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Admission C-reactive protein, D-dimer, IL-6 and XCL1/lymphotactin levels as predictors of 28-day mortality in COVID-19 patients: a prospective cohort study

  • Adityo Susilo ,
  • Herdiman Theodorus Pohan ,
  • Cleopas Martin Rumende ,
  • Iris Rengganis ,
  • Alida Harahap ,
  • Aria Kekalih ,
  • Dewi Wulandari ,
  • Ivo Novita Sahbandar ,
  • Suhendro Suwarto ,

Abstract

Link of Video Abstract: https://youtu.be/cQUhwa50jAM

 

Background: Predictors of mortality in COVID-19 patients, which are essential factors in guiding patient management, are poorly understood. In Indonesia, several inflammatory markers have been utilized to evaluate the severity of COVID-19. This study aimed to determine the role of C-reactive protein (CRP), D-dimer, interleukin-6 (IL-6), and XCL1/lymphotactin levels in predicting 28-day mortality in patients with COVID-19.

Methods: A prospective cohort study was conducted with COVID-19 patients admitted to the emergency department at Cipto Mangunkusumo Hospital and Medistra Hospital, Jakarta, Indonesia, from June 2020 to February 2021. The predictors of 28-day mortality in COVID-19 patients in this study included CRP, D-dimer, IL-6, and XCL1 levels at admission. Cox proportional hazard regression analysis was used to determine the independent predictors of 28-day mortality in the study population.

Results: A total of 120 patients with COVID-19 were enrolled in the study; 21 (17.5%) died within 28 days after admission. According to our multivariate analysis, a CRP level (HR, 8.55; 95% CI, 3.310-22.088) ≥ 110 mg/L and a D-dimer level (HR, 20.642; 95% CI, 6.909-61.667) ≥ 4640 ng/mL were identified as independent predictors of 28-day mortality in COVID-19 patients.

Conclusion: A C-reactive protein level ≥ 110 mg/L and a D-dimer level ≥ 4640 ng/mL can be used to predict 28-day mortality in COVID-19 patients.

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How to Cite

Susilo, A., Pohan, H. T., Rumende, C. M., Rengganis, I., Harahap, A., Kekalih, A., Wulandari, D., Sahbandar, I. N., & Suwarto, S. (2024). Admission C-reactive protein, D-dimer, IL-6 and XCL1/lymphotactin levels as predictors of 28-day mortality in COVID-19 patients: a prospective cohort study. Bali Medical Journal, 13(1), 513–518. https://doi.org/10.15562/bmj.v13i1.5069

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