Biochemical and inflammatory parameters in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study

Background: COVID-19 presents with varied clinical presentations. Most of the patients have a good prognosis, but some patients rapidly progress to severe disease. Hence, early identification of severity becomes important. Aims and Objectives: This study aimed to compare the ferritin, troponin I, an...

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Main Authors: Muragendraswami N Astagimath, Raviraja Aryapu, Suman Doddamani
Format: Article
Language:English
Published: SAGE Publishing 2022-01-01
Series:Apollo Medicine
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Online Access:http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=1;spage=16;epage=19;aulast=Astagimath
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author Muragendraswami N Astagimath
Raviraja Aryapu
Suman Doddamani
author_facet Muragendraswami N Astagimath
Raviraja Aryapu
Suman Doddamani
author_sort Muragendraswami N Astagimath
collection DOAJ
description Background: COVID-19 presents with varied clinical presentations. Most of the patients have a good prognosis, but some patients rapidly progress to severe disease. Hence, early identification of severity becomes important. Aims and Objectives: This study aimed to compare the ferritin, troponin I, and D-dimer in intensive care unit (ICU) (severe) and non-ICU (nonsevere) patients of COVID-19. Materials and Methods: Data were collected from COVID-19 laboratory (n = approximately 2700). The patients were divided into ICU and non-ICU group. Ferritin and troponin I were estimated by chemiluminescence immunoassay and D-dimer was estimated by turbidimetric immunoassay. Results: Troponin I levels were comparable between the groups. Ferritin was elevated (P = 0.0001) in ICU patients compared to non-ICU patients. The levels of D-dimer were increased (P < 0.0001) in the ICU group compared to the non-ICU group. Conclusion: Despite the fact that troponin I may not be a decent indicator for the seriousness of the infection, it might be of use in patients with cardiovascular risk factors. Raised levels of ferritin might be a significant marker that demonstrates the chance of requiring escalated care for the COVID-19 patients. D-dimer can be used as a judicious marker for suggesting the severity and prognosis of the disease.
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spelling doaj-art-b3233cf0bd244f2885e59da02e53f1622025-08-20T02:23:27ZengSAGE PublishingApollo Medicine0976-00162213-36822022-01-01191161910.4103/am.am_133_21Biochemical and inflammatory parameters in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective studyMuragendraswami N AstagimathRaviraja AryapuSuman DoddamaniBackground: COVID-19 presents with varied clinical presentations. Most of the patients have a good prognosis, but some patients rapidly progress to severe disease. Hence, early identification of severity becomes important. Aims and Objectives: This study aimed to compare the ferritin, troponin I, and D-dimer in intensive care unit (ICU) (severe) and non-ICU (nonsevere) patients of COVID-19. Materials and Methods: Data were collected from COVID-19 laboratory (n = approximately 2700). The patients were divided into ICU and non-ICU group. Ferritin and troponin I were estimated by chemiluminescence immunoassay and D-dimer was estimated by turbidimetric immunoassay. Results: Troponin I levels were comparable between the groups. Ferritin was elevated (P = 0.0001) in ICU patients compared to non-ICU patients. The levels of D-dimer were increased (P < 0.0001) in the ICU group compared to the non-ICU group. Conclusion: Despite the fact that troponin I may not be a decent indicator for the seriousness of the infection, it might be of use in patients with cardiovascular risk factors. Raised levels of ferritin might be a significant marker that demonstrates the chance of requiring escalated care for the COVID-19 patients. D-dimer can be used as a judicious marker for suggesting the severity and prognosis of the disease.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=1;spage=16;epage=19;aulast=Astagimathcovid-19d-dimerferritintroponin i
spellingShingle Muragendraswami N Astagimath
Raviraja Aryapu
Suman Doddamani
Biochemical and inflammatory parameters in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study
Apollo Medicine
covid-19
d-dimer
ferritin
troponin i
title Biochemical and inflammatory parameters in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study
title_full Biochemical and inflammatory parameters in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study
title_fullStr Biochemical and inflammatory parameters in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study
title_full_unstemmed Biochemical and inflammatory parameters in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study
title_short Biochemical and inflammatory parameters in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study
title_sort biochemical and inflammatory parameters in intensive care unit and nonintensive care unit covid 19 patients a retrospective study
topic covid-19
d-dimer
ferritin
troponin i
url http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=1;spage=16;epage=19;aulast=Astagimath
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AT ravirajaaryapu biochemicalandinflammatoryparametersinintensivecareunitandnonintensivecareunitcovid19patientsaretrospectivestudy
AT sumandoddamani biochemicalandinflammatoryparametersinintensivecareunitandnonintensivecareunitcovid19patientsaretrospectivestudy