Ayanian Shant, Reyes Juan, Lynn Lei, Teufel Karolyn
The George Washington University School of Medicine & Health Sciences, Division of Hospital Medicine, The GW Medical Faculty Associates, DC 20037, USA.
Biomark Med. 2020 Aug;14(12):1091-1097. doi: 10.2217/bmm-2020-0309. Epub 2020 Jul 17.
To describe the association between D-dimer, CRP, IL-6, ferritin, LDH and the clinical outcomes in a cohort of 299 COVID-19 patients treated on the inpatient medical service at a university hospital in the District of Columbia (DC, USA). In this retrospective study, we included all laboratory confirmed COVID-19 adults admitted to the inpatient medicine service at the George Washington University Hospital between 12 March 2020 and 9 May 2020. We analyzed the association of biomarkers on intensive care unit transfer, intubation and mortality. Threshold values for all biomarkers were found to be statistically significant and independently associated with higher odds of clinical deterioration and death. Laboratory markers of inflammation and coagulopathy can help clinicians identify patients who are at high risk for clinical deterioration in COVID-19.
描述299例在美国哥伦比亚特区(华盛顿特区,美国)一家大学医院接受住院治疗的COVID-19患者队列中D-二聚体、CRP、IL-6、铁蛋白、乳酸脱氢酶与临床结局之间的关联。在这项回顾性研究中,我们纳入了2020年3月12日至2020年5月9日期间在乔治·华盛顿大学医院住院内科确诊为COVID-19的所有成年患者。我们分析了生物标志物与重症监护病房转运、插管和死亡率之间的关联。发现所有生物标志物的阈值具有统计学意义,且与临床恶化和死亡的较高几率独立相关。炎症和凝血障碍的实验室标志物可帮助临床医生识别COVID-19中临床恶化风险较高的患者。