Relationship of angiopoietin-2 level with the prognosis of the COVID-19 disease

Introduction: COVID-19 infection is associated with coagulopathy. There is increased expression of markers such as E-selectin or angiopoietin-2 upon the activation of endothelin. The aim of this study was to determine whether there was a difference in angiopoietin-2 levels among patients with a dia...

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Main Authors: Olgun Keskin, Işılay Kalan Sari, Aysegul Seremet Keskin, Hamit Yaşar Ellidağ, Orbay Harmandar
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2023-10-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/17297
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author Olgun Keskin
Işılay Kalan Sari
Aysegul Seremet Keskin
Hamit Yaşar Ellidağ
Orbay Harmandar
author_facet Olgun Keskin
Işılay Kalan Sari
Aysegul Seremet Keskin
Hamit Yaşar Ellidağ
Orbay Harmandar
author_sort Olgun Keskin
collection DOAJ
description Introduction: COVID-19 infection is associated with coagulopathy. There is increased expression of markers such as E-selectin or angiopoietin-2 upon the activation of endothelin. The aim of this study was to determine whether there was a difference in angiopoietin-2 levels among patients with a diagnosis of COVID-19 who need to be hospitalized in the intensive care units (ICUs) or service. Methodology: COVID-19 infected patients admitted in the hospital were included in this study. In addition to the routine biochemical parameters of patients in ICUs and services, 5 cc blood samples were collected and angiopoietin-2 was analyzed. Demographic data of the patients, biochemical parameters at the time of hospitalization, places and durations of hospitalization as well as their ways of being discharged from hospital were recorded. Results: 180 patients who presented to our hospital’s emergency service and were hospitalized with a diagnosis of COVID-19 were included in our study. 137 patients (76.1%) were hospitalized in the service and 43 (23.9%) were hospitalized in ICU. The angiopoietin-2 level was determined to be significantly high in the patients hospitalized in ICUs (p = 0.018). When the cut-off value of angiopoetin-2 in predicting the ICU hospitalization was assumed as 64.5 ng/L, its sensitivity was determined to be 59% and its specificity was found to be 42%. Conclusions: We concluded that angiopoietin-2 level in COVID-19 patients upon their presentation to the hospital might be an important parameter in predicting and ascertaining their place of hospitalization.
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spelling doaj-art-e44841da9ee94ed9b80e99766a5f2da52025-08-20T02:27:07ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802023-10-01171010.3855/jidc.17297Relationship of angiopoietin-2 level with the prognosis of the COVID-19 diseaseOlgun Keskin0Işılay Kalan Sari1Aysegul Seremet Keskin2Hamit Yaşar Ellidağ3Orbay Harmandar4Department of Chest Disease, University of Health Sciences Antalya Training and Research Hospital, Antalya, TurkeyDepartment of Endocrinology and Metabolic Disorders, University of Health Sciences, Antalya Training and Research Hospital, Antalya, TurkeyDepartment of Infectious Disease and Clinical Microbiology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, TurkeyDepartment of Clinic of Biochemistry, University of Health Sciences, Antalya Training and Research Hospital, Antalya, TurkeyDepartment of Internal Medicine, Intensive Care Unit, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey Introduction: COVID-19 infection is associated with coagulopathy. There is increased expression of markers such as E-selectin or angiopoietin-2 upon the activation of endothelin. The aim of this study was to determine whether there was a difference in angiopoietin-2 levels among patients with a diagnosis of COVID-19 who need to be hospitalized in the intensive care units (ICUs) or service. Methodology: COVID-19 infected patients admitted in the hospital were included in this study. In addition to the routine biochemical parameters of patients in ICUs and services, 5 cc blood samples were collected and angiopoietin-2 was analyzed. Demographic data of the patients, biochemical parameters at the time of hospitalization, places and durations of hospitalization as well as their ways of being discharged from hospital were recorded. Results: 180 patients who presented to our hospital’s emergency service and were hospitalized with a diagnosis of COVID-19 were included in our study. 137 patients (76.1%) were hospitalized in the service and 43 (23.9%) were hospitalized in ICU. The angiopoietin-2 level was determined to be significantly high in the patients hospitalized in ICUs (p = 0.018). When the cut-off value of angiopoetin-2 in predicting the ICU hospitalization was assumed as 64.5 ng/L, its sensitivity was determined to be 59% and its specificity was found to be 42%. Conclusions: We concluded that angiopoietin-2 level in COVID-19 patients upon their presentation to the hospital might be an important parameter in predicting and ascertaining their place of hospitalization. https://jidc.org/index.php/journal/article/view/17297angiopoietin-2COVID-19prognosis
spellingShingle Olgun Keskin
Işılay Kalan Sari
Aysegul Seremet Keskin
Hamit Yaşar Ellidağ
Orbay Harmandar
Relationship of angiopoietin-2 level with the prognosis of the COVID-19 disease
Journal of Infection in Developing Countries
angiopoietin-2
COVID-19
prognosis
title Relationship of angiopoietin-2 level with the prognosis of the COVID-19 disease
title_full Relationship of angiopoietin-2 level with the prognosis of the COVID-19 disease
title_fullStr Relationship of angiopoietin-2 level with the prognosis of the COVID-19 disease
title_full_unstemmed Relationship of angiopoietin-2 level with the prognosis of the COVID-19 disease
title_short Relationship of angiopoietin-2 level with the prognosis of the COVID-19 disease
title_sort relationship of angiopoietin 2 level with the prognosis of the covid 19 disease
topic angiopoietin-2
COVID-19
prognosis
url https://jidc.org/index.php/journal/article/view/17297
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AT aysegulseremetkeskin relationshipofangiopoietin2levelwiththeprognosisofthecovid19disease
AT hamityasarellidag relationshipofangiopoietin2levelwiththeprognosisofthecovid19disease
AT orbayharmandar relationshipofangiopoietin2levelwiththeprognosisofthecovid19disease