Role of Biomarkers Diagnostic Tools in Patients with COVID-19: Stratification Made Easy.

IF 2.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
International Journal of General Medicine Pub Date : 2024-10-25 eCollection Date: 2024-01-01 DOI:10.2147/IJGM.S488968
Ahmed Abdallah Salman, Heba Mohamed Abdallah, Sami Eldahdouh, Sally Waheed Elkhadry, Samah Mohamed Awad, Ghada M K Gaballah, Eman Kamal Awaad, Mohammed Gaber Saad, Ahmed E Taha, Nahla K Gaballa
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引用次数: 0

Abstract

Background and aims: In coronavirus disease 2019 (COVID-19) patients, several serum biomarkers have been identified. Upon intensive care unit (ICU) admission, these laboratory markers become more crucial to distinguish between patients with severe cases of COVID-19. It might assist doctors in predicting the course of illnesses and treating patients appropriately. This work was to investigate the role of biomarkers in patients with COVID-19 classification admitted to the hospital and identified by reverse transcription polymerase chain reaction (RT-PCR).

Methods: Peripheral blood sample was taken from COVID-19 cases isolated on admission to determine C-reactive protein (CRP), D-dimer, Fibrinogen, neutrophil-lymphocyte ratio (NLR), leukocytes CRP ratio (LeCR), lymphocyte-CRP ratio (LCR), interleukin-6 (IL6), leukocytes interleukin 6 ratio (LeIL6), systemic inflammatory index (SII), platelet-to-lymphocyte ratio (PLR), and tissue plasminogen activator inhibitor one (tPAI-1). Follow-up for IL6, Ferritin, D-dimer, and tPAI-1 were determined on the 3rd and 7th days.

Results: Comparisons of severity revealed that hypertension, chronic obstructive pulmonary disease (COPD), and Ischemia were major risk factors in COVID-19 patients. There was a statistically significant difference between the test groups for fibrinogen (p < 0.000), IL6 (p < 0.009), LeCR (p < 0.006), and LCR (p < 0.011).

Conclusion: Based on laboratory test findings at the time of ICU admission, we can distinguish severe cases of COVID-19.

生物标志物诊断工具在 COVID-19 患者中的作用:轻松分层。
背景和目的:在冠状病毒病 2019(COVID-19)患者中,已经发现了几种血清生物标志物。在进入重症监护室(ICU)后,这些实验室标志物对于区分严重的 COVID-19 患者变得更加重要。这可能有助于医生预测病程并对患者进行适当治疗。这项工作旨在研究生物标志物在入院的 COVID-19 分级患者中的作用,并通过反转录聚合酶链反应(RT-PCR)进行鉴定:方法:从入院时分离的 COVID-19 病例中抽取外周血样本,测定 C 反应蛋白(CRP)、D-二聚体、纤维蛋白原、中性粒细胞-淋巴细胞比值(NLR)、白细胞-CRP 比值(LeCR)、淋巴细胞-CRP 比值(LeCR)、中性粒细胞-淋巴细胞比值(NLR)和白细胞-CRP 比值(LeCR)、白细胞介素 6(IL6)、白细胞介素 6 比率(LeIL6)、全身炎症指数(SII)、血小板与淋巴细胞比率(PLR)和组织纤溶酶原激活物抑制剂 1(tPAI-1)。第 3 天和第 7 天对 IL6、铁蛋白、D-二聚体和 tPAI-1 进行随访:结果:严重程度比较显示,高血压、慢性阻塞性肺病(COPD)和缺血是 COVID-19 患者的主要风险因素。在纤维蛋白原(p < 0.000)、IL6(p < 0.009)、LeCR(p < 0.006)和 LCR(p < 0.011)方面,检验组之间存在统计学差异:根据入住重症监护室时的实验室检测结果,我们可以区分 COVID-19 的重症病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of General Medicine
International Journal of General Medicine Medicine-General Medicine
自引率
0.00%
发文量
1113
审稿时长
16 weeks
期刊介绍: The International Journal of General Medicine is an international, peer-reviewed, open access journal that focuses on general and internal medicine, pathogenesis, epidemiology, diagnosis, monitoring and treatment protocols. The journal is characterized by the rapid reporting of reviews, original research and clinical studies across all disease areas. A key focus of the journal is the elucidation of disease processes and management protocols resulting in improved outcomes for the patient. Patient perspectives such as satisfaction, quality of life, health literacy and communication and their role in developing new healthcare programs and optimizing clinical outcomes are major areas of interest for the journal. As of 1st April 2019, the International Journal of General Medicine will no longer consider meta-analyses for publication.
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