APTT, activated partial thromboplastin time

APTT,活化部分凝血活酶时间
  • 文章类型: Journal Article
    迄今为止,由SARS-Cov-2病毒引起的全球健康危机已导致超过300万人死亡。改善早期筛查,该疾病的诊断和预后是在这场大流行期间协助医疗保健专业人员挽救生命的关键步骤。自从世界卫生组织宣布COVID-19疫情为大流行以来,已经使用人工智能技术进行了几项研究,以在质量方面优化临床设置的这些步骤,准确,最重要的是时间。本研究的目的是对已开发和验证的人工智能模型进行系统的文献综述,2019年冠状病毒病的诊断和预后。我们纳入了101项研究,1月1日发表的,2020年12月30日,2020年,该公司开发了可应用于临床环境的人工智能预测模型。我们总共确定了14个筛查模型,38个检测COVID-19的诊断模型和50个预测ICU需求的预后模型,呼吸机需要,死亡风险,严重程度评估或住院时间。此外,43项研究基于医学成像,58项研究基于临床参数的使用,实验室结果或人口统计特征。确定了从多模态数据导出的几个异质预测因子。分析这些多模态数据,从各种来源捕获,就纳入研究的每个类别的突出程度而言,已执行。最后,还进行了偏差风险(RoB)分析,以检查纳入研究在临床环境中的适用性,并协助医疗保健提供者。指南开发人员,和政策制定者。
    The worldwide health crisis caused by the SARS-Cov-2 virus has resulted in>3 million deaths so far. Improving early screening, diagnosis and prognosis of the disease are critical steps in assisting healthcare professionals to save lives during this pandemic. Since WHO declared the COVID-19 outbreak as a pandemic, several studies have been conducted using Artificial Intelligence techniques to optimize these steps on clinical settings in terms of quality, accuracy and most importantly time. The objective of this study is to conduct a systematic literature review on published and preprint reports of Artificial Intelligence models developed and validated for screening, diagnosis and prognosis of the coronavirus disease 2019. We included 101 studies, published from January 1st, 2020 to December 30th, 2020, that developed AI prediction models which can be applied in the clinical setting. We identified in total 14 models for screening, 38 diagnostic models for detecting COVID-19 and 50 prognostic models for predicting ICU need, ventilator need, mortality risk, severity assessment or hospital length stay. Moreover, 43 studies were based on medical imaging and 58 studies on the use of clinical parameters, laboratory results or demographic features. Several heterogeneous predictors derived from multimodal data were identified. Analysis of these multimodal data, captured from various sources, in terms of prominence for each category of the included studies, was performed. Finally, Risk of Bias (RoB) analysis was also conducted to examine the applicability of the included studies in the clinical setting and assist healthcare providers, guideline developers, and policymakers.
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  • 文章类型: Journal Article
    COVID-19患者出现了广泛的神经系统疾病,其中中风是最具破坏性的。我们回顾了当前的研究,案例系列,以及以COVID-19合并中风患者为重点的病例报告,并介绍了该患者人群对中风的当前理解。正如D-二聚体增加所证明的那样,纤维蛋白原,因子VIII和血管性血友病因子,SARS-CoV-2感染引起凝血病,破坏内皮功能,并促进高凝状态。总的来说,它使患者容易发生脑血管事件。此外,由于医疗系统前所未有的压力,中风护理不可避免地受到了影响。COVID-19与中风之间的潜在机制值得进一步研究,有效的治疗或预防干预措施的发展也是如此。
    COVID-19 patients have presented with a wide range of neurological disorders, among which stroke is the most devastating. We have reviewed current studies, case series, and case reports with a focus on COVID-19 patients complicated with stroke, and presented the current understanding of stroke in this patient population. As evidenced by increased D-dimer, fibrinogen, factor VIII and von Willebrand factor, SARS-CoV-2 infection induces coagulopathy, disrupts endothelial function, and promotes hypercoagulative state. Collectively, it predisposes patients to cerebrovascular events. Additionally, due to the unprecedented strain on the healthcare system, stroke care has been inevitably compromised. The underlying mechanism between COVID-19 and stroke warrants further study, so does the development of an effective therapeutic or preventive intervention.
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