Anemia predicts poor outcomes of COVID-19 in hospitalized patients: a prospective study in Iran

Anemia predicts poor outcomes of COVID-19 in hospitalized patients: a prospective study in Iran


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نویسندگان: مسعود فقیه دینوری , محمد حسین صومی , مهدیه عباسعلیزاد فرهنگی , زینب نیک نیاز , الهام صادقی مجد

کلمات کلیدی: COVID-19, Anemia, Mortality, Ventilator requirement, ICU admission

نشریه: 4980 , 2021 , 21 , 2021

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نویسنده ثبت کننده مقاله زینب نیک نیاز
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دانشکده/مرکز مربوطه بیماری های گوارش و کبد
کد مقاله 75245
عنوان فارسی مقاله Anemia predicts poor outcomes of COVID-19 in hospitalized patients: a prospective study in Iran
عنوان لاتین مقاله Anemia predicts poor outcomes of COVID-19 in hospitalized patients: a prospective study in Iran
ناشر 5
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ بلی
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Background: There are limited number of studies with controversial findings regarding the association between anemia at admission and coronavirus disease 2019 (COVID-19) outcomes. Therefore, in this research, we aimed to investigate the prospective association between anemia and COVID-19 outcomes in hospitalized patients in Iran. Methods: In this prospective study, the data of 1274 consecutive patients hospitalized due to COVID-19 were statistically analyzed. All biomarkers, including hemoglobin and high-sensitivity C-reactive protein (hs-CRP) levels were measured using standard methods. Anemia was defined as a hemoglobin (Hb) concentration of less than 13 g/dL and 12 g/dL in males and females, respectively. Assessing the association between anemia and COVID-19 survival in hospitalized patients was our primary endpoint. Results: The mean age of the participants was 64.43 ± 17.16 years, out of whom 615 (48.27%) were anemic subjects. Patients with anemia were significantly older (P = 0.02) and had a higher frequency of cardiovascular diseases, hypertension, kidney disease, diabetes, and cancer (P < 0.05). The frequency of death (anemic: 23.9% vs. nonanemic: 13.8%), ICU admission (anemic: 27.8% vs. nonanemic:14.71%), and ventilator requirement (anemic: 35.93% vs. nonanemic: 20.63%) were significantly higher in anemic patients than in nonanemic patients (P < 0.001). According to the results of regression analysis, after adjusting for significant covariate in the univariable model, anemia was independently associated with mortality (OR: 1.68, 95% CI: 1.10, 2.57, P = 0.01), ventilator requirement (OR: 1.74, 95% CI: 1.19, 2.54, P = 0.004), and the risk of ICU admission (OR: 2.06, 95% CI: 1.46, 2.90, P < 0.001). Conclusion: The prevalence of anemia in hospitalized patients with COVID-19 was high and was associated with poor outcomes of COVID-19.

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نویسنده نفر چندم مقاله
مسعود فقیه دینوریاول
محمد حسین صومیدوم
مهدیه عباسعلیزاد فرهنگیچهارم
زینب نیک نیازپنجم
الهام صادقی مجدسوم

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