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Suppression of the hypothalamic-pituitary-thyroid axis is associated with the severity of prognosis in hospitalized patients with COVID-19.
Zheng, Juan; Cui, Zhenhai; Shi, Ningjie; Tian, Shenghua; Chen, Ting; Zhong, Xueyu; Qiu, Kangli; Zhang, Jiaoyue; Zeng, Tianshu; Chen, Lulu; Li, Huiqing.
  • Zheng J; Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
  • Cui Z; Hubei provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.
  • Shi N; Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
  • Tian S; Hubei provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.
  • Chen T; Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
  • Zhong X; Hubei provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.
  • Qiu K; Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
  • Zhang J; Hubei provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.
  • Zeng T; Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
  • Chen L; Hubei provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.
  • Li H; Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
BMC Endocr Disord ; 21(1): 228, 2021 Nov 15.
Article in English | MEDLINE | ID: covidwho-1518273
ABSTRACT

BACKGROUND:

The outbreak of severe acute respiratory syndrome novel coronavirus 2 (SARS-CoV-2) has spread rapidly worldwide. SARS-CoV-2 has been found to cause multiple organ damage; however, little attention has been paid to the damage to the endocrine system caused by this virus, and the subsequent impact on prognosis. This may be the first research on the hypothalamic-pituitary-thyroid (HPT) axis and prognosis in coronavirus disease 2019 (COVID-19).

METHODS:

In this retrospective observational study, 235 patients were admitted to the hospital with laboratory-confirmed SARS-CoV-2 infection from 22 January to 17 March 2020. Clinical characteristics, laboratory findings, and treatments were obtained from electronic medical records with standard data collection forms and compared among patients with different thyroid function status.

RESULTS:

Among 235 patients, 17 (7.23%) had subclinical hypothyroidism, 11 (4.68%) severe non-thyroidal illness syndrome (NTIS), and 23 (9.79%) mild to moderate NTIS. Composite endpoint events of each group, including mortality, admission to the ICU, and using IMV were observed. Compared with normal thyroid function, the hazard ratios (HRs) of composite endpoint events for mild to moderate NTIS, severe NTIS, subclinical hypothyroidism were 27.3 (95% confidence interval [CI] 7.07-105.7), 23.1 (95% CI 5.75-92.8), and 4.04 (95% CI 0.69-23.8) respectively. The multivariate-adjusted HRs for acute cardiac injury among patients with NTF, subclinical hypothyroidism, severe NTIS, and mild to moderate NTIS were 1.00, 1.68 (95% CI 0.56-5.05), 4.68 (95% CI 1.76-12.4), and 2.63 (95% CI 1.09-6.36) respectively.

CONCLUSIONS:

Our study shows that the suppression of the HPT axis could be a common complication in COVID-19 patients and an indicator of the severity of prognosis. Among the three different types of thyroid dysfunction with COVID-19, mild to moderate NTIS and severe NTIS have a higher risk of severe outcomes compared with subclinical hypothyroidism.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Euthyroid Sick Syndromes / COVID-19 Vaccines / Hypertension Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: English Journal: BMC Endocr Disord Year: 2021 Document Type: Article Affiliation country: S12902-021-00896-2

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Euthyroid Sick Syndromes / COVID-19 Vaccines / Hypertension Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: English Journal: BMC Endocr Disord Year: 2021 Document Type: Article Affiliation country: S12902-021-00896-2