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Correlation of patient profiles and biomarkers with outcomes in covid-19 icu patients: a retrospective analysis Cover

Correlation of patient profiles and biomarkers with outcomes in covid-19 icu patients: a retrospective analysis

Open Access
|Dec 2022

Figures & Tables

Figure 1

Serum ferritin, LDH, CRP, IL6, NLR, and D-dimer across 3 categories of ventilatory support i.e. none, non-invasive ventilation (NIV) or invasive ventilation (IV). One way ANOVA showed the medians of all biomarkers to significantly different across the three categories.
Serum ferritin, LDH, CRP, IL6, NLR, and D-dimer across 3 categories of ventilatory support i.e. none, non-invasive ventilation (NIV) or invasive ventilation (IV). One way ANOVA showed the medians of all biomarkers to significantly different across the three categories.

Figure 2

Receiver operating characteristic (ROC) curves for CRP, IL6, NLR, and D-dimers. A) ROC curves to predict need for mechanical ventilatory support (NIV or invasive ventilation). B) ROC curves to predict mortality.
Receiver operating characteristic (ROC) curves for CRP, IL6, NLR, and D-dimers. A) ROC curves to predict need for mechanical ventilatory support (NIV or invasive ventilation). B) ROC curves to predict mortality.

Figure 3

A) Comparison of the proportion of patients with levels of CRP, IL6, and D-dimers above the suggested cut-offs amongst recovered and expired patients. B) Comparison of the proportion of patients with levels of CRP, IL6, and D-dimers above the suggested cut-offs amongst patients who required invasive ventilation (IV), non-invasive ventilatory support (NIV), and those who did not require any mechanical ventilatory support (NO MVS).
A) Comparison of the proportion of patients with levels of CRP, IL6, and D-dimers above the suggested cut-offs amongst recovered and expired patients. B) Comparison of the proportion of patients with levels of CRP, IL6, and D-dimers above the suggested cut-offs amongst patients who required invasive ventilation (IV), non-invasive ventilatory support (NIV), and those who did not require any mechanical ventilatory support (NO MVS).

Outcome tabulation of receiver operating characteristic curve analysis of biomarkers_

Parameters, cut-offAUC (95% CI)Sensitivity, %Specificity, %
Prediction of Survival
Serum CRP, 40mg/L0.933 (0.879-0.987)93.388.9
IL6, 32.5 pg/ml0.821 (0.739-0.902)82.270.4
NLR, 8.50.749 (0.648-0.851)75.675.9
D-DIMER, 810 ng/ml0.8 (0.711-0.889)82.275.9
PFR, 1060.886 (0.790-0.942)88.980
Prediction of need for mechanical ventilatory support (NIV or IV)
Serum CRP, 40mg/L0.956 (0.915-0.996)76.794.9
IL6, 32.5 pg/ml0.843 (0.765-0.921)73.376.9
NLR, 8.50.797 (0.695-0.899)7087.2
D-DIMER, 810 ng/ml0.816 (0.726-0.905)71.782.1
PFR, 1060.840 (0.758-0.922)94.966.7
Prediction of need for invasive mechanical ventilation
Serum CRP, 40mg/L0.895 (0.832-0.958)91.977.4
IL6, 32.5 pg/ml0.797 (0.709-0.884)83.864.5
NLR, 8.50.768 (0.672-0.863)78.471
D-DIMER, 810 ng/ml0.773 (0.676-0.870)81.167.7
PFR, 1060.790 (0.696-0.885)80.681.1

Clinico-demographics and laboratory parameters compared across survival groups_

Clinical & Demographic CharacteristicsTotal (N=99)Expired (N=45)Recovered (N=54)p-value
AGE (yrs)57 (45.0-65.0)57 (45.0-65.0)54 (45.0-65.5)0.898
≥60 YEARS, (N,%)46, 46.522, 48.924, 44.40.659
MALES, (N,%)62, 62.633, 73.329, 53.70.044
FEMALES, (N,%)37, 37.412, 26.725, 46.7
HYPERTENSION, (N,%)48, 48.522, 48.926, 48.10.941
TYPE II DIABETES MELLITUS, (N,%)44, 44.425, 55.619, 35.20.042
CHRONIC KIDNEY DISEASE, (N,%)15, 15.28, 17.87, 130.506
CORONARY HEART DISEASE, (N,%)13, 13.19, 204, 7.40.065
ANEMIA, (N,%)24, 24.210, 22.214, 25.90.669
Arterial oxygenation and biomarkers
SERUM FERRITIN, ng/ml352 (184-674)449 (225-852)277.5 (123.7-484.7)0.004
SERUM LDH, U/L544 (340-724)679 (458-865)418 (275.7-591.7)0.001
Serum CRP, mg/L37 (12-88)88 (68-106)12.5 (8-23.2)<0.001
IL6, pg/ml38 (11-121)88 (42-245.5)14 (2-43.2)<0.001
NLR8 (5-15)14 (8.5-17)5.5 (4-8.2)<0.001
D-DIMER, ng/ml845 (340-2100)1447 (937-4609)426.5 (254.5-817.7)<0.001
PFR118 (80-220)80 (70-102.5)192 (122.5-281.5)<0.001

Clinico-demographics and laboratory parameters compared across groups of escalating ventilatory support_

ParametersNO MVS (N=39)MVS (NIV + IV)(N=60)
p-value
NIV (N=23)IV (N=37)
AGE (yrs)59 (43-67)57 (50-65)54 (44-65)0.895
MALES, (N,%)19, 48.716, 69.627, 730.068
43, 71.60.021
HYPERTENSION, (N,%)17, 43.615, 65.216, 43.20.186
TYPE II DIABETES MELLITUS, (N,%)12, 30.814, 60.918, 48.60.057
32, 53.30.027
CHRONIC KIDNEY DISEASE, (N,%)5, 12.85, 21.75, 13.50.601
CORONARY ARTERY DISEASE, (N,%)3, 7.71, 4.39, 24.30.051
4, 6.40.015
ANEMIA, (N,%)13, 33.33, 138, 21.60.177
SERUM FERRITIN, ng/ml273 (112-421)394 (165-663)464 (233-940)0.001
SERUM LDH, U/L356 (254-551)550 (330-689)679 (446-893)0.001
Serum CRP, mg/L11 (7-14)56 (23-77)92 (71.5-114)<0.001
IL6, pg/ml10 (2-32)45 (14-152)90 (44.5-245.5)0.028
NLR5 (4-7)9 (6.5-16)15 (9.5-17.5)0.001
D-DIMER, ng/ml339 (224-670)946 (524-1560)1953 (937-5000)<0.001
PFR214 (146-298)110 (72-160)82 (72-102.5)<0.001
DOI: https://doi.org/10.2478/rjaic-2021-0012 | Journal eISSN: 2502-0307 | Journal ISSN: 2392-7518
Language: English
Page range: 71 - 79
Published on: Dec 29, 2022
Published by: Sciendo
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year

© 2022 Karthik Raman, Deepak Kumar, Abhijit Kumar, Kirti Nath Saxena, Amit Kohli, Sonia Wadhawan, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.