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Frontiers in Physiology
Article . 2022 . Peer-reviewed
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Article . 2022
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Frontiers in Physiology
Article . 2022
Data sources: DOAJ
https://dx.doi.org/10.60692/ha...
Other literature type . 2022
Data sources: Datacite
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Other literature type . 2022
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Physiological Network Is Disrupted in Severe COVID-19

تعطلت الشبكة الفسيولوجية في كوفيد-19 الشديد
Authors: Antonio Barajas-Martínez; Antonio Barajas-Martínez; Antonio Barajas-Martínez; Roopa Mehta; Elizabeth Ibarra-Coronado; Ruben Fossion; Ruben Fossion; +28 Authors

Physiological Network Is Disrupted in Severe COVID-19

Abstract

The human body is a complex system maintained in homeostasis thanks to the interactions between multiple physiological regulation systems. When faced with physical or biological perturbations, this system must react by keeping a balance between adaptability and robustness. The SARS-COV-2 virus infection poses an immune system challenge that tests the organism’s homeostatic response. Notably, the elderly and men are particularly vulnerable to severe disease, poor outcomes, and death. Mexico seems to have more infected young men than anywhere else. The goal of this study is to determine the differences in the relationships that link physiological variables that characterize the elderly and men, and those that characterize fatal outcomes in young men. To accomplish this, we examined a database of patients with moderate to severe COVID-19 (471 men and 277 women) registered at the “Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán” in March 2020. The sample was stratified by outcome, age, and sex. Physiological networks were built using 67 physiological variables (vital signs, anthropometric, hematic, biochemical, and tomographic variables) recorded upon hospital admission. Individual variables and system behavior were examined by descriptive statistics, differences between groups, principal component analysis, and network analysis. We show how topological network properties, particularly clustering coefficient, become disrupted in disease. Finally, anthropometric, metabolic, inflammatory, and pulmonary cluster interaction characterize the deceased young male group.

Keywords

sex differences, Physiology, severe COVID-19, Social Sciences, Experimental and Cognitive Psychology, FOS: Health sciences, network physiology, Coronavirus Disease 2019, Symptom Networks, Sociology, homeostasis, Neurological Manifestations of COVID-19 Infection, Health Sciences, QP1-981, Network Analysis of Psychopathology and Mental Disorders, Psychology, Disease, Internal medicine, Demography, pro-inflammatory state, Anthropometry, FOS: Sociology, FOS: Psychology, Infectious Diseases, Neurology, Medicine, Gerontology

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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
8
Top 10%
Average
Top 10%
Green
gold