Predictive value of ferritin, glucose, urea, and creatinine for COVID-19 severity and mortality in patients from Asir, Saudi Arabia

被引:3
|
作者
Shaikh, Ahmad A. [1 ]
Mubasher, Turki A. [2 ]
Makkawi, Mohammed H. [1 ]
Alasmari, Sultan Z. [1 ]
机构
[1] King Khalid Univ, Fac Appl Med Sci, Dept Clin Lab Sci, Abha, Saudi Arabia
[2] Asir Cent Hosp, Dept Clin Lab, Abha, Saudi Arabia
关键词
COVID-19; mortality; ICU-admission; ABO group; ferritin; urea; creatinine; CLINICAL CHARACTERISTICS; CARE; ABO; INFECTION; ADMISSION; OUTCOMES; RISK;
D O I
10.15537/smj.2023.44.8.20230162
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives: To correlate demographics, blood groupings, and laboratory characteristics of hospitalized COVID-19 patients with disease severity and outcomes. Methods: This study included 294 COVID-19 patients. Data on patient age, gender, laboratory results, clinical severity, mortality, comorbidities, and blood group were obtained from medical records retrospectively. Results: High levels of ferritin (p<0.01), urea (p<0.0001), and creatinine (p<0.05) were detected in intensive care unit (ICU)-admitted patients. Ferritin (p<0.05), glucose (p<0.0001), urea (p<0.0001), and creatinine (p<0.0001) were significantly higher in non-survivor compared to survivor COVID-19 patients. Predictors for ICU admission among patients were ferritin (odd ratio [OR]=0.999, p=0.0055) and urea (OR=0.991, p=0.0001). Predictors for mortality were: age (OR=0.963, p=0.0001), ferritin (OR=0.999, p=0.0149), glucose (OR=0.993, p=0.0001), urea (OR=0.976, p=0.0001), and creatinine (OR=0.556, p=0.0001). The most reliable laboratory parameters in predicting mortality were: age (area under the curve [AUC]=0.685, p<0.0001), ferritin (AUC=0.610, p<0.05), glucose (AUC=0.681, p<0.0001), urea (AUC=0.856, p<0.0001), and creatinine (AUC=0.823, p<0.0001). Conclusion: High ferritin, glucose, urea, and creatinine levels may predict poor outcomes in COVID-19 patients. These findings could help predict admissions to the ICU and mortality among such patients.
引用
收藏
页码:773 / 781
页数:9
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