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10.3390/v13030419

http://scihub22266oqcxt.onion/10.3390/v13030419
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33807920!7998367!33807920
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suck abstract from ncbi

pmid33807920      Viruses 2021 ; 13 (3): ?
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  • Prognostic Values of Serum Ferritin and D-Dimer Trajectory in Patients with COVID-19 #MMPMID33807920
  • Qeadan F; Tingey B; Gu LY; Packard AH; Erdei E; Saeed AI
  • Viruses 2021[Mar]; 13 (3): ? PMID33807920show ga
  • Cytokine storm syndrome in patients with COVID-19 is mediated by pro-inflammatory cytokines resulting in acute lung injury and multiorgan failure. Elevation in serum ferritin and D-dimer is observed in COVID-19 patients. To determine prognostic values of optimal serum cutoff with trajectory plots for both serum ferritin and D-dimer in COVID-19 patients with invasive ventilator dependence and in-hospital mortality. We used retrospective longitudinal data from the Cerner COVID-19 de-identified cohort. COVID-19 infected patients with valid repeated values of serum ferritin and D-dimer during hospitalization were used in mixed-effects logistic-regression models. Among 52,411 patients, 28.5% (14,958) had valid serum ferritin and 28.6% (15,005) D-dimer laboratory results. Optimal cutoffs of ferritin (714 ng/mL) and D-dimer (2.1 mg/L) revealed AUCs >/= 0.99 for in-hospital mortality. Optimal cutoffs for ferritin (502 ng/mL) and D-dimer (2.0 mg/L) revealed AUCs >/= 0.99 for invasive ventilator dependence. Optimal cutoffs for in-house mortality, among females, were lower in serum ferritin (433 ng/mL) and D-dimer (1.9 mg/L) compared to males (740 ng/mL and 2.5 mg/L, respectively). Optimal cutoffs for invasive ventilator dependence, among females, were lower in ferritin (270 ng/mL) and D-dimer (1.3 mg/L) compared to males (860 ng/mL and 2.3 mg/L, respectively). Optimal prognostic cutoffs for serum ferritin and D-dimer require considering the entire trajectory of laboratory values during the disease course. Females have an overall lower optimal cutoff for both serum ferritin and D-dimer. The presented research allows health professionals to predict clinical outcomes and appropriate allocation of resources during the COVID-19 pandemic, especially early recognition of COVID-19 patients needing higher levels of care.
  • |Aged[MESH]
  • |Biomarkers/blood[MESH]
  • |COVID-19/*blood/diagnosis/mortality/virology[MESH]
  • |Female[MESH]
  • |Ferritins/*blood[MESH]
  • |Fibrin Fibrinogen Degradation Products/*analysis[MESH]
  • |Humans[MESH]
  • |Longitudinal Studies[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prognosis[MESH]
  • |Retrospective Studies[MESH]


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