Publications by authors named "Qun Yi"

Article Synopsis
  • - The study examined the prognostic value of chest pain in patients diagnosed with acute pulmonary embolism (APE) at West China Hospital from 2016 to 2019, involving 737 patients, 254 of whom (34.5%) reported chest pain at admission.
  • - Patients with chest pain showed significantly lower rates of in-hospital and subsequent all-cause mortality (3.1% in-hospital mortality for those with chest pain vs. 11.2% for those without) and required less mechanical ventilation.
  • - The findings suggest chest pain serves as an independent predictor of better outcomes in APE patients, indicating it could be a favorable prognostic marker for assessing mortality risks.
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Aim: Venous thromboembolism (VTE) risk significantly increases in patients with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD), which is characterized by an enhanced inflammatory response. This study aimed to evaluate the predictive value of inflammatory biomarkers for VTE in AECOPD.

Methods: A prospective, multicenter study was conducted to include patients hospitalized for AECOPD.

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Background: It remains unclear whether chronic obstructive pulmonary disease (COPD) is an independent risk factor for lung cancer after excluding confounding factors such as smoking, age, sex, body mass index (BMI), comorbidities, etc.

Methods: Data from 11,440 participants (≥ 40 years old) in the National Health and Nutrition Examination Survey (NHANES) 2013-2018 were analyzed. Weighted multivariable logistic regression models were used to assess the association between COPD and lung cancer risk.

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Introduction: Patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) admitted to intensive care unit (ICU) are exposed to poor clinical outcomes, and no specific prognostic models are available among this population. We aimed to develop and validate a risk score for prognosis prediction for these patients.

Methods: This was a multicenter observation study.

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Article Synopsis
  • The study examines gender differences in clinical manifestations and in-hospital mortality rates for patients with pulmonary embolism (PE), revealing that males face a higher risk of death during hospitalization compared to females.
  • Data was analyzed from over 15,000 patients, showing that males reported symptoms like chest pain and hemoptysis more frequently, while females experienced higher rates of dyspnea and fever.
  • Results indicated that specific symptoms were linked to increased mortality, highlighting the importance of recognizing these gender-specific differences in clinical settings.
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  • The study focuses on improving the selective conversion of carbon monoxide (CO) into valuable methane (CH) using metal-organic frameworks (MOFs) as precursors for photocatalysts.
  • Specifically, two types of MOFs, R-MOF-74(Cu) and R-Cu-BTC, are reduced to create Cu-based photocatalysts, with R-MOF-74(Cu) achieving a record-high selectivity of 90.2% for methane production.
  • The research highlights R-MOF-74(Cu)'s superior performance due to low resistance and effective electron separation, alongside using spectroscopy to understand the reaction pathway from CO to CH, suggesting a promising direction for future photocatalyst development.
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Coke oven gas (COG) is considered to be one of the most likely raw materials for large-scale H production in the near or medium term, with membrane separation technologies standing out from traditional technologies due to their less energy-intensive structures as well as simple operation and occupation. Based on the "MOF-in/on-COF" pore modification strategy, the COF membrane (named the PBD membrane) and ZIF-67 were used as assembly elements to design advanced molecular sieving membranes for hydrogen separation. The composition and microstructure of membranes before and after ZIF-67 loading as well as ZIF-67-in-PBD membranes under different preparation conditions (metal ion concentration, metal-ligand ratio, and reaction time) were investigated by various characterizations to reveal the synthesis regularity and microstructure regulation.

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Background: Noninvasive mechanical ventilation (NIV) is recommended as the initial mode of ventilation to treat acute respiratory failure in patients with AECOPD. The Noninvasive Ventilation Outcomes (NIVO) score has been proposed to evaluate the prognosis in patients with AECOPD requiring assisted NIV. However, it is not validated in Chinese patients.

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  • The study examined characteristics, treatments, and clinical outcomes of patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) in China, highlighting a need for more research on sex differences.
  • A total of 14,007 AECOPD patients were analyzed, with females generally older and having more comorbidities, while also showing differences in treatment such as higher rates of ICU admission and antibiotic use compared to males.
  • Despite these clinical differences, the overall in-hospital and long-term mortality rates were similar for both sexes, although female smokers had significantly higher in-hospital mortality compared to their male counterparts.
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  • The study investigates the effectiveness of airway and esophageal stenting in patients with airway-compromised airway-esophageal fistulas (AEF) caused by advanced cancers.
  • A total of 17 patients were analyzed, with 76.5% receiving airway stents, which were linked to significantly longer median survival times of 9 months compared to just 1.25 months for those without stents.
  • The findings suggest that airway stents and nasogastric tubes are effective treatments, but poststenting monitoring is necessary to manage complications like granulation tissue formation.
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  • A study investigated the high mortality rates among hospitalized patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD) and cardiovascular diseases (CVDs) to create a new risk score for predicting mortality.
  • Using data from a large cohort, researchers developed the ABCDMP score, which includes key patient factors such as age, blood urea nitrogen levels, and vital signs to assess risk.
  • The ABCDMP score demonstrated strong predictive power, outperforming existing risk scores, and can help guide treatment decisions and future clinical research for these patients.
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Background: The Rome severity classification is an objective assessment tool for the severity of acute exacerbations of chronic obstructive pulmonary disease (AECOPD) based on readily measurable variables but has not been widely validated. The aim of this study is to evaluate the validity of the Rome classification in distinguishing the severity of AECOPD based on short-term mortality and other adverse outcomes.

Methods: The Rome severity classification was applied to a large multicenter cohort of inpatients with AECOPD.

