Yıl: 2022 Cilt: 47 Sayı: 2 Sayfa Aralığı: 622 - 628 Metin Dili: İngilizce DOI: 10.17826/cumj.1050419 İndeks Tarihi: 29-07-2022

Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19

Öz:
Purpose: This study aims to assess the diagnostic utility of C-reactive protein (CRP) to albumin ratio (CAR) for predicting elevated D-dimer levels in COVID-19. Materials and Methods: This retrospective cohort study collected data from 145 hospitalized patients with confirmed COVID-19 in a university hospital. Patients were divided into two groups based on their D-dimer levels, as elevated D‐dimer levels and normal D-dimer levels. Demographic data, comorbidities, clinical symptoms, CAR, and laboratory results were obtained from the patients’ medical records and compared between the groups. Results: The mean age of patients was 52.9±17.9 years, and 76 of them were male. The median of CAR was significantly higher in those with higher D-dimer (134.1 vs. 20.7). CRP, procalcitonin, leukocyte, neutrophil, lactate dehydrogenase, ferritin, and fibrinogen were higher in patients with elevated D-dimer levels. There was a highly significant positive correlation between CAR and D-Dimer. Logistic regression analysis revealed that CAR was a significant determinant for elevated D‐dimer levels . The area under the ROC curve (AUC) was 0.741 for CAR. The verified cut-off value of CAR for predicting elevated D‐dimer levels in patients with COVID-19 was 81.8, with a sensitivity of 58% and a specificity of 70%. Conclusion: Our study revealed that CAR was significantly correlated with D-dimer and can be used to predict elevated D‐dimer levels in patients with COVID-19.
Anahtar Kelime:

COVID-19 hastalarında koagülopati için C-reaktif protein/albumin oranının tanısal doğruluğu

Öz:
Amaç: Bu çalışma, COVİD-19'da D-dimer yüksekliğini öngörmede C-reaktif proteinin (CRP) albümine oranının (CAR) tanısal faydasını değerlendirmek amaçlamıştır. Gereç ve Yöntem: Bu retrospektif kohort çalışmasında, bir üniversite hastanesinde COVID-19 olduğu doğrulanmış 145 yatan hastadan veri topladık. Hastalar D-dimer düzeylerine göre D-dimer düzeyi yüksek olanlar ve D-dimer düzeyi normal olanlar olarak iki gruba ayrıldı. Hastaların tıbbi kayıtlarından demografik veriler, komorbiditeler, klinik semptomlar, CAR ve laboratuvar sonuçları elde edildi ve gruplar arasında kıyaslamalar yapıldı. Bulgular: Hastaların yaş ortalaması 52,9±17,9 yıl olup, 76'sı erkek idi. CAR medyanı, D-dimer değeri yüksek olanlarda anlamlı olarak daha yüksekti (134,1'e karşı 20,7,). D-dimeri yüksek hastalarda CRP, prokalsitonin, lökosit, nötrofil, laktat dehidrojenaz, ferritin ve fibrinojen daha yüksekti. CAR ve D-Dimer arasında oldukça anlamlı pozitif korelasyon vardı. Lojistik regresyon analizi, CAR'ın D-dimer yüksekliği için önemli bir belirleyici olduğunu ortaya koydu. ROC eğrisi altında kalan alan (AUC) CAR için 0,741 idi. COVİD-19 hastalarında D-dimer yüksekliğini öngörmek için CAR'ın doğrulanmış eşik değeri, %58 duyarlılık ve %70 özgüllük ile 81,8 idi. Sonuç: Çalışmamız, CAR'ın D-dimer ile önemli ölçüde korele olduğunu ve COVİD-19’u olan hastalarda D-dimer yüksekliğini öngörmek için kullanılabileceğini göstermiştir.
Anahtar Kelime: Albumin

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Karataş Kılıçcıoğlu G, Kaya T, İşsever K, Guclu E, KARABAY O (2022). Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19. , 622 - 628. 10.17826/cumj.1050419
Chicago Karataş Kılıçcıoğlu Gizem,Kaya Tezcan,İşsever Kubilay,Guclu Ertugrul,KARABAY OĞUZ Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19. (2022): 622 - 628. 10.17826/cumj.1050419
MLA Karataş Kılıçcıoğlu Gizem,Kaya Tezcan,İşsever Kubilay,Guclu Ertugrul,KARABAY OĞUZ Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19. , 2022, ss.622 - 628. 10.17826/cumj.1050419
AMA Karataş Kılıçcıoğlu G,Kaya T,İşsever K,Guclu E,KARABAY O Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19. . 2022; 622 - 628. 10.17826/cumj.1050419
Vancouver Karataş Kılıçcıoğlu G,Kaya T,İşsever K,Guclu E,KARABAY O Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19. . 2022; 622 - 628. 10.17826/cumj.1050419
IEEE Karataş Kılıçcıoğlu G,Kaya T,İşsever K,Guclu E,KARABAY O "Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19." , ss.622 - 628, 2022. 10.17826/cumj.1050419
ISNAD Karataş Kılıçcıoğlu, Gizem vd. "Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19". (2022), 622-628. https://doi.org/10.17826/cumj.1050419
APA Karataş Kılıçcıoğlu G, Kaya T, İşsever K, Guclu E, KARABAY O (2022). Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19. Cukurova Medical Journal, 47(2), 622 - 628. 10.17826/cumj.1050419
Chicago Karataş Kılıçcıoğlu Gizem,Kaya Tezcan,İşsever Kubilay,Guclu Ertugrul,KARABAY OĞUZ Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19. Cukurova Medical Journal 47, no.2 (2022): 622 - 628. 10.17826/cumj.1050419
MLA Karataş Kılıçcıoğlu Gizem,Kaya Tezcan,İşsever Kubilay,Guclu Ertugrul,KARABAY OĞUZ Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19. Cukurova Medical Journal, vol.47, no.2, 2022, ss.622 - 628. 10.17826/cumj.1050419
AMA Karataş Kılıçcıoğlu G,Kaya T,İşsever K,Guclu E,KARABAY O Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19. Cukurova Medical Journal. 2022; 47(2): 622 - 628. 10.17826/cumj.1050419
Vancouver Karataş Kılıçcıoğlu G,Kaya T,İşsever K,Guclu E,KARABAY O Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19. Cukurova Medical Journal. 2022; 47(2): 622 - 628. 10.17826/cumj.1050419
IEEE Karataş Kılıçcıoğlu G,Kaya T,İşsever K,Guclu E,KARABAY O "Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19." Cukurova Medical Journal, 47, ss.622 - 628, 2022. 10.17826/cumj.1050419
ISNAD Karataş Kılıçcıoğlu, Gizem vd. "Diagnostic precision of C-reactive protein to albumin ratio for coagulopathy in patients with COVID-19". Cukurova Medical Journal 47/2 (2022), 622-628. https://doi.org/10.17826/cumj.1050419