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  1. Article ; Online: Sepsis-related outcomes of patients with Philadelphia-negative myeloproliferative neoplasms.

    Gonzalez-Mosquera, Luis F / Moscoso, Bernard / Tobar, Pool / Cardenas-Maldonado, Diana / Podrumar, Alida I / Mesa, Ruben / Cuenca, John A

    Cancer investigation

    2023  , Page(s) 1–20

    Abstract: We analyzed the National Inpatient Sample (NIS) database to study the sepsis-related outcomes in patients with Philadelphia negative myeloproliferative neoplasms (MPN). A total of 82,087 patients were included, most had essential thrombocytosis (83.7%), ... ...

    Abstract We analyzed the National Inpatient Sample (NIS) database to study the sepsis-related outcomes in patients with Philadelphia negative myeloproliferative neoplasms (MPN). A total of 82,087 patients were included, most had essential thrombocytosis (83.7%), followed by polycythemia vera (13.7%), and primary myelofibrosis (2.6%). Sepsis was diagnosed in 15,789 (19.2%) patients and their mortality rate was higher than non-septic patients (7.5% vs 1.8%;
    Language English
    Publishing date 2023-03-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 604942-4
    ISSN 1532-4192 ; 0735-7907
    ISSN (online) 1532-4192
    ISSN 0735-7907
    DOI 10.1080/07357907.2023.2187225
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Sepsis-Related Outcomes of Patients with Philadelphia-Negative Myeloproliferative Neoplasms.

    Gonzalez-Mosquera, Luis F / Moscoso, Bernard / Tobar, Pool / Cardenas-Maldonado, Diana / Podrumar, Alida I / Mesa, Ruben / Cuenca, John A

    Cancer investigation

    2023  Volume 41, Issue 5, Page(s) 423–431

    Abstract: We analyzed the National Inpatient Sample (NIS) database to study the sepsis-related outcomes in patients with Philadelphia negative myeloproliferative neoplasms (MPN). A total of 82,087 patients were included, most had essential thrombocytosis (83.7%), ... ...

    Abstract We analyzed the National Inpatient Sample (NIS) database to study the sepsis-related outcomes in patients with Philadelphia negative myeloproliferative neoplasms (MPN). A total of 82,087 patients were included, most had essential thrombocytosis (83.7%), followed by polycythemia vera (13.7%), and primary myelofibrosis (2.6%). Sepsis was diagnosed in 15,789 (19.2%) patients and their mortality rate was higher than nonseptic patients (7.5% vs 1.8%;
    MeSH term(s) Humans ; Primary Myelofibrosis/diagnosis ; Myeloproliferative Disorders/complications ; Myeloproliferative Disorders/epidemiology ; Myeloproliferative Disorders/diagnosis ; Polycythemia Vera/complications ; Polycythemia Vera/diagnosis ; Thrombocythemia, Essential/diagnosis ; Sepsis/epidemiology
    Language English
    Publishing date 2023-03-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 604942-4
    ISSN 1532-4192 ; 0735-7907
    ISSN (online) 1532-4192
    ISSN 0735-7907
    DOI 10.1080/07357907.2023.2187059
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Hematologic Involvement as a Predictor of Mortality in COVID-19 Patients in a Safety Net Hospital.

    Gonzalez-Mosquera, Luis F / Gomez-Paz, Sandra / Lam, Eric / Cardenas-Maldonado, Diana / Fogel, Joshua / Adi, Vishnu / Rubinstein, Sofia

    Kansas journal of medicine

    2022  Volume 15, Page(s) 8–16

    Abstract: Introduction: COVID-19 affects the hematologic system. This article evaluated the impact of hematologic involvement of different blood cell line parameters of white blood cells including absolute neutrophil count (ANC), hemoglobin, and platelets in ... ...

