The Diagnostic Value of Inflammatory Markers (CRP, IL6, CRP/IL6, CRP/L, LCR) for Assessing the Severity of COVID-19 Symptoms Based on the MEWS and Predicting the Risk of Mortality

Blanka Wolszczak-Biedrzycka,1 Justyna Dorf,2 Anna Milewska,3 Mateusz Łukaszyk,4 Wojciech Naumnik,4 Jakub Wiktor Kosidło,5 Violetta Dymicka-Piekarska2 1Department of Psychology and Sociology of Health and Public Health, University of Warmia and Mazury in Olsztyn, Olsztyn, 10-082...

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Main Authors: Wolszczak-Biedrzycka B, Dorf J, Milewska A, Łukaszyk M, Naumnik W, Kosidło JW, Dymicka-Piekarska V
Format: Article
Language:English
Published: Dove Medical Press 2023-05-01
Series:Journal of Inflammation Research
Subjects:
Online Access:https://www.dovepress.com/the-diagnostic-value-of-inflammatory-markers-crp-il6-crpil6-crpl-lcr-f-peer-reviewed-fulltext-article-JIR
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author Wolszczak-Biedrzycka B
Dorf J
Milewska A
Łukaszyk M
Naumnik W
Kosidło JW
Dymicka-Piekarska V
author_facet Wolszczak-Biedrzycka B
Dorf J
Milewska A
Łukaszyk M
Naumnik W
Kosidło JW
Dymicka-Piekarska V
author_sort Wolszczak-Biedrzycka B
collection DOAJ
description Blanka Wolszczak-Biedrzycka,1 Justyna Dorf,2 Anna Milewska,3 Mateusz Łukaszyk,4 Wojciech Naumnik,4 Jakub Wiktor Kosidło,5 Violetta Dymicka-Piekarska2 1Department of Psychology and Sociology of Health and Public Health, University of Warmia and Mazury in Olsztyn, Olsztyn, 10-082, Poland; 2Department of Clinical Laboratory Diagnostics, Medical University of Bialystok, Bialystok, 15-269, Poland; 3Department of Biostatistics and Medical Informatics, Medical University of Bialystok, Bialystok, 15-295, Poland; 4Temporary Hospital No 2 of Clinical Hospital in Bialystok, 1 St Department of Lung Diseases and Tuberculosis, Medical University of Bialystok, Bialystok, 15-540, Poland; 5Students Scientific Club at the Department of Clinical Laboratory Diagnostics, Medical University of Bialystok, Bialystok, 15-269, PolandCorrespondence: Blanka Wolszczak-Biedrzycka, Department of Psychology and Sociology of Health and Public Health, University of Warmia and Mazury in Olsztyn, Olsztyn, 10-082, Poland, Email blanka.wolszczak@gmail.comIntroduction: Various diagnostic tools are used to assess the severity of COVID-19 symptoms and the risk of mortality, including laboratory tests and scoring indices such as the Modified Early Warning Score (MEWS). The diagnostic value of inflammatory markers for assessing patients with different severity of COVID-19 symptoms according to the MEWS was evaluated in this study.Materials and Methods: The concentrations of CRP (C-reactive protein) (immunoassay) and IL6 (interleukin 6) (electrochemiluminescence assay) were determined, and CRP/IL6, CRP/L, and LCR ratios were calculated in blood serum samples collected from 374 COVID-19 patients.Results: We demonstrated that CRP, IL6, CRP/IL6, CRP/L, LCR inflammatory markers increase significantly with disease progression assessed based on the MEWS in COVID-19 patients and may be used to differentiating patients with severe and non-severe COVID-19 and to assess the mortality.Conclusion: The diagnostic value of inflammatory markers for assessing the risk of mortality and differentiating between patients with mild and severe COVID-19 was confirmed.Keywords: COVID-19, CRP, C-reactive protein, IL-6, interleukin 6, inflammatory markers, MEWS, modified early warning score
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spelling doaj.art-2e7b63facd6748d49665a6bd822c62062023-05-23T18:52:22ZengDove Medical PressJournal of Inflammation Research1178-70312023-05-01Volume 162173218883892The Diagnostic Value of Inflammatory Markers (CRP, IL6, CRP/IL6, CRP/L, LCR) for Assessing the Severity of COVID-19 Symptoms Based on the MEWS and Predicting the Risk of MortalityWolszczak-Biedrzycka BDorf JMilewska AŁukaszyk MNaumnik WKosidło JWDymicka-Piekarska VBlanka Wolszczak-Biedrzycka,1 Justyna Dorf,2 Anna Milewska,3 Mateusz Łukaszyk,4 Wojciech Naumnik,4 Jakub Wiktor Kosidło,5 Violetta Dymicka-Piekarska2 1Department of Psychology and Sociology of Health and Public