The Relationship of CRP/Albumin ratio level and prognosis in pregnant COVID-19 patients.


Journal

Nigerian journal of clinical practice
ISSN: 1119-3077
Titre abrégé: Niger J Clin Pract
Pays: India
ID NLM: 101150032

Informations de publication

Date de publication:
Oct 2022
Historique:
entrez: 29 10 2022
pubmed: 30 10 2022
medline: 2 11 2022
Statut: ppublish

Résumé

The C-reactive protein (CRP)/albumin ratio (CAR) is one of the new tools to assess the severity of inflammation. It is used to determine clinical severity and prognosis in many diseases. The present study aimed to investigate the relationship between C-reactive protein (CRP)/albumin ratio (CAR) and prognosis in pregnant patients with more severe COVID-19 infection. Retrospective study. The study was conducted in a retrospective manner by scanning the files of pregnant patients who had a positive polymerase chain reaction test result and were hospitalized in Adıyaman Training and Research Hospital. The patients were divided into two groups: patients who were admitted to the intensive care unit and patients who were not admitted. CRP/albumin ratio (CAR) levels were compared between these two groups. The cut-off value was determined in the prediction of intensive-care admission and poor prognosis. 117 patient files were reviewed. 13 patients were followed up with intensive care, whereas 104 patients completed their treatment in the service. The CAR levels of the patients admitted to intensive care were significantly higher (P < 0.01). In the estimation of intensive-care admission, the CAR level was determined to be 0.970 in the area under the curve with 100% sensitivity and 86.5% specificity in the receiver operating characteristic (ROC) curve. The cut-off CAR level was calculated as 1.8. CAR is a valuable biomarker for predicting prognosis, as well as follow-ups of pregnant COVID-19 patients.

Sections du résumé

Background UNASSIGNED
The C-reactive protein (CRP)/albumin ratio (CAR) is one of the new tools to assess the severity of inflammation. It is used to determine clinical severity and prognosis in many diseases.
Aim UNASSIGNED
The present study aimed to investigate the relationship between C-reactive protein (CRP)/albumin ratio (CAR) and prognosis in pregnant patients with more severe COVID-19 infection. Retrospective study.
Patients and Methods UNASSIGNED
The study was conducted in a retrospective manner by scanning the files of pregnant patients who had a positive polymerase chain reaction test result and were hospitalized in Adıyaman Training and Research Hospital. The patients were divided into two groups: patients who were admitted to the intensive care unit and patients who were not admitted. CRP/albumin ratio (CAR) levels were compared between these two groups. The cut-off value was determined in the prediction of intensive-care admission and poor prognosis.
Results UNASSIGNED
117 patient files were reviewed. 13 patients were followed up with intensive care, whereas 104 patients completed their treatment in the service. The CAR levels of the patients admitted to intensive care were significantly higher (P < 0.01). In the estimation of intensive-care admission, the CAR level was determined to be 0.970 in the area under the curve with 100% sensitivity and 86.5% specificity in the receiver operating characteristic (ROC) curve. The cut-off CAR level was calculated as 1.8.
Conclusion UNASSIGNED
CAR is a valuable biomarker for predicting prognosis, as well as follow-ups of pregnant COVID-19 patients.

Identifiants

pubmed: 36308249
pii: NigerJClinPract_2022_25_10_1745_359423
doi: 10.4103/njcp.njcp_244_22
doi:

Substances chimiques

C-Reactive Protein 9007-41-4
Albumins 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1745-1750

Déclaration de conflit d'intérêts

None

Auteurs

N Yilmaz (N)

Department of Anesthesia and Reanimation, Adiyaman Training and Research Hospital, Adiyaman, Turkey.

F Tosun (F)

Department of Anesthesiology and Reanimation, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.

E Comert (E)

Department of Obstetrics and Gynecology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.

M Duran (M)

Department of Anesthesiology and Reanimation, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.

V D Tuna (VD)

Department of Anesthesia and Reanimation, Adiyaman Training and Research Hospital, Adiyaman, Turkey.

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Classifications MeSH