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Association between platelet count and the risk and progression of hand, foot, and mouth disease among children

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Resumo:OBJECTIVE: We aimed to evaluate the association between platelet (PLT) count and the risk and progression of hand, foot, and mouth disease (HFMD). METHODS: In total, 122 HFMD patients and 40 healthy controls were enrolled in the study. The differences between variables among the different subgroups were compared. Logistic regression analyses were performed to assess the relationship between various parameters and HFMD risk/progression. Sensitivity analysis was conducted by detecting the trend of the association between PLT count quartiles and HFMD risk/progression. A generalized additive model was used to identify the nonlinear relationship between PLT count and HFMD risk/ progression. The relationship between gender and PLT count as well as the risk/progression of HFMD was detected using a stratified logistic regression model. RESULTS: Significant differences were observed in terms of age, male/female ratio, white blood cell (WBC) count, and PLT count between patients with stage I-II, III-IV HFMD and healthy controls. Moreover, the alanine aminotransferase and magnesium levels between patients with stage I-II and III-IV HFMD significantly differed. Moreover, a significant difference was noted in the male/female ratio among the different PLT groups. The group with a low PLT count had a lower risk of HFMD progression than the group with a high PLT count (Q4) (p=0.039). Lower age, male gender, and WBC count were found to be associated with HFMD risk. Meanwhile, PLT count was correlated to HFMD progression. The sensitivity analysis yielded a similar result using the minimally adjusted model (p for trend=0.037), and minimal changes were observed using the crude and fully adjusted model (p for trend=0.054; 0.090). A significant nonlinear relationship was observed between PLT count and HFMD progression after adjusting for age, gender, and WBC (p=0.039). CONCLUSIONS: PLT was independently associated with HFMD progression in a nonlinear manner.
Autores principais:Miao, Li
Outros Autores:Liu, Yongjuan; Luo, Peiliang; Mao, Song; Liu, Jiansheng; Lu, Siguang
Assunto:Platelet Risk Progression Hand Foot Mouth Disease
Ano:2020
País:Brasil
Tipo de documento:artigo
Tipo de acesso:unknown
Instituição associada:IBICT
Idioma:inglês
Origem:Oasisbr
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author Miao, Li
author2 Liu, Yongjuan
Luo, Peiliang
Mao, Song
Liu, Jiansheng
Lu, Siguang
author2_role author
author
author
author
author
author_facet Miao, Li
Liu, Yongjuan
Luo, Peiliang
Mao, Song
Liu, Jiansheng
Lu, Siguang
author_role author
country_str BR
creators_json_txt [{\"Person.name\":\"Miao, Li\"},{\"Person.name\":\"Liu, Yongjuan\"},{\"Person.name\":\"Luo, Peiliang\"},{\"Person.name\":\"Mao, Song\"},{\"Person.name\":\"Liu, Jiansheng\"},{\"Person.name\":\"Lu, Siguang\"}]
datacite.creators.creator.creatorName.fl_str_mv Miao, Li
Liu, Yongjuan
Luo, Peiliang
Mao, Song
Liu, Jiansheng
Lu, Siguang
datacite.subjects.subject.fl_str_mv Platelet
Risk
Progression
Hand
Foot
Mouth Disease
datacite.titles.title.fl_str_mv Association between platelet count and the risk and progression of hand, foot, and mouth disease among children
dc.creator.none.fl_str_mv Miao, Li
Liu, Yongjuan
Luo, Peiliang
Mao, Song
Liu, Jiansheng
Lu, Siguang
dc.format.none.fl_str_mv application/pdf
application/xml
dc.identifier.none.fl_str_mv https://doi.org/10.6061/clinics/2020/e1619
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
dc.source.none.fl_str_mv Clinics; v. 75 (2020); e1619
Clinics; Vol. 75 (2020); e1619
Clinics; Vol. 75 (2020); e1619
1980-5322
1807-5932
reponame:Clinics
instname:Universidade de São Paulo (USP)
instacron:USP
dc.subject.none.fl_str_mv Platelet
Risk
Progression
Hand
Foot
Mouth Disease
dc.title.fl_str_mv Association between platelet count and the risk and progression of hand, foot, and mouth disease among children
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description OBJECTIVE: We aimed to evaluate the association between platelet (PLT) count and the risk and progression of hand, foot, and mouth disease (HFMD). METHODS: In total, 122 HFMD patients and 40 healthy controls were enrolled in the study. The differences between variables among the different subgroups were compared. Logistic regression analyses were performed to assess the relationship between various parameters and HFMD risk/progression. Sensitivity analysis was conducted by detecting the trend of the association between PLT count quartiles and HFMD risk/progression. A generalized additive model was used to identify the nonlinear relationship between PLT count and HFMD risk/ progression. The relationship between gender and PLT count as well as the risk/progression of HFMD was detected using a stratified logistic regression model. RESULTS: Significant differences were observed in terms of age, male/female ratio, white blood cell (WBC) count, and PLT count between patients with stage I-II, III-IV HFMD and healthy controls. Moreover, the alanine aminotransferase and magnesium levels between patients with stage I-II and III-IV HFMD significantly differed. Moreover, a significant difference was noted in the male/female ratio among the different PLT groups. The group with a low PLT count had a lower risk of HFMD progression than the group with a high PLT count (Q4) (p=0.039). Lower age, male gender, and WBC count were found to be associated with HFMD risk. Meanwhile, PLT count was correlated to HFMD progression. The sensitivity analysis yielded a similar result using the minimally adjusted model (p for trend=0.037), and minimal changes were observed using the crude and fully adjusted model (p for trend=0.054; 0.090). A significant nonlinear relationship was observed between PLT count and HFMD progression after adjusting for age, gender, and WBC (p=0.039). CONCLUSIONS: PLT was independently associated with HFMD progression in a nonlinear manner.