Health, University of Warmia and Mazury in Olsztyn, Olsztyn, 10-082, Poland; 2Department of Clinical Laboratory Diagnostics, Medical University of Bialystok, Bialystok, 15-269, Poland; 3Department of Biostatistics and Medical Informatics, Medical University of Bialystok, Bialystok, 15-295, Poland; 4Temporary Hospital No 2 of Clinical Hospital in Bialystok, 1 St Department of Lung Diseases and Tuberculosis, Medical University of Bialystok, Bialystok, 15-540, Poland; 5Students Scientific Club at the Department of Clinical Laboratory Diagnostics, Medical University of Bialystok, Bialystok, 15-269, PolandCorrespondence: Blanka Wolszczak-Biedrzycka, Department of Psychology and Sociology of Health and Public Health, University of Warmia and Mazury in Olsztyn, Olsztyn, 10-082, Poland, Email blanka.wolszczak@gmail.comIntroduction: Various diagnostic tools are used to assess the severity of COVID-19 symptoms and the risk of mortality, including laboratory tests and scoring indices such as the Modified Early Warning Score (MEWS). The diagnostic value of inflammatory markers for assessing patients with different severity of COVID-19 symptoms according to the MEWS was evaluated in this study.Materials and Methods: The concentrations of CRP (C-reactive protein) (immunoassay) and IL6 (interleukin 6) (electrochemiluminescence assay) were determined, and CRP/IL6, CRP/L, and LCR ratios were calculated in blood serum samples collected from 374 COVID-19 patients.Results: We demonstrated that CRP, IL6, CRP/IL6, CRP/L, LCR inflammatory markers increase significantly with disease progression assessed based on the MEWS in COVID-19 patients and may be used to differentiating patients with severe and non-severe COVID-19 and to assess the mortality.Conclusion: The diagnostic value of inflammatory markers for assessing the risk of mortality and differentiating between patients with mild and severe COVID-19 was confirmed.Keywords: COVID-19, CRP, C-reactive protein, IL-6, interleukin 6, inflammatory markers, MEWS, modified early warning scorehttps://www.dovepress.com/the-diagnostic-value-of-inflammatory-markers-crp-il6-crpil6-crpl-lcr-f-peer-reviewed-fulltext-article-JIRcovid-19crp (c-reactive protein)il-6 (interleukin 6)inflammatory markersmews (modified early warning score)
spellingShingle Wolszczak-Biedrzycka B
Dorf J
Milewska A
Łukaszyk M
Naumnik W
Kosidło JW
Dymicka-Piekarska V
The Diagnostic Value of Inflammatory Markers (CRP, IL6, CRP/IL6, CRP/L, LCR) for Assessing the Severity of COVID-19 Symptoms Based on the MEWS and Predicting the Risk of Mortality
Journal of Inflammation Research
covid-19
crp (c-reactive protein)
il-6 (interleukin 6)
inflammatory markers
mews (modified early warning score)
title The Diagnostic Value of Inflammatory Markers (CRP, IL6, CRP/IL6, CRP/L, LCR) for Assessing the Severity of COVID-19 Symptoms Based on the MEWS and Predicting the Risk of Mortality
title_full The Diagnostic Value of Inflammatory Markers (CRP, IL6, CRP/IL6, CRP/L, LCR) for Assessing the Severity of COVID-19 Symptoms Based on the MEWS and Predicting the Risk of Mortality
title_fullStr The Diagnostic Value of Inflammatory Markers (CRP, IL6, CRP/IL6, CRP/L, LCR) for Assessing the Severity of COVID-19 Symptoms Based on the MEWS and Predicting the Risk of Mortality
title_full_unstemmed The Diagnostic Value of Inflammatory Markers (CRP, IL6, CRP/IL6, CRP/L, LCR) for Assessing the Severity of COVID-19 Symptoms Based on the MEWS and Predicting the Risk of Mortality
title_short The Diagnostic Value of Inflammatory Markers (CRP, IL6, CRP/IL6, CRP/L, LCR) for Assessing the Severity of COVID-19 Symptoms Based on the MEWS and Predicting the Risk of Mortality
title_sort diagnostic value of inflammatory markers crp il6 crp il6 crp l lcr for assessing the severity of covid 19 symptoms based on the mews and predicting the risk of mortality
topic covid-19
crp (c-reactive protein)
il-6 (interleukin 6)
inflammatory markers
mews (modified early warning score)
url https://www.dovepress.com/the-diagnostic-value-of-inflammatory-markers-crp-il6-crpil6-crpl-lcr-f-peer-reviewed-fulltext-article-JIR
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