Risk factors for death in 1859 subjects with COVID-19

被引:101
作者
Chen, Lei [1 ]
Yu, Jianming [1 ]
He, Wenjuan [1 ]
Chen, Li [2 ]
Yuan, Guolin [3 ]
Dong, Fang [4 ]
Chen, Wenlan [1 ]
Cao, Yulin [1 ]
Yang, Jingyan [5 ]
Cai, Liling [5 ]
Wu, Di [1 ]
Ran, Qijie [6 ]
Li, Lei [7 ]
Liu, Qiaomei [8 ]
Ren, Wenxiang [1 ]
Gao, Fei [1 ]
Wang, Hongxiang [2 ]
Chen, Zhichao [1 ]
Gale, Robert Peter [9 ]
Li, Qiubai [1 ]
Hu, Yu [1 ]
机构
[1] Huazhong Univ Sci & Technol, Inst Hematol, Union Hosp, Tongji Med Coll, Wuhan 430022, Peoples R China
[2] Huazhong Univ Sci & Technol, Wuhan Cent Hosp, Dept Hematol, Tongji Med Coll, Wuhan, Peoples R China
[3] Hubei Univ Arts & Sci, Affiliated Hosp, Xiangyang Cent Hosp, Dept Hematol, Xiangyang 441021, Peoples R China
[4] Wuhan Univ, Tongren Hosp, Wuhan Hosp 3, Intens Care Units, Wuhan, Peoples R China
[5] Huazhong Univ Sci & Technol, Union Hosp, Dept Urol Surg, Tongji Med Coll, Wuhan 430022, Peoples R China
[6] Gen Hosp Cent Theater Command, PLA, Dept Hematol, Wuhan 300700, Peoples R China
[7] Wuhan Jin Yin Tan Hosp, Wuhan, Peoples R China
[8] Wuhan Univ, Tongren Hosp, Wuhan Hosp 3, Med Records Stat Dept, Wuhan, Peoples R China
[9] Imperial Coll London, Dept Immunol & Inflammat, Ctr Hematol Res, London, England
基金
中国国家自然科学基金;
关键词
CLINICAL CHARACTERISTICS; OUTCOMES;
D O I
10.1038/s41375-020-0911-0
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We studied 1859 subjects with confirmed COVID-19 from seven centers in Wuhan 1651 of whom recovered and 208 died. We interrogated diverse covariates for correlations with risk of death from COVID-19. In multi-variable Cox regression analyses increased hazards of in-hospital death were associated with several admission covariates: (1) older age (HR = 1.04; 95% Confidence Interval [CI], 1.03, 1.06peryear increase;P < 0.001); (2) smoking (HR = 1.84 [1.17, 2.92];P = 0.009); (3) admission temperatureper degrees C increase (HR = 1.32 [1.07, 1.64];P = 0.009); (4) Log(10)neutrophil-to-lymphocyte ratio (NLR; HR = 3.30 [2.10, 5.19];P < 0.001); (5) plateletsper10 E + 9/L decrease (HR = 0.996 [0.994, 0.998];P = 0.001); (6) activated partial thromboplastin (aPTT)persecond increase (HR = 1.04 [1.02, 1.05];P < 0.001); (7) Log(10)D-dimerpermg/l increase (HR = 3.00 [2.17, 4.16];P < 0.001); and (8) Log(10)serum creatinineper mu mol/L increase (HR = 4.55 [2.72, 7.62];P < 0.001). In piecewise linear regression analyses Log(10)NLR the interval from >= 0.4 to <= 1.0 was significantly associated with an increased risk of death. Our data identify covariates associated with risk of in hospital death in persons with COVID-19.
引用
收藏
页码:2173 / 2183
页数:11
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