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identifier.doi.fl_str_mv https://doi.org/10.6061/clinics/2020/e1619
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oai_identifier_str oai:revistas.usp.br:article/170109
organization_str_mv urn:organizationAcronym:oasisbr
person_str_mv Miao, Li
Liu, Yongjuan
Luo, Peiliang
Mao, Song
Liu, Jiansheng
Lu, Siguang
publishDate 2020
publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
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spelling Association between platelet count and the risk and progression of hand, foot, and mouth disease among childrenMiao, LiLiu, YongjuanLuo, PeiliangMao, SongLiu, JianshengLu, SiguangPlateletRiskProgressionHandFootMouth DiseaseCopyright (c) 2020 Clinicsopen accesshttp://purl.org/coar/access_right/c_abf2https://doi.org/10.6061/clinics/2020/e1619DOIhttps://www.revistas.usp.br/clinics/article/view/170109URLHasVersionhttps://www.revistas.usp.br/clinics/article/view/170109/160856URLHasVersionhttps://www.revistas.usp.br/clinics/article/view/170109/160857URLHasVersionhttps://doi.org/10.6061/clinics/2020/e1619DOI2020-05-26OBJECTIVE: We aimed to evaluate the association between platelet (PLT) count and the risk and progression of hand, foot, and mouth disease (HFMD). METHODS: In total, 122 HFMD patients and 40 healthy controls were enrolled in the study. The differences between variables among the different subgroups were compared. Logistic regression analyses were performed to assess the relationship between various parameters and HFMD risk/progression. Sensitivity analysis was conducted by detecting the trend of the association between PLT count quartiles and HFMD risk/progression. A generalized additive model was used to identify the nonlinear relationship between PLT count and HFMD risk/ progression. The relationship between gender and PLT count as well as the risk/progression of HFMD was detected using a stratified logistic regression model. RESULTS: Significant differences were observed in terms of age, male/female ratio, white blood cell (WBC) count, and PLT count between patients with stage I-II, III-IV HFMD and healthy controls. Moreover, the alanine aminotransferase and magnesium levels between patients with stage I-II and III-IV HFMD significantly differed. Moreover, a significant difference was noted in the male/female ratio among the different PLT groups. The group with a low PLT count had a lower risk of HFMD progression than the group with a high PLT count (Q4) (p=0.039). Lower age, male gender, and WBC count were found to be associated with HFMD risk. Meanwhile, PLT count was correlated to HFMD progression. The sensitivity analysis yielded a similar result using the minimally adjusted model (p for trend=0.037), and minimal changes were observed using the crude and fully adjusted model (p for trend=0.054; 0.090). A significant nonlinear relationship was observed between PLT count and HFMD progression after adjusting for age, gender, and WBC (p=0.039). CONCLUSIONS: PLT was independently associated with HFMD progression in a nonlinear manner.engapplication/pdfapplication/xmlHospital das Clínicas, Faculdade de Medicina, Universidade de São PauloClinics; v. 75 (2020); e1619Clinics; Vol. 75 (2020); e1619Clinics; Vol. 75 (2020); e16191980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85
spellingShingle Association between platelet count and the risk and progression of hand, foot, and mouth disease among children
Miao, Li
Platelet
Risk
Progression
Hand
Foot
Mouth Disease
status SINGLETON
status_str VoR
subject.fl_str_mv Platelet
Risk
Progression
Hand
Foot
Mouth Disease
title Association between platelet count and the risk and progression of hand, foot, and mouth disease among children
title_full Association between platelet count and the risk and progression of hand, foot, and mouth disease among children
title_fullStr Association between platelet count and the risk and progression of hand, foot, and mouth disease among children
title_full_unstemmed Association between platelet count and the risk and progression of hand, foot, and mouth disease among children
title_short Association between platelet count and the risk and progression of hand, foot, and mouth disease among children
title_sort Association between platelet count and the risk and progression of hand, foot, and mouth disease among children
topic Platelet
Risk
Progression
Hand
Foot
Mouth Disease
topic_facet Platelet
Risk
Progression
Hand
Foot
Mouth Disease
url https://doi.org/10.6061/clinics/2020/e1619
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