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Background: Clinical characteristics of patients with pulmonary thromboembolism have been described in previous studies. Although very old patients with pulmonary thromboembolism are a special group based on comorbidities and age, they do not receive special attention.

Objective: This study aims to explore the clinical characteristics and mortality predictors among very old patients with pulmonary thromboembolism in a relatively large population.

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Janus membranes with asymmetric wettability have been considered cutting-edge for energy/environmental-sustainable applications like water/fog harvester, breathable skin, and smart sensor; however, technical challenges in fabrication and accurate regulation of asymmetric wettability limit their development. Herein, by using water-assisted hydrogen-bonded (H-bonded) assembly of small molecules at water/oil interface, a facile strategy is proposed for one-step fabrication of membranes with well-regulable asymmetric wettability. Asymmetric orderly patterns, beneficial for mass transport based on abundant high-permeability sites and large surface area, are constructed on opposite membrane surfaces.

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Background: Transplant recipients are at high risk of coronavirus disease 2019, and a timely supply of antivirals should be prioritized for those patients. Complicated drug‒drug interactions limit the use of Paxlovid (nirmatrelvir/ritonavir) coadministered with tacrolimus. Here, we report a patient with a kidney transplant who received Paxlovid and reduced-dose tacrolimus at the same time and suffered a severe tacrolimus toxicity.

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Article Synopsis
  • High blood urea nitrogen (BUN) levels are observed in some patients with acute exacerbation of COPD (AECOPD) and may correlate with worse clinical outcomes, though past research has yielded mixed results.
  • A study analyzed data from 13,431 AECOPD patients, finding that those who did not survive had significantly higher BUN levels (9.5 vs 5.6 mmol/L), establishing a BUN cutoff of 7.30 mmol/L as a predictor of in-hospital mortality.
  • The findings indicate that elevated BUN is an independent risk factor for both in-hospital mortality and the need for intensive care, suggesting it could help in identifying and managing high-risk AECOPD patients.
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Article Synopsis
  • The study investigates the prognostic significance of diastolic blood pressure (DBP) in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) to identify its relationship with negative health outcomes.
  • A total of 13,633 AECOPD patients were examined, revealing that low DBP (<70 mmHg) on admission significantly increased the risk of in-hospital mortality, need for invasive mechanical ventilation, and ICU admission.
  • The research indicates that as DBP decreases, the risk of mortality rises, highlighting the importance of monitoring DBP in AECOPD patients upon hospital admission.
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Purpose: The prognostic value of blood eosinophils in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) remains controversial. This study aimed to evaluate whether blood eosinophils could predict in-hospital mortality and other adverse outcomes in inpatients with AECOPD.

Methods: The patients hospitalized for AECOPD were prospectively enrolled from ten medical centers in China.

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  • Hypocalcemia, defined as serum calcium levels ≤ 2.12 mmol/L, is linked to worse outcomes and higher mortality rates in patients with acute pulmonary embolism (APE).
  • A study of 803 APE patients found that those with hypocalcemia had significantly higher in-hospital and 2-year mortality rates, enhancing the prediction accuracy of the European Society of Cardiology (ESC) prognostic algorithm when serum calcium levels were included.
  • The findings suggest that serum calcium could become an important factor in risk assessment for APE patients, potentially improving management and patient outcomes.
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The synthesis of ionic-mesoporous-metal-organic frameworks (ionic-meso-MOFs) has received considerable interest in the fields of macromolecular adsorption, acid-base catalysis, ionic conductivity, etc.; yet, their synthesis still presents significant difficulties. In this study, functionalized mesoporous MIL-101-ILs (Cr) was facilely constructed via an in situ self-assembly method by using aromatic-anion-functionalized ionic liquids (ILs) as competitive ligands.

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Background: Fat embolism syndrome (FES) is a rare life-threatening complication, which commonly affects the lung. Currently, the most widely accepted criteria for the diagnosis of FES are the Gurd and Wilson Criteria established nearly 40 years ago, but without pulmonary images involved. Our study aims to analyse the pulmonary computed tomography (CT) findings seen in FES.

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Introduction: We aim to explore the risk factors for in-hospital mortality and to derive a prognostic model for patients with APE in China.

Materials And Methods: Inpatients with APE were enrolled from West China Hospital between January 2016 and December 2019. Logistic regression analyses were used to explore risk factors for in-hospital mortality and develop a prognostic model.

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Article Synopsis
  • - The study aimed to determine if D-dimer levels can effectively predict the risk of venous thromboembolism (VTE) in hospitalized patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD), comparing it to the Padua Prediction Score (PPS).
  • - Researchers enrolled 4,468 AECOPD patients from seven medical centers, finding that 2.01% developed VTE within two months; results showed D-dimer had a significantly higher predictive value than PPS for VTE risk.
  • - The study concluded that D-dimer is a more reliable tool for predicting VTE than PPS, suggesting its use could improve thromboprophylaxis strategies in patients with AECOPD
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Carbon dioxide (CO) gas is the main cause of global warming and has a significant effect on both climate change and human health. In this study, Ni/Ti co-doped SrFeNiTiMoO (SFNTM) double perovskite oxides were prepared and used as solid oxide electrolysis cell (SOEC) cathode materials for effective CO reduction. Ti-doping enhances the structural stability of the cathode material and increases the oxygen vacancy concentration.

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The design of high-efficiency CO adsorbents with low cost, high capacity, and easy desorption is of high significance for reducing carbon emissions, which yet remains a great challenge. This work proposes a facile construction strategy of amino-functional dynamic covalent materials for effective CO capture from flue gas. Upon the dynamic imine assembly of N-site rich motif and aldehyde-based spacers, nanospheres and hollow nanotubes with spongy pores were constructed spontaneously at room temperature.

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