Novel biomarkers for the prediction of COVID-19 progression a retrospective, multi-center cohort study

A pandemic designated as Coronavirus Disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is spreading worldwide. Up to date, there is no efficient biomarker for the timely prediction of the disease progression in patients. To analyze the inflammatory profi...

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Autores principales: Yalan Yu, Tao Liu, Liang Shao, Xinyi Li, Colin K. He, Muhammad Jamal, Yi Luo, Yingying Wang, Yanan Liu, Yufeng Shang, Yunbao Pan, Xinghuan Wang, Fuling Zhou
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Publicado: Taylor & Francis Group 2020
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Acceso en línea:https://doaj.org/article/aeda50ee6d614fe1a96874fcbbb71bde
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spelling oai:doaj.org-article:aeda50ee6d614fe1a96874fcbbb71bde2021-11-17T14:21:59ZNovel biomarkers for the prediction of COVID-19 progression a retrospective, multi-center cohort study2150-55942150-560810.1080/21505594.2020.1840108https://doaj.org/article/aeda50ee6d614fe1a96874fcbbb71bde2020-12-01T00:00:00Zhttp://dx.doi.org/10.1080/21505594.2020.1840108https://doaj.org/toc/2150-5594https://doaj.org/toc/2150-5608A pandemic designated as Coronavirus Disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is spreading worldwide. Up to date, there is no efficient biomarker for the timely prediction of the disease progression in patients. To analyze the inflammatory profiles of COVID-19 patients and demonstrate their implications for the illness progression of COVID-19. Retrospective analysis of 3,265 confirmed COVID-19 cases hospitalized between 10 January 2020, and 26 March 2020 in three medical centers in Wuhan, China. Patients were diagnosed as COVID-19 and hospitalized in Leishenshan Hospital, Zhongnan Hospital of Wuhan University and The Seventh Hospital of Wuhan, China. Univariable and multivariable logistic regression models were used to determine the possible risk factors for disease progression. Moreover, cutoff values, the sensitivity and specificity of inflammatory parameters for disease progression were determined by MedCalc Version 19.2.0. Age (95%CI, 1.017 to 1.048; P < 0.001), serum amyloid A protein (SAA) (95%CI, 1.216 to 1.396; P < 0.001) and erythrocyte sedimentation rate (ESR) (95%CI, 1.006 to 1.045; P < 0.001) were likely the risk factors for the disease progression. The Area under the curve (AUC) of SAA for the progression of COVID-19 was 0.923, with the best predictive cutoff value of SAA of 12.4 mg/L, with a sensitivity of 83.9% and a specificity of 97.67%. SAA-containing parameters are novel promising ones for predicting disease progression in COVID-19.Yalan YuTao LiuLiang ShaoXinyi LiColin K. HeMuhammad JamalYi LuoYingying WangYanan LiuYufeng ShangYunbao PanXinghuan WangFuling ZhouTaylor & Francis Grouparticlecovid-19serum amyloid a proteindisease progressionrisk factorpredictorbiomarkerInfectious and parasitic diseasesRC109-216ENVirulence, Vol 11, Iss 1, Pp 1569-1581 (2020)
institution DOAJ
collection DOAJ
language EN
topic covid-19
serum amyloid a protein
disease progression
risk factor
predictor
biomarker
Infectious and parasitic diseases
RC109-216
spellingShingle covid-19
serum amyloid a protein
disease progression
risk factor
predictor
biomarker
Infectious and parasitic diseases
RC109-216
Yalan Yu
Tao Liu
Liang Shao
Xinyi Li
Colin K. He
Muhammad Jamal
Yi Luo
Yingying Wang
Yanan Liu
Yufeng Shang
Yunbao Pan
Xinghuan Wang
Fuling Zhou
Novel biomarkers for the prediction of COVID-19 progression a retrospective, multi-center cohort study
description A pandemic designated as Coronavirus Disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is spreading worldwide. Up to date, there is no efficient biomarker for the timely prediction of the disease progression in patients. To analyze the inflammatory profiles of COVID-19 patients and demonstrate their implications for the illness progression of COVID-19. Retrospective analysis of 3,265 confirmed COVID-19 cases hospitalized between 10 January 2020, and 26 March 2020 in three medical centers in Wuhan, China. Patients were diagnosed as COVID-19 and hospitalized in Leishenshan Hospital, Zhongnan Hospital of Wuhan University and The Seventh Hospital of Wuhan, China. Univariable and multivariable logistic regression models were used to determine the possible risk factors for disease progression. Moreover, cutoff values, the sensitivity and specificity of inflammatory parameters for disease progression were determined by MedCalc Version 19.2.0. Age (95%CI, 1.017 to 1.048; P < 0.001), serum amyloid A protein (SAA) (95%CI, 1.216 to 1.396; P < 0.001) and erythrocyte sedimentation rate (ESR) (95%CI, 1.006 to 1.045; P < 0.001) were likely the risk factors for the disease progression. The Area under the curve (AUC) of SAA for the progression of COVID-19 was 0.923, with the best predictive cutoff value of SAA of 12.4 mg/L, with a sensitivity of 83.9% and a specificity of 97.67%. SAA-containing parameters are novel promising ones for predicting disease progression in COVID-19.
format article
author Yalan Yu
Tao Liu
Liang Shao
Xinyi Li
Colin K. He
Muhammad Jamal
Yi Luo
Yingying Wang
Yanan Liu
Yufeng Shang
Yunbao Pan
Xinghuan Wang
Fuling Zhou
author_facet Yalan Yu
Tao Liu
Liang Shao
Xinyi Li
Colin K. He
Muhammad Jamal
Yi Luo
Yingying Wang
Yanan Liu
Yufeng Shang
Yunbao Pan
Xinghuan Wang
Fuling Zhou
author_sort Yalan Yu
title Novel biomarkers for the prediction of COVID-19 progression a retrospective, multi-center cohort study
title_short Novel biomarkers for the prediction of COVID-19 progression a retrospective, multi-center cohort study
title_full Novel biomarkers for the prediction of COVID-19 progression a retrospective, multi-center cohort study
title_fullStr Novel biomarkers for the prediction of COVID-19 progression a retrospective, multi-center cohort study
title_full_unstemmed Novel biomarkers for the prediction of COVID-19 progression a retrospective, multi-center cohort study
title_sort novel biomarkers for the prediction of covid-19 progression a retrospective, multi-center cohort study
publisher Taylor & Francis Group
publishDate 2020
url https://doaj.org/article/aeda50ee6d614fe1a96874fcbbb71bde
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