Indicators of Acute Kidney Injury as Biomarkers to Differentiate Heatstroke from Coronavirus Disease 2019: A Retrospective Multicenter Analysis
Autor: | Obinata, Hirofumi, Yokobori, Shoji, Ogawa, Kei, Takayama, Takayama, Kawano, Shuichi, Ito, Toshimitsu, Takiguchi, Toru, Igarashi, Yutaka, Nakae, Ryuta, Masuno, Tomohiko, Ohwada, Hayato, Hirofumi, Obinata, Shoji, Yokobori, Kei, Ogawa, Shuichi, Kawano, Toshimitsu, Ito, Toru, Takiguchi, Yutaka, Igarashi, Ryuta, Nakae, Tomohiko, Masuno, Hayato, Ohwada |
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Rok vydání: | 2021 |
Předmět: |
Adult
Male medicine.medical_specialty Hot Temperature Climate Heat Stroke Logistic regression Diagnosis Differential Leukocyte Count 03 medical and health sciences chemistry.chemical_compound COVID-19 Testing 0302 clinical medicine Predictive Value of Tests Internal medicine White blood cell medicine Humans Tokyo Aged Retrospective Studies Creatinine business.industry Acute kidney injury Area under the curve COVID-19 Heatstroke Retrospective cohort study General Medicine Acute Kidney Injury Middle Aged medicine.disease C-Reactive Protein Blood pressure medicine.anatomical_structure chemistry 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Seasons business Biomarkers |
Zdroj: | Journal of Nippon Medical School. 88:80-86 |
ISSN: | 1347-3409 1345-4676 |
DOI: | 10.1272/jnms.jnms.2021_88-107 |
Popis: | BACKGROUND: Coronavirus disease 2019 (COVID-19) and heat related-illness are systemic febrile diseases. In the summer during the COVID-19 pandemic, a differential diagnosis between the two conditions is important. However, no studies have compared and distinguished heat-related illness from COVID-19. We aimed to compare the data between patients with early-stage heat-related illness and those with COVID-19. METHODS: This retrospective observational study included 90 patients with early-stage heat-related illness selected from Heatstroke STUDY 2017-2019 (nationwide registries of heat-related illness in Japan) and 86 patients with laboratory-confirmed COVID-19 with complaints of fever or fatigue and were admitted to one of two hospitals in Tokyo, Japan. RESULTS: Amongvital signs, systolic blood pressure (119 vs. 125 mmHg, p = 0.02), oxygen saturation (98% vs. 97%, p < 0.001), and body temperature (36.6 vs. 37.6 °C, p |
Databáze: | OpenAIRE |
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