COVID-19 is more dangerous for older people and its severity is increasing: a case-control study.

IF 3 Q2 MEDICINE, RESEARCH & EXPERIMENTAL
Cuma Mertoglu, Mehmet Tahir Huyut, Hasan Olmez, Mustafa Tosun, Mecit Kantarci, Taha Abdulkadir Coban
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引用次数: 16

Abstract

Coronavirus disease 2019 (COVID-19) triggers important changes in routine blood tests. In this retrospective case-control study, biochemical, hematological and inflammatory biomarkers between March 10, 2020, and November 30, 2020 from 3969 COVID-19 patients (3746 in the non-intensive care unit (non-ICU) group and 223 in the ICU group) were analyzed by dividing into three groups as spring, summer and autumn. In the non-ICU group, lymphocyte to monocyte ratio was lower in autumn than the other two seasons and neutrophil to lymphocyte ratio was higher in autumn than the other two seasons. Also, monocyte and platelet were higher in spring than autumn; and eosinophil, hematocrit, hemoglobin, lymphocyte, and red blood cells decreased from spring to autumn. In the non-ICU group, alanine aminotransferase and gamma-glutamyltransferase gradually increased from spring to autumn, while albumin, alkaline phosphatase, calcium, total bilirubin and total protein gradually decreased. Additionally, C-reactive protein was higher in autumn than the other seasons, erythrocyte sedimentation rate was higher in autumn than summer. The changes in routine blood biomarkers in COVID-19 varied from the emergence of the disease until now. Also, the timely changes of blood biomarkers were mostly more negative, indicating that the disease progresses severely. The study was approved by the Erzincan Binali Yildirim University Non-interventional Clinical Trials Ethic Committee (approval No. 86041) on June 21, 2021.

一项病例对照研究表明,COVID-19对老年人更危险,其严重程度正在增加。
2019冠状病毒病(新冠肺炎)引发血液常规检测的重要变化。在这项回顾性病例对照研究中,分析了2020年3月10日至2020年11月30日期间3969名新冠肺炎患者(非重症监护室(非ICU)组3746人,ICU组223人)的生化、血液学和炎症生物标志物,分为春季、夏季和秋季三组。在非ICU组中,秋季淋巴细胞与单核细胞的比率低于其他两个季节,秋季中性粒细胞与淋巴细胞的比率高于其他两个季度。单核细胞和血小板在春季高于秋季;从春季到秋季,嗜酸性粒细胞、红细胞压积、血红蛋白、淋巴细胞和红细胞减少。在非ICU组,丙氨酸氨基转移酶和γ-谷氨酰转移酶从春季到秋季逐渐升高,而白蛋白、碱性磷酸酶、钙、总胆红素和总蛋白逐渐降低。此外,C反应蛋白在秋季高于其他季节,红细胞沉降率在秋季高于夏季。从疾病出现到现在,新冠肺炎常规血液生物标志物的变化各不相同。此外,血液生物标志物的及时变化大多为阴性,表明疾病进展严重。该研究于2021年6月21日获得Erzincan Binali Yildirim大学非介入临床试验伦理委员会的批准(批准号86041)。
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来源期刊
Medical Gas Research
Medical Gas Research MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
5.10
自引率
13.80%
发文量
35
期刊介绍: Medical Gas Research is an open access journal which publishes basic, translational, and clinical research focusing on the neurobiology as well as multidisciplinary aspects of medical gas research and their applications to related disorders. The journal covers all areas of medical gas research, but also has several special sections. Authors can submit directly to these sections, whose peer-review process is overseen by our distinguished Section Editors: Inert gases - Edited by Xuejun Sun and Mark Coburn, Gasotransmitters - Edited by Atsunori Nakao and John Calvert, Oxygen and diving medicine - Edited by Daniel Rossignol and Ke Jian Liu, Anesthetic gases - Edited by Richard Applegate and Zhongcong Xie, Medical gas in other fields of biology - Edited by John Zhang. Medical gas is a large family including oxygen, hydrogen, carbon monoxide, carbon dioxide, nitrogen, xenon, hydrogen sulfide, nitrous oxide, carbon disulfide, argon, helium and other noble gases. These medical gases are used in multiple fields of clinical practice and basic science research including anesthesiology, hyperbaric oxygen medicine, diving medicine, internal medicine, emergency medicine, surgery, and many basic sciences disciplines such as physiology, pharmacology, biochemistry, microbiology and neurosciences. Due to the unique nature of medical gas practice, Medical Gas Research will serve as an information platform for educational and technological advances in the field of medical gas.
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