respiration and ensures the normal functioning of the immune system. Data were collected on the incidence of COVID-19 in patients with pre-existing anemia, we consider and analyze the incidence of anemia as a complication of coronavirus infection, and the overall impact of anemia on the severity of COVID-19 and its outcomes, the role of anemia in the necessity for artificial lung ventilation in patients, the development of complications associated with suppression of the immune system and oxygen starvation .The study revealed a significant negative impact of anemia on the course and outcome of coronavirus infection, as well as a its significant role in development of such severe conditions as hypoxic coma, acute respiratory distress syndrome and cytokine storm.
病因学方面贫血综合征对COVID-19发病、病程和转归的影响
我们认为冠状病毒感染与现代现实有关,我们大多数人(如果不是所有人)都遇到过这种感染。在临床和血液学综合症人群中同样常见的是贫血。冠状病毒感染中的贫血既是其发展的一个促成因素,也是感染的直接后果。我们考虑促红细胞生成性“缺乏性”贫血——铁缺乏症和慢性疾病贫血,其特征是血清铁水平降低。反过来,铁是组织呼吸的积极参与者,并确保免疫系统的正常功能。收集已有贫血患者的COVID-19发病率数据,考虑并分析贫血作为冠状病毒感染并发症的发病率,贫血对COVID-19严重程度及其结局的总体影响,贫血在患者是否需要人工肺通气中的作用,研究表明,贫血对冠状病毒感染的过程和结果有显著的负面影响,并且在低氧昏迷、急性呼吸窘迫综合征和细胞因子风暴等严重疾病的发生中起重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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