Viral Dynamic Surveillance in COVID-19 Patients: A Cohort Study

Autor: DeWu Bi, ZhenCheng Chen, ShanQiu Wei, ZhouHua Xie, Ning Zang, LiDa Mo, ZeDuan Liu, YuanLi Wang, LiangLi Cao, FeiJun Zhao, YanRong Lin, YaQin Qin, XiKe Tang, HanZhen Su, JinAi Zhou, JuanYing Liang, ZhenXu Lan, Lü Lin, ShaoYong Xi, XiaoCheng Luo, QiuYing Ma, XiaoFeng Pang, XiaoLu Luo
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BioMed Research International.
ISSN: 2314-6133
DOI: 10.1155/2022/1399268
Popis: Background. Coronavirus disease 2019 (COVID-19) is a potentially fatal pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), especially those of novel SARS-CoV-2 variants and infection has affected over 700 million people globally. Methods. This retrospective, descriptive study included 118 patients admitted with SARS-CoV-2 infection as confirmed by real-time reverse transcription polymerase chain reaction. Results. The median duration of detectable SARS-CoV-2 infection in patients with high ALT, AST, and PLT/LYMPH, or low CD4+, CD8+, and PLT/MONO was considerably longer. In the risk factor model, multivariate analysis was performed for the estimation of ALT (HR, 0.54; 95% CI, 0.36-0.81), AST (HR, 0.56; 95% CI, 0.34-0.93), CD4+ (HR,0.77; 95% CI, 0.48-1.24), CD8+ (HR,0.64; 95% CI, 0.37-1.11), PLT/LYMPH (HR, 1.16; 95% CI, 0.76-1.77), and PLT/MONO (HR, 0.64; 95% CI, 0.43-0.94). Conclusions. The longer viral RNA duration was associated with a higher International Prognostic Index score ( p = 0.0013 ), demonstrating for the first time that multivariate features of the bioindicators closely associated with SARS-CoV-2-infected patients clear the virus.
Databáze: OpenAIRE
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