1. Could ischemia-modified albumin levels predict the severity of disease in SARS-CoV-2 infection?
- Author
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Tanrıverdi, Mustafa, Gündoğdu, Nevhiz, Benlier, Necla, Yıldırım, Mustafa, Çeliktürk, Hale, Özkur, Hanifi Ayhan, Karadeniz, Pınar Günel, Tanrıverdi, Gülşen Özkan, and Çiçek, Hülya
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CORONAVIRUS diseases , *COVID-19 , *SARS-CoV-2 , *TYPE 2 diabetes , *ALBUMINS , *CORONARY artery disease - Abstract
Introduction: Ischemia-modified albumin (IMA) level increases in inflammatory conditions. We aimed to investigate the association between IMA levels and the severity of coronavirus disease 2019 (COVID-19) infection in adult patients. Methodology: We grouped adult patients with COVID-19 infection: Group A - mild symptoms, but normal computed tomography (CT), Group B - mild/moderate illness, and Group C - severe or critical illness. We measured IMA levels at the time of diagnosis of COVID-19 infection. Results: Mean age of the total number of patients (n = 90) was 54.43 (± 8.11) year, and 46.7% (n = 42) were female. IMA levels were highest in Group C and lowest in A (p < 0.001). The most important factor predicting COVID-19 disease severity was IMA. Type 2 diabetes was more frequent in Group C (n = 31) than in Group B (n = 30) (p = 0.042). Asthma was less frequent, and coronary artery disease was more frequent in Group C than in Group A (n = 29) and B (p = 0.009). Duration of hospitalization was highest in Group C (p < 0.001). Conclusions: We analyzed a sample of patients with COVID-19 infection and found that IMA predicted severe COVID-19 disease. Disease severity grouping was based on patients' clinical and radiological features. IMA level measured when SARS-CoV-2 infection is diagnosed may be a useful marker in predicting likely disease severity or intensive care need. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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