Frontiers in medicine · 2024
Combined coagulation and inflammation markers as predictors of venous thrombo-embolism and death in COVID-19.
СтатьяНазвание и аннотация: Перевод в очереди
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Zhu Jaja, Bouzid Raïda, Travert Benoît, Géri Guillaume, Cohen Yves, Picod Adrien, Heming Nicholas, Rottman Martin, Joly-Laffargue Bérangère, Veyradier Agnès, Capron Claude, Coppo Paul
Аннотация
BACKGROUND: The COVID-19 pandemic related to SARS-CoV-2 virus was responsible for global pandemic. The severe form of the disease was linked to excessive activation of immune pathways together with a systemic cytokine storm response and thrombotic venous or arterial complications. Factors predicting severe outcomes including venous and/or pulmonary thrombosis (VT) and death were identified, but the prognostic role of their combination was not addressed extensively.
OBJECTIVES: We investigated the role of prognostic factors from the coagulation or inflammatory pathways to better understand the outcome of the disease.
METHODS: For this, we prospectively studied 167 SARS-CoV-2-positive patients from admission in intensive care units (ICU) or emergency departments from four academic hospitals over a 14-month period. Besides standard biology, we assessed serum concentrations of inflammatory markers, coagulation factors and peripheral blood cells immunophenotyping.
RESULTS: Thirty-nine patients (23.3%) developed VT and 30 patients (18%) died. By univariate analysis, C-reactive protein (CRP) level > 150 mg/L, interleukin-6 (IL-6) ≥ 20 pg/mL, D-dimers > 1,500 μg/L, ADAMTS13 activity ≤ 50%, Von.
CONCLUSION: A combination of coagulation and inflammatory markers can refine the prognostication of severe outcome in COVID-19, and could be useful for the initial evaluation of other types of viral infection.
OBJECTIVES: We investigated the role of prognostic factors from the coagulation or inflammatory pathways to better understand the outcome of the disease.
METHODS: For this, we prospectively studied 167 SARS-CoV-2-positive patients from admission in intensive care units (ICU) or emergency departments from four academic hospitals over a 14-month period. Besides standard biology, we assessed serum concentrations of inflammatory markers, coagulation factors and peripheral blood cells immunophenotyping.
RESULTS: Thirty-nine patients (23.3%) developed VT and 30 patients (18%) died. By univariate analysis, C-reactive protein (CRP) level > 150 mg/L, interleukin-6 (IL-6) ≥ 20 pg/mL, D-dimers > 1,500 μg/L, ADAMTS13 activity ≤ 50%, Von.
CONCLUSION: A combination of coagulation and inflammatory markers can refine the prognostication of severe outcome in COVID-19, and could be useful for the initial evaluation of other types of viral infection.