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重症监护病房中新冠肺炎患者的缺氧诱导因子-1α和缺血修饰白蛋白水平

Hypoxia-inducible factor-1α and ischemia-modified albumin levels in intensive care COVID-19 Patients.

作者信息

Yucel Kamile, Fuat Gurbuz Ali

机构信息

Department of Medical Biochemistry, KTO Karatay University, Faculty of Medicine, Konya, Turkey.

Department of Internal Medicine, Health Sciences University, Van Training and Research Hospital, Van, Turkey.

出版信息

Horm Mol Biol Clin Investig. 2022 Jul 18;43(4):415-420. doi: 10.1515/hmbci-2022-0024. eCollection 2022 Dec 1.

Abstract

OBJECTIVES

In this study, it was aimed to evaluate the hypoxia-inducible factor-1α (HIF-1α) and ischemia-modified albumin (IMA) levels of patients diagnosed with COVID-19 in the intensive care unit (ICU) and healthy controls. To our knowledge, this is the first study investigate HIF-1α and IMA levels in COVID-19 patients in ICUs and comparing them with a healthy control group. For this reason, our study is original and will contribute to the literature.

METHODS

A total of 70 intensive care patients diagnosed with COVID-19, and 72 healthy controls were included in the study.

RESULTS

When we compared the patient and healthy control group; there were no statistically significant differences between the groups in terms of age and gender (p>0.05). No exitus was observed in the patient group. We found weak correlation between HIF-1α and IMA (r: 0.320). However, there were statistically significant differences in HIF-1α and IMA levels in the patient group. The receiver operating characteristic (ROC) curve demonstrated an area under curve (AUC) value of 0.651 for HIF-1α and 0.937 for IMA.

CONCLUSIONS

The HIF-1α and IMA levels were significantly higher among COVID-19 patients in ICU compared with healthy controls. HIF-1α and IMA levels can be used as reliable markers for the prognosis of COVID-19.

摘要

目的

本研究旨在评估重症监护病房(ICU)中确诊为新型冠状病毒肺炎(COVID-19)的患者及健康对照者的缺氧诱导因子-1α(HIF-1α)和缺血修饰白蛋白(IMA)水平。据我们所知,这是第一项调查ICU中COVID-19患者的HIF-1α和IMA水平并将其与健康对照组进行比较的研究。因此,我们的研究具有原创性,将为该文献做出贡献。

方法

本研究共纳入70例确诊为COVID-19的重症监护患者和72例健康对照者。

结果

当我们比较患者组和健康对照组时;两组在年龄和性别方面无统计学显著差异(p>0.05)。患者组未观察到死亡病例。我们发现HIF-1α与IMA之间存在弱相关性(r:0.320)。然而,患者组的HIF-1α和IMA水平存在统计学显著差异。受试者工作特征(ROC)曲线显示,HIF-1α的曲线下面积(AUC)值为0.651, IMA为0.937。

结论

与健康对照组相比,ICU中COVID-19患者的HIF-1α和IMA水平显著更高。HIF-1α和IMA水平可作为COVID-19预后的可靠标志物。

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