Open AccessThe association between biomarkers and clinical outcomes in novel coronavirus pneumonia in a US cohort
Author(s) -
Shant Ayanian,
Juan Reyes,
Lei Lynn,
Karolyn Teufel
Publication year - 2020
Publication title -
biomarkers in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 44
eISSN - 1752-0371
pISSN - 1752-0363
DOI - 10.2217/bmm-2020-0309
Subject(s) - medicine , retrospective cohort study , cohort , emergency medicine , pneumonia , intensive care unit , covid-19 , odds ratio , cohort study , intensive care medicine , disease , infectious disease (medical specialty)
Aim: 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). Methodology & results: 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. Conclusion: Laboratory markers of inflammation and coagulopathy can help clinicians identify patients who are at high risk for clinical deterioration in COVID-19.