POVEZANOST IZMEĐU LABORATORIJSKIH PARAMETARA I ISHODA LEČENJA KOD COVID-19

  • Ruzica Radojevic-Marjanovic 1- University Clinical Centre Kragujevac, Clinic for infectious and tropic diseases, Kragujevac, Serbia
  • Slobodan Jankovic 5- University of Kragujevac, Serbia, Faculty of Medical Sciences, Department of Pharmacology and toxicology
  • Kristijan Krstic 4- University of Kragujevac, Serbia, Faculty of Medical Sciences, Department of Physical medicine and rehabilitation
  • Valentina D Opancina Fakultet medicinskih nauka, Univerzitet u Kragujevcu
Ključne reči: COVID-19; laboratorija; albumini

Sažetak


Cilj. Cilj ove studije bio je da istraži osnovne karakteristike i korelaciju između C-reaktivnog proteina, D-dimera, Ferritina i albumina sa ishodom lečenja infekcije COVID-19.

Metode. Naše istraživanje je sprovedeno na Klinici za infektivne bolesti Univerzitetskog Kliničkog centra Kragujevac u periodu od 1. novembra 2020. do 1. februara 2021. Dizajnirano je kao serija slučajeva i obuhvatilo je pacijente starije od 18 godina sa pozitivnim  rezultatom PCR testa ili serološkog (antigenskog) test na SARS-COV-2, koji su lečeni u našoj klinici.

Rezultati. Pronađena je značajna korelacija između humanih serumskih albumina (g/L) sa ishodom lečenja p = 0,009, dok je koeficijent korelacije bio 0,466. Takođe niži nivo albumina bio je u značajnoj korelaciji sa intrahospitalnim mortalitetom, dok je p = 0,007 i koeficijent korelacije bio 0,484.

Zaključak. Rezultati našeg istraživanja sugerišu da bi hipoalbuminemija mogla da se koristi kao značajan prognostički faktor za intrahospitalni mortalitet kod pacijenata sa COVID-19.

Reference

1. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395(10223): 497-506.

2. Wang D, Hu B, Hu C, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA 2020; 323(11): 1061-1069.

3. World Health Organization. World Health Organization. Coronavirus disease 2019 (COVID-19) Situation Report – 106, https://www.who.int/emergencies/diseases/novel-coronavirus-2019/ situation-reports (2020).

4. Warusevitane A, Karunatilake D, Sim J, Smith C, Roffe C. Early diag-nosis of pneumonia in severe stroke: clinical features and thediagnostic role of C-reactive protein. PloS one 2016; 11(3): e0150269.

5. Matsumoto H, Kasai T, Sato A, et al. Association between C-reactive protein levels at hospital admission and long-term mortality in patients with acute decompensated heart failure. Heart Vessels 2019; 34(12):1961–8.

6. Lue W, Yu H, Gou J, et al. Clinical pathology of critical patient with novel coronavirus pneumonia (COVID-19). Preprints 2020; 1–18.

7. Momeni A, Behradmanesh MS, Kheiri S, Abasi F. Serum ferritin has correlation with HbA1c in type 2 diabetic patients. Adv Biomed Res 2015; 4:74.

8. Chen G, Wu D, Guo W, et al. Clinical and immunological features of severe and moderate coronavirus disease 2019. J Clin Invest. 2020; 130: 2620-2629.

9. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395: 507-513.

10. Henry BM, de Oliveira MHS, Benoit S, Plebani M, Lippi G. Hematologic, biochemical and immune biomarker abnormalities associated with severe illness and mortality in coronavirus
disease 2019 (COVID-19): a meta-analysis. Clin Chem Lab Med 2020; 58: 1021-1028.

11. Bassoli C, Oreni L, Ballone E, et al. Role of serum albumin and proteinuria in patients with SARS-CoV-2 pneumonia. Int J Clin Pract 2020: e13946. doi: 10.1111/ijcp.13946.

12. Yu JS, Pan NN, Chen RD, Zeng LC, Yang HK, Li H. Cardiac Biomarker Levels and Their Prognostic Values in COVID-19 Patients With or Without Concomitant Cardiac Disease. Front Cardiovasc Med 2021; 7: 599096. doi: 10.3389/fcvm.2020.599096.

13. Li T, Wang X, Zhuang X, et al. Baseline characteristics and changes of biomarkers in disease course predict prognosis of patients with COVID-19. Intern Emerg Med 2021; 10:1–8.
14. Paliogiannis P, Mangoni AA, Cangemi M, Fois AG, Carru C, Zinellu A. Serum albumin concentrations are associated with disease severity and outcomes in coronavirus 19 disease (COVID-19): a systematic review and meta-analysis. Clin Exp Med 2021; 28:1–12.

15. Violi F, Cangemi R, Romiti GF, et al. Is Albumin Predictor of Mortality in COVID-19? Antioxid Redox Signal 2020. doi: 10.1089/ars.2020.8142.
Objavljeno
2021/03/25
Rubrika
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