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About:
Correlation of coagulation parameters with clinical outcomes in Coronavirus-19 affected minorities in United States: Observational cohort
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covidontheweb.inria.fr
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Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Correlation of coagulation parameters with clinical outcomes in Coronavirus-19 affected minorities in United States: Observational cohort
Creator
Rahman, Mohammad
Gil,
Barouqa, James
Billett,
Billett, Henny
Gil, Jesus
Gonzalez-Lugo, Shafia
Ikemura, Yungtai
Lo, Henny
Morayma, Reyes
Szymanski, James
Szymanski, Kenji
source
MedRxiv
abstract
Importance: COVID-19 has caused a worldwide illness and New York has become the epicenter of COVID-19 in the United States. Currently Bronx has the highest prevalence per capita in New York. Objective: To investigate the coagulopathic presentation of COVID and its natural course and to investigate whether hematologic and coagulation parameters can be used to assess illness severity and death. Design: Retrospective case study of positive COVID inpatients between 3/20/2020-3/31/2020. Setting: Montefiore Health System main hospital, Moses, a large tertiary care center in the Bronx. Participants: Adult inpatients with positive COVID tests hospitalized at MHS. Exposure (for observational studies): Datasets of participants were queried for physiological, demographic (age, sex, socioeconomic status and self-reported race and/or ethnicity) and laboratory data. Main Outcome and Measures: Relationship and predictive value of measured parameters to mortality and illness severity. Results: Of the 217 in this case review, 70 died during hospitalization while 147 were discharged home. Only the admission PT and first D-Dimer could very significantly differentiate those who were discharged alive and those who died. Logistic regression analysis shows increased odds ratio for mortality by first D-Dimer within 48 hrs. of admission. The optimal cut-point for the initial D-Dimer to predict mortality was found to be 1.65 mcg/mL. Conclusions: We describe here a comprehensive assessment of hematologic and coagulation parameters in COVID and examine the relationship of these to mortality. We demonstrate that both initial and maximum D-Dimer values are biomarkers that can be used for survival assessments.
has issue date
2020-05-06
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bibo:doi
10.1101/2020.05.01.20087932
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medrxiv
sha1sum (hex)
2c21784f6561c2b1209a84e407d12f841cb0a901
schema:url
https://doi.org/10.1101/2020.05.01.20087932
resource representing a document's title
Correlation of coagulation parameters with clinical outcomes in Coronavirus-19 affected minorities in United States: Observational cohort
resource representing a document's body
covid:2c21784f6561c2b1209a84e407d12f841cb0a901#body_text
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schema:about
of
named entity 'capita'
named entity 'cohort'
named entity 'clinical outcomes'
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named entity 'anticoagulation'
named entity 'COVID'
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named entity 'emergency department'
named entity 'D-Dimer'
named entity 'autoimmune'
named entity 'malignancy'
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named entity 'receiver operating characteristic'
named entity 'diabetes'
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named entity 'liver disease'
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named entity 'CC-BY-ND'
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named entity 'Bronx'
named entity 'Mann-Whitney U test'
named entity 'New York'
named entity 'diarrhea'
named entity 'coronary arteries'
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