    Abstract Introduction: COVID-19 affects the hematologic system. This article evaluated the impact of hematologic involvement of different blood cell line parameters of white blood cells including absolute neutrophil count (ANC), hemoglobin, and platelets in COVID-19 patients and their association with hospital mortality and length of stay (LOS).
    Methods: This was a retrospective study of 475 patients with confirmed positive COVID-19 infection and hematologic abnormalities in the metropolitan New York City area.
    Results: Elevated absolute neutrophil count (OR: 1.20; 95% CI: 1.02-1.42; p < 0.05) increased days of hematologic involvement (OR: 4.44; 95% CI: 1.42-13.90; p < 0.05), and persistence of hematologic involvement at discharge (OR: 2.87; 95% CI: 1.20-6.90; p < 0.05) was associated with higher mortality. Higher hemoglobin at admission (OR: 0.77; 95% CI:0.60-0.98; p < 0.001) and platelets peak (OR: 0.995; 95% CI: 0.992-0.997; p < 0.001) were associated with decreased mortality. Patients with higher white blood cell peak (B = 0.46; SE = 0.07; p < 0.001) and higher hemoglobin at admission (B = 0.05; SE = 0.01; p < 0.001) were associated with higher LOS. Those with higher hemoglobin nadir (B = -0.06; SE = 0.01; p < 0.001), higher platelets nadir (B = -0.001; SE = < 0.001; p < 0.001), and hematologic involvement at discharge or death (B = -0.06; SE = 0.03; p < 0.05) were associated with lower LOS.
    Conclusions: These findings can be used by clinicians to better risk-stratify patients with hematologic involvement in COVID-19 and tailor therapies potentially to improve patient outcomes.
    Language English
    Publishing date 2022-01-11
    Publishing country United States
    Document type Journal Article
    ISSN 1948-2035
    ISSN 1948-2035
    DOI 10.17161/kjm.vol15.15699
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Renal Manifestations and their Association with Mortality and Length of Stay in COVID-19 Patients at a Safety-net Hospital.

    Gomez-Paz, Sandra / Lam, Eric / Gonzalez-Mosquera, Luis / Cardenas-Maldonado, Diana / Fogel, Joshua / Gabrielle Kagan, Ellen / Rubinstein, Sofia

    Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures)

    2022  Volume 8, Issue 2, Page(s) 80–88

    Abstract: Background: Renal involvement in COVID-19 leads to severe disease and higher mortality. We study renal parameters in COVID-19 patients and their association with mortality and length of stay in hospital.: Methods: A retrospective study (n=340) of ... ...

    Abstract Background: Renal involvement in COVID-19 leads to severe disease and higher mortality. We study renal parameters in COVID-19 patients and their association with mortality and length of stay in hospital.
    Methods: A retrospective study (n=340) of confirmed COVID-19 patients with renal involvement determined by the presence of acute kidney injury. Multivariate analyses of logistic regression for mortality and linear regression for length of stay (LOS) adjusted for relevant demographic, comorbidity, disease severity, and treatment covariates.
    Results: Mortality was 54.4% and mean LOS was 12.9 days. For mortality, creatinine peak (OR:35.27, 95% CI:2.81, 442.06, p<0.01) and persistent renal involvement at discharge (OR:4.47, 95% CI:1.99,10.06, p<0.001) were each significantly associated with increased odds for mortality. Increased blood urea nitrogen peak (OR:0.98, 95%CI:0.97,0.996, p<0.05) was significantly associated with decreased odds for mortality. For LOS, increased blood urea nitrogen peak (B:0.001, SE:<0.001, p<0.01), renal replacement therapy (B:0.19, SE:0.06, p<0.01), and increased days to acute kidney injury (B:0.19, SE:0.05, p<0.001) were each significantly associated with increased length of stay.
    Conclusion: Our study emphasizes the importance in identifying renal involvement parameters in COVID-19 patients. These parameters are associated with LOS and mortality, and may assist clinicians to prognosticate COVID-19 patients with renal involvement.
    Language English
    Publishing date 2022-05-12
    Publishing country Poland
    Document type Journal Article
    ISSN 2393-1809
    ISSN 2393-1809
    DOI 10.2478/jccm-2022-0010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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