Inflammatory and prothrombotic biomarkers associated with the severity of COVID-19 infection

S Lopez-Castaneda… - Clinical and Applied …, 2021 - journals.sagepub.com
S Lopez-Castaneda, N García-Larragoiti, A Cano-Mendez, K Blancas-Ayala…
Clinical and Applied Thrombosis/Hemostasis, 2021journals.sagepub.com
Among COVID-19 hospitalized patients, high incidence of alterations in inflammatory and
coagulation biomarkers correlates with a poor prognosis. Comorbidities such as chronic
degenerative diseases are frequently associated with complications in COVID-19 patients.
The aim of this study was to evaluate inflammatory and procoagulant biomarkers in COVID-
19 patients from a public hospital in Mexico. Blood was sampled within the first 48 h after
admission in 119 confirmed COVID-19 patients that were classified in 3 groups according to …
Among COVID-19 hospitalized patients, high incidence of alterations in inflammatory and coagulation biomarkers correlates with a poor prognosis. Comorbidities such as chronic degenerative diseases are frequently associated with complications in COVID-19 patients. The aim of this study was to evaluate inflammatory and procoagulant biomarkers in COVID-19 patients from a public hospital in Mexico. Blood was sampled within the first 48 h after admission in 119 confirmed COVID-19 patients that were classified in 3 groups according to oxygen demand, evolution and the severity of the disease as follows: 1) Non severe: nasal cannula or oxygen mask; 2) Severe: high flow nasal cannula and 3) Death: mechanical ventilation eventually leading to fatal outcome. Blood samples from 20 healthy donors were included as a Control Group. Analysis of inflammatory and coagulation biomarkers including D-dimer, interleukin 6, interleukin 8, PAI-1, P-selectin and VWF was performed in plasma. Routine laboratory and clinical biomarkers were also included and compared among groups. Concentrations of D-dimer (14.5 ± 13.8 µg/ml) and PAI-1 (1223 ± 889.6 ng/ml) were significantly elevated in severe COVID-19 patients (P < 0.0001). A significant difference was found in interleukin-6, PAI-1 and P-selectin in non-severe and healthy donors when compared to Severe COVID-19 and deceased patients (P < 0.001). VWF levels were also significantly different between severe patients (153.5 ± 24.3 UI/dl) and non-severe ones (133.9 ± 20.2 UI/dl) (P < 0.0001). WBC and glucose levels were also significantly elevated in patients with Severe COVID-19. Plasma concentrations of all prothrombotic biomarkers were significantly higher in patients with a fatal outcome.
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