D-Dimer 、Pt、Aptt 和白蛋白与 Covid-19 阳性患者病情严重程度和死亡率的关系

Amellya Octifani, Budi Santosa, Junaedi Wibawa
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摘要

COVID-19 是一个全球性的健康问题,分为轻度、中度和重度,死亡率很高。凝血病理系统对 COVID-19 患者具有重要价值。本研究旨在确定 COVID-19 阳性患者的 d-二聚体、PT、aPTT 和白蛋白与严重程度和死亡率的关系和预测价值。研究类型为回顾性横断面研究。研究数据采用简单随机抽样技术,取自 2021 年 8 月至 9 月泗水 Husada Utama 医院的医疗记录装置。双变量关系数据分析使用了 Chi-Square 检验,然后进行了多变量逻辑回归检验,D-二聚体、PT、aPTT 和白蛋白的临界值分别为 0.5 克/毫升、14.0 秒、36.0 秒和 3.5 秒。36.0秒和3.5克/分升。卡方检验(? < 0.05)结果显示,D-二聚体、PT、aPTT 和白蛋白的严重程度 Sig 值分别为 0.000;0.000;0.001;0.001,而死亡率 Sig 值分别为 0.000;0.047;0.239;0.022。对严重程度进行多元逻辑回归检验的结果显示,Sig.值分别为 0.000、0.047、0.239、0.022。0.000;0.000;0.021;0.000,[PR]值分别为 16.7;4.4;2.7;14.4。死亡率的多元逻辑回归检验结果显示,Sig.0.000;0.020;0.273,[PR]值为 26.9;2.8;1.6。D-二聚体、PT、aPTT 和白蛋白与病情严重程度和死亡率之间存在关系,可作为 COVID-19 患者病情严重程度和死亡率的预测指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship of D-Dimer, Pt, Aptt, and Albumin with severity and mortality rate in Covid-19 positive patients
COVID-19 is a global health problem that is divided into mild, moderate, and severe degrees of severity and a high mortality rate. The coagulopathy system has value in COVID-19 patients. This study aims to determine the relationship and predictive value of d-dimer, PT, aPTT, and albumin with severity and mortality in COVID-19 positive patients. The type of research used is retrospective with a cross-sectional approach. The research data were taken using a simple random sampling technique from the Medical Record Installation of Husada Utama Hospital, Surabaya in August-September 2021. Bivariate relationship data analysis used the Chi-Square test followed by a multivariate logistic regression test with cut-off values ??of D-dimer, PT, aPTT, and albumin each 0.5 g/mL, 14.0 sec. 36.0 seconds and 3.5 g/dL. The results of the chi-square test (? < 0.05) showed the sig value of D-Dimer, PT, aPTT albumin with a severity level of 0.000; 0.000; 0.001; 0.001 while the value of Sig. with a mortality of 0.000; 0.047; 0.239; 0.022. The results of the multivariate logistic regression test with the degree of severity obtained the value of Sig. 0.000; 0.000; 0.021; 0.000 with a [PR] value of 16.7; 4.4; 2.7; 14.4. The results of the multivariate logistic regression test with mortality obtained the value of Sig. 0.000; 0.020; 0.273 with a [PR] value of 26.9; 2.8;1.6. There is a relationship between D-Dimer, PT, aPTT, and albumin with severity and mortality and can be used as a predictor of severity and mortality in COVID-19 patients.
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