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1.
Biomedical and Environmental Sciences ; (12): 893-905, 2020.
Article in English | WPRIM | ID: wpr-878305

ABSTRACT

Objective@#Several COVID-19 patients have overlapping comorbidities. The independent role of each component contributing to the risk of COVID-19 is unknown, and how some non-cardiometabolic comorbidities affect the risk of COVID-19 remains unclear.@*Methods@#A retrospective follow-up design was adopted. A total of 1,160 laboratory-confirmed patients were enrolled from nine provinces in China. Data on comorbidities were obtained from the patients' medical records. Multivariable logistic regression models were used to estimate the odds ratio ( @*Results@#Overall, 158 (13.6%) patients were diagnosed with severe illness and 32 (2.7%) had unfavorable outcomes. Hypertension (2.87, 1.30-6.32), type 2 diabetes (T2DM) (3.57, 2.32-5.49), cardiovascular disease (CVD) (3.78, 1.81-7.89), fatty liver disease (7.53, 1.96-28.96), hyperlipidemia (2.15, 1.26-3.67), other lung diseases (6.00, 3.01-11.96), and electrolyte imbalance (10.40, 3.00-26.10) were independently linked to increased odds of being severely ill. T2DM (6.07, 2.89-12.75), CVD (8.47, 6.03-11.89), and electrolyte imbalance (19.44, 11.47-32.96) were also strong predictors of unfavorable outcomes. Women with comorbidities were more likely to have severe disease on admission (5.46, 3.25-9.19), while men with comorbidities were more likely to have unfavorable treatment outcomes (6.58, 1.46-29.64) within two weeks.@*Conclusion@#Besides hypertension, diabetes, and CVD, fatty liver disease, hyperlipidemia, other lung diseases, and electrolyte imbalance were independent risk factors for COVID-19 severity and poor treatment outcome. Women with comorbidities were more likely to have severe disease, while men with comorbidities were more likely to have unfavorable treatment outcomes.


Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , COVID-19/virology , China/epidemiology , Comorbidity , Retrospective Studies , Severity of Illness Index , Treatment Outcome
2.
Journal of Medical Postgraduates ; (12): 1322-1325, 2017.
Article in Chinese | WPRIM | ID: wpr-666201

ABSTRACT

Acute pancreatitis (AP) is an abnormal inflammatory condition of the pancreas and one of the most common acute abdominal diseases.The cause and pathophysiology of AP are complicated and the overall mortality rate is up to 5%-10% while severe AP patients could suffer from even 20%-30% mortality risks.Until now,the underlying pathogenesis of AP remains unclear and no effective specific treatment has been developed.Hence,a great number of experimental studies on AP pathogenesis and therapeutic methods by applying associated animal models have been undertaken around worldwide.Therefore,the aim of this article is to review about the selection of animal species and induction methods in main AP animal models and how to choose models for different AP etiologies.

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