Adaptive immune dysfunction in patients with COVID-19 and impaired kidney function during the omicron surge

Copyright © 2023 Elsevier Inc. All rights reserved.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 248(2023) vom: 17. März, Seite 109271
1. Verfasser: Yan, Jiayi (VerfasserIn)
Weitere Verfasser: Wang, Jieying, Ding, Li, Liu, Shang, Zhan, Yaping, Lu, Jiayue, Li, Zhenyuan, Gu, Leyi, Li, Ping, Zhu, Mingli, Gao, Yuan, Gong, XingRong, Ban, Haiqun, Cai, Hong, Mou, Shan
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2023
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Journal Article Research Support, Non-U.S. Gov't COVID-19 Impaired kidney function Lymphocyte subset Omicron Outcomes
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520 |a BACKGROUND: Little is known about the characteristics of lymphocyte subsets and the association with patient outcomes in COVID-19 with and without impaired kidney function 
520 |a METHODS: Lymphocyte subsets were compared in COVID-19 patients with or without kidney dysfunction. The primary outcome was a composite of all-cause mortality or intensive care unit admission. Secondary outcomes included duration of viral shedding, length of hospital stay, and acute kidney injury 
520 |a RESULTS: Lymphocyte subset cell counts demonstrated the lowest in patients with severe/critical COVID-19 and kidney dysfunction. Among all lymphocyte subset parameters, Th cell count was the most significant indicator for outcomes. ROC of the combined model of Th cell count and eGFR presented better predictive value than that of the other parameters. Th cell count <394.5 cells/μl and eGFR <87.5 ml/min/1·73m2 were independently associated with poor outcomes. The propensity score matching analysis revealed consistent results 
520 |a CONCLUSIONS: Reduced Th cell count and eGFR may be applied as promising predictive indicators for identifying COVID-19 patients with high risk and poor outcomes 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
650 4 |a COVID-19 
650 4 |a Impaired kidney function 
650 4 |a Lymphocyte subset 
650 4 |a Omicron 
650 4 |a Outcomes 
700 1 |a Wang, Jieying  |e verfasserin  |4 aut 
700 1 |a Ding, Li  |e verfasserin  |4 aut 
700 1 |a Liu, Shang  |e verfasserin  |4 aut 
700 1 |a Zhan, Yaping  |e verfasserin  |4 aut 
700 1 |a Lu, Jiayue  |e verfasserin  |4 aut 
700 1 |a Li, Zhenyuan  |e verfasserin  |4 aut 
700 1 |a Gu, Leyi  |e verfasserin  |4 aut 
700 1 |a Li, Ping  |e verfasserin  |4 aut 
700 1 |a Zhu, Mingli  |e verfasserin  |4 aut 
700 1 |a Gao, Yuan  |e verfasserin  |4 aut 
700 1 |a Gong, XingRong  |e verfasserin  |4 aut 
700 1 |a Ban, Haiqun  |e verfasserin  |4 aut 
700 1 |a Cai, Hong  |e verfasserin  |4 aut 
700 1 |a Mou, Shan  |e verfasserin  |4 aut 
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