C-reactive protein and lactate dehydrogenase in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study

Background: Appropriate diagnostic markers play an important role in categorizing COVID-19 patients with respect to the severity of the disease. Aims and Objectives: The aim and objective of this study were to compare C-reactive protein (CRP) and lactate dehydrogenase (LDH) in intensive care unit (I...

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Main Authors: Muragendraswami Astagimath, Raviraja Aryapu, Vishwanath Patil, Suman Doddamani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:APIK Journal of Internal Medicine
Subjects:
Online Access:http://www.ajim.in/article.asp?issn=2666-1802;year=2023;volume=11;issue=1;spage=33;epage=36;aulast=Astagimath
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author Muragendraswami Astagimath
Raviraja Aryapu
Vishwanath Patil
Suman Doddamani
author_facet Muragendraswami Astagimath
Raviraja Aryapu
Vishwanath Patil
Suman Doddamani
author_sort Muragendraswami Astagimath
collection DOAJ
description Background: Appropriate diagnostic markers play an important role in categorizing COVID-19 patients with respect to the severity of the disease. Aims and Objectives: The aim and objective of this study were to compare C-reactive protein (CRP) and lactate dehydrogenase (LDH) in intensive care unit (ICU) and non-ICU patients of COVID-19 disease. Materials and Methods: Data was collected from the COVID-19 laboratory (n = approximately 3700). The patients were divided into two groups: ICU and non-ICU. The levels of CRP and LDH were estimated by the microslide method based on an enzymatic heterogeneous sandwich immunoassay. Results: In the ICU group, patients above 50 years were four times in number compared to patients below 50 years. COVID-19 infection was twice more common in males than females. The mean CRP levels in the ICU group were higher compared to non-ICU group, and this difference was statistically significant. LDH was elevated significantly in ICU patients compared to non-ICU patients. Conclusion: The study concludes that patients aged above 50 years are more prone to develop severe COVID-19. Men are more susceptible to develop severe COVID-19. The most evident finding of this study is that among patients below 50 years, higher CRP levels can be used as an alarming marker in predicting severe COVID-19 disease. We suggest that LDH can be used as a marker to predict the severity of COVID-19 disease in all age groups. We also suggest that in patients above 50 years, it is better to use the combination of CRP and LDH in the assessment of severe COVID-19, rather than using CRP alone.
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spelling doaj.art-9ddc74687715490eb21059b6065325752023-02-16T12:03:51ZengWolters Kluwer Medknow PublicationsAPIK Journal of Internal Medicine2666-18022666-18102023-01-01111333610.4103/ajim.ajim_18_22C-reactive protein and lactate dehydrogenase in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective studyMuragendraswami AstagimathRaviraja AryapuVishwanath PatilSuman DoddamaniBackground: Appropriate diagnostic markers play an important role in categorizing COVID-19 patients with respect to the severity of the disease. Aims and Objectives: The aim and objective of this study were to compare C-reactive protein (CRP) and lactate dehydrogenase (LDH) in intensive care unit (ICU) and non-ICU patients of COVID-19 disease. Materials and Methods: Data was collected from the COVID-19 laboratory (n = approximately 3700). The patients were divided into two groups: ICU and non-ICU. The levels of CRP and LDH were estimated by the microslide method based on an enzymatic heterogeneous sandwich immunoassay. Results: In the ICU group, patients above 50 years were four times in number compared to patients below 50 years. COVID-19 infection was twice more common in males than females. The mean CRP levels in the ICU group were higher compared to non-ICU group, and this difference was statistically significant. LDH was elevated significantly in ICU patients compared to non-ICU patients. Conclusion: The study concludes that patients aged above 50 years are more prone to develop severe COVID-19. Men are more susceptible to develop severe COVID-19. The most evident finding of this study is that among patients below 50 years, higher CRP levels can be used as an alarming marker in predicting severe COVID-19 disease. We suggest that LDH can be used as a marker to predict the severity of COVID-19 disease in all age groups. We also suggest that in patients above 50 years, it is better to use the combination of CRP and LDH in the assessment of severe COVID-19, rather than using CRP alone.http://www.ajim.in/article.asp?issn=2666-1802;year=2023;volume=11;issue=1;spage=33;epage=36;aulast=Astagimathcovid-19c-reactive proteinlactate dehydrogenase
spellingShingle Muragendraswami Astagimath
Raviraja Aryapu
Vishwanath Patil
Suman Doddamani
C-reactive protein and lactate dehydrogenase in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study
APIK Journal of Internal Medicine
covid-19
c-reactive protein
lactate dehydrogenase
title C-reactive protein and lactate dehydrogenase in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study
title_full C-reactive protein and lactate dehydrogenase in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study
title_fullStr C-reactive protein and lactate dehydrogenase in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study
title_full_unstemmed C-reactive protein and lactate dehydrogenase in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study
title_short C-reactive protein and lactate dehydrogenase in intensive care unit and nonintensive care unit COVID-19 patients – A retrospective study
title_sort c reactive protein and lactate dehydrogenase in intensive care unit and nonintensive care unit covid 19 patients a retrospective study
topic covid-19
c-reactive protein
lactate dehydrogenase
url http://www.ajim.in/article.asp?issn=2666-1802;year=2023;volume=11;issue=1;spage=33;epage=36;aulast=Astagimath
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AT vishwanathpatil creactiveproteinandlactatedehydrogenaseinintensivecareunitandnonintensivecareunitcovid19patientsaretrospectivestudy
AT sumandoddamani creactiveproteinandlactatedehydrogenaseinintensivecareunitandnonintensivecareunitcovid19patientsaretrospectivestudy