The poor prognosis and influencing factors of high D-dimer levels for COVID-19 patients

Abstract To explore the value, and influencing factors, of D-dimer on the prognosis of patients with COVID-19. A total of 1,114 patients with confirmed COVID-19 who were admitted to three designated COVID-19 hospitals in Wuhan, China from January 18, 2020, to March 24, 2020, were included in this st...

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Autores principales: Xiaokang He, Fei Yao, Jie Chen, Yan Wang, Xiangming Fang, Xuan Lin, Hui Long, Qiang Wang, Qingming Wu
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:e54a2a6654504f8fa436ca9fb1598d442021-12-02T14:09:01ZThe poor prognosis and influencing factors of high D-dimer levels for COVID-19 patients10.1038/s41598-021-81300-w2045-2322https://doaj.org/article/e54a2a6654504f8fa436ca9fb1598d442021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81300-whttps://doaj.org/toc/2045-2322Abstract To explore the value, and influencing factors, of D-dimer on the prognosis of patients with COVID-19. A total of 1,114 patients with confirmed COVID-19 who were admitted to three designated COVID-19 hospitals in Wuhan, China from January 18, 2020, to March 24, 2020, were included in this study. We examined the relationship between peripheral blood levels of D-dimer, and clinical classification and prognosis, as well as its related influencing factors. D-dimer levels were found to be related to the clinical classification and the prognosis of clinical outcome. D-dimer levels were more likely to be abnormal in severely and critically ill patients compared with mild and ordinary cases, while D-dimer levels of patients who had died were significantly higher than those of surviving patients according to the results of the first and last lab tests. The results from ROC analyses for mortality risk showed that the AUCs of D-dimer were 0.909, YI was 0.765 at the last lab test, and a D-dimer value of 2.025 mg/L was regarded to be the optimal probability cutoff for a prognosis of death. In addition, we found that patients with advanced age, male gender, dyspnea symptoms, and some underlying diseases have a higher D-dimer value (p < 0.05). In short, D-dimer is related to the clinical classification and can be used to evaluate the prognosis of COVID-19 patients. The D-dimer value of 2.025 mg/L was the optimal probability cutoff for judging an outcome of death. Advanced age, male gender, dyspnea symptoms, and some underlying diseases are influencing factors for D-dimer levels, which impacts the prognosis of patients.Xiaokang HeFei YaoJie ChenYan WangXiangming FangXuan LinHui LongQiang WangQingming WuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Xiaokang He
Fei Yao
Jie Chen
Yan Wang
Xiangming Fang
Xuan Lin
Hui Long
Qiang Wang
Qingming Wu
The poor prognosis and influencing factors of high D-dimer levels for COVID-19 patients
description Abstract To explore the value, and influencing factors, of D-dimer on the prognosis of patients with COVID-19. A total of 1,114 patients with confirmed COVID-19 who were admitted to three designated COVID-19 hospitals in Wuhan, China from January 18, 2020, to March 24, 2020, were included in this study. We examined the relationship between peripheral blood levels of D-dimer, and clinical classification and prognosis, as well as its related influencing factors. D-dimer levels were found to be related to the clinical classification and the prognosis of clinical outcome. D-dimer levels were more likely to be abnormal in severely and critically ill patients compared with mild and ordinary cases, while D-dimer levels of patients who had died were significantly higher than those of surviving patients according to the results of the first and last lab tests. The results from ROC analyses for mortality risk showed that the AUCs of D-dimer were 0.909, YI was 0.765 at the last lab test, and a D-dimer value of 2.025 mg/L was regarded to be the optimal probability cutoff for a prognosis of death. In addition, we found that patients with advanced age, male gender, dyspnea symptoms, and some underlying diseases have a higher D-dimer value (p < 0.05). In short, D-dimer is related to the clinical classification and can be used to evaluate the prognosis of COVID-19 patients. The D-dimer value of 2.025 mg/L was the optimal probability cutoff for judging an outcome of death. Advanced age, male gender, dyspnea symptoms, and some underlying diseases are influencing factors for D-dimer levels, which impacts the prognosis of patients.
format article
author Xiaokang He
Fei Yao
Jie Chen
Yan Wang
Xiangming Fang
Xuan Lin
Hui Long
Qiang Wang
Qingming Wu
author_facet Xiaokang He
Fei Yao
Jie Chen
Yan Wang
Xiangming Fang
Xuan Lin
Hui Long
Qiang Wang
Qingming Wu
author_sort Xiaokang He
title The poor prognosis and influencing factors of high D-dimer levels for COVID-19 patients
title_short The poor prognosis and influencing factors of high D-dimer levels for COVID-19 patients
title_full The poor prognosis and influencing factors of high D-dimer levels for COVID-19 patients
title_fullStr The poor prognosis and influencing factors of high D-dimer levels for COVID-19 patients
title_full_unstemmed The poor prognosis and influencing factors of high D-dimer levels for COVID-19 patients
title_sort poor prognosis and influencing factors of high d-dimer levels for covid-19 patients
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/e54a2a6654504f8fa436ca9fb1598d44
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