解码血液病患者 SARS-CoV-2 并发症的预后因素

IF 2.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Fengbo Jin , Wei Qian , Yingying Chen , Wanlu Tian , Ling Ge , Mingzhen Yang , Leiming Xia
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引用次数: 0

摘要

在全球SARS-CoV-2大流行的复杂图景中,本研究深入研究了临床数据的复杂相互作用,以阐明与血液系统疾病和SARS-CoV-2患者并发症相关的预后因素。从2022年11月到2023年3月,对71名患者进行了详尽的分析,旨在揭示独特的临床特征,并阐明引导疾病发展轨迹的细微决定因素。最新的研究结果揭示了多方面的相关性,强调了临床参数的复杂相互作用。在血液系统疾病患者中,铁蛋白水平异常升高与SARS-CoV-2肺炎的发展密切相关,而干扰素-γ与SARS-CoV-2的严重程度密切相关。相反,铁蛋白水平升高,d -二聚体和纤维蛋白降解产物增加,以及铁水平显著升高,与患者死亡率显著相关。有趣的是,那些血液学完全缓解的患者患SARS-CoV-2肺炎的风险增加,而那些放弃抗肿瘤治疗的患者表现出减轻的病例严重程度。本研究揭示了影响血液系统疾病患者SARS-CoV-2并发症预后的临床因素之间复杂的相互作用。对异常干扰素γ激活的认识以及与铁蛋白、铁水平和凝血标志物的细微关联有助于更全面地了解预后情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Decoding prognostic factors in SARS-CoV-2 complications among patients with hematological disorders
Within the intricate tapestry of the global SARS-CoV-2 pandemic, this study delves into the intricate interplay of clinical data to elucidate prognostic factors associated with complications in patients concomitantly afflicted with hematological disorders and SARS-CoV-2. An exhaustive analysis of 71 individuals, spanning the period from November 2022 to March 2023, aims to unveil distinctive clinical characteristics and explicate the nuanced determinants steering the trajectory of the disease. The updated findings reveal a multi-faceted correlation, underscoring the complex interplay of clinical parameters. Among individuals with hematological disorders, anomalously elevated ferritin levels are closely associated with the development of SARS-CoV-2 pneumonia, while interferon-γ is intricately linked to the severity of SARS-CoV-2. Conversely, elevated ferritin levels, increased D-dimer and fibrin degradation products, along with significantly elevated iron levels, manifest a significant association with patient mortality. Intriguingly, those in patients in complete hematologic remission confront an augmented risk of developing SARS-CoV-2 pneumonia, while those abstaining from anti-tumor treatments exhibit mitigated case severity. This study unveils the intricate interplay of clinical factors impacting the prognosis of SARS-CoV-2 complications in individuals with hematological disorders. The cognizance of aberrant interferon-γ activation and nuanced associations with ferritin, iron levels, and coagulation markers contributes to a more holistic comprehension of the prognostic landscape.
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来源期刊
Clinics
Clinics 医学-医学:内科
CiteScore
4.10
自引率
3.70%
发文量
129
审稿时长
52 days
期刊介绍: CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in the medical sciences. CLINICS complies with the policies of funding agencies which request or require deposition of the published articles that they fund into publicly available databases. CLINICS supports the position of the International Committee of Medical Journal Editors (ICMJE) on trial registration.
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