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Interleukin-6 and C-reactive protein/ albumin ratio as predictors of COVID-19 severity and mortality
Faculty
Medicine
Year:
2019
Type of Publication:
ZU Hosted
Pages:
Authors:
Maher Abdul Rahman Mohammed AlShafei
Staff Zu Site
Abstract In Staff Site
Journal:
The Egyptian Journal of Bronchology The Egyptian Journal of Bronchology
Volume:
Keywords :
Interleukin-6 , C-reactive protein/ albumin ratio , predictors , COVID-19 severity
Abstract:
Background: Coronavirus disease 2019 (COVID-19) was announced in early December 2019. The pandemic situation is declared. This study aimed to evaluate the role of biomarkers in estimating the severity and predicting the prognosis of COVID-19. Results: A total of 116 confirmed patients were included in this study. The patients were evaluated clinically. The disease severity was assessed. The measured and calculated laboratory tests were done. The primary outcome is the 30-day mortality. Patients were assigned to the severe (14.7%) and non-severe (85.3%) groups. At IL-6 level of 32.3 pg/mL (the highest Youden’s index = 0.77), IL-6 can differentiate severe from non-severe patients with 82.4% sensitivity and 94.4% specificity. IL-6 can predict the severity [odds ratio of 87.7 (95% CI = 18.9-408.2) (P < 0.0001)]. After adjustment to the significant clinical and laboratory parameters, IL-6 had an adjusted odds ratio of 30.8 (95% CI = 1.1-728.3) (P = 0.046). A high CRP/albumin ratio of > 11.4 was associated with COVID-19 mortality [hazard ratio = 59.9 (95% CI = 7.4–488.3) (P < 0.0001)]. High CRP/albumin ratio had an adjusted hazard ratio of 26.5 (95% CI = 2.6-270.7) after adjustment of age and presence of co-morbidities (P = 0.006). Conclusion: IL-6 level could effectively discriminate COVID-19 severity. CRP/albumin ratio was an independent risk factor for 30-day mortality rate in patients with COVID-19. IL-6 and CRP/albumin ratio seem to be valuable biomarkers in evaluating the severity and prognosis of COVID-19, respectively. Keywords: COVID-19, C-reactive protein/albumin ratio, Interleukin-6, Mortality, Severity
Author Related Publications
Maher Abdul Rahman Mohammed AlShafei, "Trends in pattern of tuberculosis in Sharkia Governorate at Ministry of Health and Population Chest Hospitals from 2016 to 2019", The Egyptian Journal of Bronchology, 2020
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Maher Abdul Rahman Mohammed AlShafei, "Knowledge and attitudes towards Middle East respiratory sydrome-coronavirus (MERS-CoV) among health care workers in south-western Saudi Arabia", Research article, 2020
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Maher Abdul Rahman Mohammed AlShafei, "Sero-Prevalence and Molecular Identification of Coxiella burnetii (Q Fever) Among Human and Animals in Egypt", Egyptian Journal of Veterinary Sciences, 2021
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Maher Abdul Rahman Mohammed AlShafei, "Immunogenetic Relationship of HLA-G 14 bp Insertion/Deletion Polymorphism and Toll-Like Receptor 9 with Systemic Lupus Erythematosus in Egyptian Patients: A Case-Control Study", International Journal of General Medicine, 2021
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Maher Abdul Rahman Mohammed AlShafei, "Otitis externa in a tertiary care hospital in Zagazig, Egypt: isolated pathogens and their antibiotic sensitivity patterns", Otitis externa in Egypt, 2021
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Noha Mohamed El Sayed Hammad, "The incidence of Mycoplasma pneumoniae in community acquired pneumonia among children: one centre study", Microbes and Infectious diseases, 2020
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