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2. Preexisting chronic conditions for fatal outcome among SFTS patients: An observational Cohort Study.

Author

Shao-Fei Zhang, Zhen-Dong Yang, Mao-Lin Huang, Zhi-Bo Wang, Yuan-Yuan Hu, Dong Miao, Ke Dai, Juan Du, Ning Cui, Chun Yuan, Hao Li, Xiao-Kun Li, Xiao-Ai Zhang, Pan-He Zhang, Xian-Miao Mi, Qing-Bin Lu, and Wei Liu

Subjects
Arctic medicine. Tropical medicine, RC955-962, Public aspects of medicine, RA1-1270
Abstract

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease that is caused by a novel bunyavirus SFTSV. Currently our knowledge of the host-related factors that influence the pathogenesis of disease is inadequate to allow prediction of fatal outcome. Here we conducted a prospective study of the largest database on the SFTS patients, to identify the presence of comorbidities in SFTS, and estimate their effect on the fatal outcome. Among 2096 patients eligible for inclusion, we identified nine kinds of comorbidities, from which hyperlipidemia (12.2%; 95% CI: 10.8%-13.6%), hypertension (11.0%; 95% CI: 9.6%-12.3%), chronic viral hepatitis (CVH) (9.3%; 95% CI: 8.1%-10.5%), and diabetes mellitus (DM) (6.8%; 95% CI: 5.7%-7.9%) were prevalent. Higher risk of death was found in patients with DM (adjusted OR = 2.304; 95% CI: 1.520-3.492; P

Published
2019
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3. Rickettsia typhi infection in severe fever with thrombocytopenia patients, China

Author

Ning Cui, Juan Du, Xian-Miao Mi, Zhen-Dong Yang, Zhi-Bo Wang, Jie-Ying Bai, Shao-Fei Zhang, Qing-Bin Lu, Wei Liu, Xiao-Ai Zhang, Hao Li, and Pan-He Zhang

Subjects
Adult, Male, Phlebovirus, Mainland China, China, Letter, Epidemiology, Immunology, macromolecular substances, Microbiology, Serology, vector-borne diseases, Virology, Rickettsia typhi, parasitic diseases, Drug Discovery, medicine, Humans, Aged, Retrospective Studies, biology, business.industry, Typhus, Endemic Flea-Borne, Retrospective cohort study, General Medicine, Middle Aged, medicine.disease, biology.organism_classification, Thrombocytopenia, serological test, Severe fever with thrombocytopenia syndrome, Phlebotomus Fever, Infectious Diseases, Emerging infectious disease, Female, Parasitology, business, Typhus, severe fever with thrombocytopenia syndrome
Abstract

Severe fever with thrombocytopenia (SFTS) is an emerging infectious disease caused by a novel bunyavirus (SFTSV) that was widely identified in mainland China [1]. Ticks have been recognized as the ...

Published
2019

4. Preexisting chronic conditions for fatal outcome among SFTS patients: An observational Cohort Study

Author

Dong Miao, Xiao-Kun Li, Chun Yuan, Juan Du, Yuan-Yuan Hu, Xiao-Ai Zhang, Ke Dai, Hao Li, Zhi-Bo Wang, Wei Liu, Zhen-Dong Yang, Shao-Fei Zhang, Mao-lin Huang, Pan-He Zhang, Xian-Miao Mi, Ning Cui, and Qing-Bin Lu

Subjects
0301 basic medicine, Phlebovirus, Pulmonology, Physiology, RC955-962, Blood Pressure, Comorbidity, Pathology and Laboratory Medicine, Biochemistry, Vascular Medicine, 0302 clinical medicine, Endocrinology, Arctic medicine. Tropical medicine, Immune Physiology, Medicine and Health Sciences, Prospective Studies, Prospective cohort study, COPD, Innate Immune System, Immune System Proteins, Preexisting Condition Coverage, Organic Compounds, Monosaccharides, Middle Aged, Viral Load, Chemistry, Infectious Diseases, Phlebotomus Fever, Hyperlipidemia, Physical Sciences, Hypertension, Cytokines, Public aspects of medicine, RA1-1270, Viral hepatitis, Viral load, Cohort study, Research Article, Adult, medicine.medical_specialty, Endocrine Disorders, Chronic Obstructive Pulmonary Disease, 030231 tropical medicine, Immunology, Carbohydrates, Microbiology, Antibodies, 03 medical and health sciences, Signs and Symptoms, Diagnostic Medicine, Internal medicine, Diabetes mellitus, Virology, medicine, Diabetes Mellitus, Humans, Aged, business.industry, Organic Chemistry, Public Health, Environmental and Occupational Health, Chemical Compounds, Biology and Life Sciences, Proteins, Molecular Development, medicine.disease, Severe fever with thrombocytopenia syndrome, 030104 developmental biology, Glucose, Metabolic Disorders, Immune System, Chronic Disease, business, Viral Transmission and Infection, Developmental Biology
Abstract

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease that is caused by a novel bunyavirus SFTSV. Currently our knowledge of the host-related factors that influence the pathogenesis of disease is inadequate to allow prediction of fatal outcome. Here we conducted a prospective study of the largest database on the SFTS patients, to identify the presence of comorbidities in SFTS, and estimate their effect on the fatal outcome. Among 2096 patients eligible for inclusion, we identified nine kinds of comorbidities, from which hyperlipidemia (12.2%; 95% CI: 10.8%–13.6%), hypertension (11.0%; 95% CI: 9.6%–12.3%), chronic viral hepatitis (CVH) (9.3%; 95% CI: 8.1%–10.5%), and diabetes mellitus (DM) (6.8%; 95% CI: 5.7%–7.9%) were prevalent. Higher risk of death was found in patients with DM (adjusted OR = 2.304; 95% CI: 1.520–3.492; P, Author summary SFTS now brings about a substantial global public health concern. Preexisting chronic conditions were thought to increase risk of severe SFTSV infections, however with sparse data mining efforts. In this study, we quantified the frequency of chronic comorbidities in SFTS, estimated their contribution to disease severity, and separately evaluated the effect from diabetes mellitus and chronic viral hepatitis on resulting in fatal outcome.

Published
2019

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