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10.1016/j.cca.2021.09.016

http://scihub22266oqcxt.onion/10.1016/j.cca.2021.09.016
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suck abstract from ncbi


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pmid34555411      Clin+Chim+Acta 2021 ; 523 (ä): 185-190
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  • Endothelial dysfunction and Mid-Regional proAdrenomedullin: What role in SARS-CoV-2 infected Patients? #MMPMID34555411
  • Zaninotto M; Mion MM; Marchioro L; Padoan A; Plebani M
  • Clin Chim Acta 2021[Dec]; 523 (ä): 185-190 PMID34555411show ga
  • BACKGROUND: Endothelial dysfunction, a major complication of SARS-CoV-2 infectionplaying a key-role in multi-organ damage, carries high risk of mortality. AIM: To investigate the potential role of Mid-Regional pro-Adrenomedullin (MR-proADM) in detecting endothelial damage with a view to stratifying the risk of adverse events (length of stay, death, admission in Intensive Care Unit) and/or disease resolution. MATERIALS AND METHODS: In 135 consecutive patients with SARS-CoV-2 infection, MR-proADM was measured in EDTA-K2 plasma samples using B.R.A.H.M.S. KRYPTOR(R) COMPACT Plus method (Thermo Fisher Scientific, Hennigsdorf, Germany) RESULTS: Patients were subdivided into three groups based on their MR-proADM value (nmol/L): 1 (n = 20, MR-proADM 1.50). The higher the MR-proADM value, the greater the patients' age, the more frequent the occurrence of pneumonia, the requiring of more aggressive treatment, the longer the hospitalization and the more frequent a fatal event. Significant differences were found between the three groups for MR-proADM, White-blood cell count, Neutrophil count, D-dimer, C-reactive Protein, Procalcitonin and hs-Troponin I. At logistic regression,it was found that MR-proADM and Log(10)D-dimer were the most significant predictors of adverse events. CONCLUSION: The findings made in the present study highlight the relevance of MR-proADM values in providing clinically useful information, particularly for stratifying COVID-19 patients according to the risk of a more severe form of disease and to the development of adverse events.
  • |*Adrenomedullin/blood[MESH]
  • |*COVID-19/diagnosis[MESH]
  • |*Protein Precursors/blood[MESH]
  • |Biomarkers[MESH]
  • |Endothelium/*physiopathology/virology[MESH]
  • |Humans[MESH]
  • |Prognosis[MESH]


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