Prognostic Value of Bioactive Adrenomedullin in Critically Ill Patients with COVID-19 in Germany: An Observational Cohort Study.

ARDS COVID-19 ECMO bioactive adrenomedullin biomarker endothelial dysfunction

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
13 Apr 2021
Historique:
received: 17 02 2021
revised: 31 03 2021
accepted: 06 04 2021
entrez: 30 4 2021
pubmed: 1 5 2021
medline: 1 5 2021
Statut: epublish

Résumé

The coronavirus disease 2019 (COVID-19) pandemic has placed a significant burden on hospitals worldwide. Objective biomarkers for early risk stratification and clinical management are still lacking. The aim of this work was to determine whether bioactive adrenomedullin can assist in the risk stratification and clinical management of critically ill COVID-19 patients. Fifty-three patients with confirmed COVID-19 were included in this prospective observational cohort study between March and April 2020. Bioactive adrenomedullin (bio-ADM) plasma concentration was measured daily for seven days after admission. The prognostic value and clinical significance of bio-ADM plasma levels were evaluated for the severity of respiratory failure, the need for extracorporeal organ support and outcome (28-day mortality). Bio-ADM levels increased with the severity of acute respiratory distress syndrome (ARDS;

Identifiants

pubmed: 33924637
pii: jcm10081667
doi: 10.3390/jcm10081667
pmc: PMC8069401
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Deutsche Forschungsgemeinschaft
ID : MA 7082/3-1
Organisme : Deutsche Forschungsgemeinschaft
ID : STO 1099/8-1
Organisme : Deutsche Forschungsgemeinschaft
ID : BR 5308/3-1

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Auteurs

Tim-Philipp Simon (TP)

Department of Intensive and Intermediate Care, University Hospital RWTH Aachen, 52074 Aachen, Germany.

Christian Stoppe (C)

Department of Intensive and Intermediate Care, University Hospital RWTH Aachen, 52074 Aachen, Germany.

Thomas Breuer (T)

Department of Intensive and Intermediate Care, University Hospital RWTH Aachen, 52074 Aachen, Germany.

Lara Stiehler (L)

Department of Intensive and Intermediate Care, University Hospital RWTH Aachen, 52074 Aachen, Germany.

Michael Dreher (M)

Department of Pneumology and Intensive Care Medicine, University Hospital RWTH Aachen, 52074 Aachen, Germany.

Alexander Kersten (A)

Department of Pneumology and Intensive Care Medicine, University Hospital RWTH Aachen, 52074 Aachen, Germany.

Stefan Kluge (S)

Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.

Mahir Karakas (M)

Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.

Elisabeth Zechendorf (E)

Department of Intensive and Intermediate Care, University Hospital RWTH Aachen, 52074 Aachen, Germany.

Gernot Marx (G)

Department of Intensive and Intermediate Care, University Hospital RWTH Aachen, 52074 Aachen, Germany.

Lukas Martin (L)

Department of Intensive and Intermediate Care, University Hospital RWTH Aachen, 52074 Aachen, Germany.

Classifications MeSH