ArticleAnnals of medicine2025
Establishment and application of a grading diagnostic model for early detection of severe fever with thrombocytopenia syndrome.
Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Droplet digital PCR-based nucleic acid amplification test for improved molecular and clinical diagnosis of severe fever with thrombocytopenia syndrome patients.Journal of clinical microbiology · 2026Article
- Dynamic evolution of key laboratory parameters predicts clinical outcomes in severe fever with thrombocytopenia syndrome (SFTS) patients: a cohort study.Virology journal · 2025Article
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7 authors.
Funding
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Abstract
objectiveThere is an urgent need to develop a reliable and efficient method for the early identification and diagnosis of severe fever with thrombocytopenia syndrome (SFTS).
methodsThis retrospective multicentre study analysed data from 363 patients with SFTS, which included general information and laboratory datas (white blood cell (WBC) count, platelet (PLT) count, aspartate aminotransferase (AST), creatine kinase (CK), creatine kinase-MB (CKMB), lactate dehydrogenase (LDH), hydroxybutyrate dehydrogenase (HBDH), amylase (AMY) and lipase (LIP), etc.). The indicators with higher positive rates were further combined and graded to establish the diagnostic method. The differential diagnosis was conducted with the same zoonotic diseases of fever and thrombocytopenia in the studied region. Finally, multicentre data were used to verify the method.
resultsThe indicators with high positive rates were WBC, PLT, CK, CKMB, LDH and LIP. Analysis of combined indicators based on fever revealed that the combined positive rate of WBC and PLT was 79.34%, while that of WBC, PLT, AST, LDH, CK and LIP was 69.81%. This study analysed the combined positive rate of AST, LDH, CK and LIP, which was 75.47%. The reliability of this method was validated using multicentre data. For HFRS, the combined positive rate of WBC and PLT was 36.70% , and that of WBC, PLT, AST, LDH, CK and LIP was 27.33% . Additionally, the combined positive rate of AST, LDH, CK, LIP and serum creatinine (SCR) in HFRS was 48.50% (12.63% in SFTS). For scrub typhus, the combined positive rate of WBC and PLT was 12.00% , and that of WBC, PLT, AST, LDH, CK and LIP was 4.55% .
conclusionsThe present study integrated fever presentation, WBC count, PLT levels and biochemical markers to establish a method for early detection and grading diagnosis of SFTS. This study devised a direct and practical approach to diagnose and better understand the role of pathogens in the disease progression.
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