C-reactive protein to albumin ratio is associated with increased risk of mortality in COVID-19 pneumonia patients

Purpose: The aim of this retrospective observational study is to compare C-reactive protein to albumin ratio and CURB-65 score in the emergency department in terms of predicting mortality in patients over the age of 18 who were hospitalized for COVID-19 pneumonia. Materials and Methods: The study in...

Full description

Bibliographic Details
Main Authors: Gonca Koksaldı, Nurdan Unlu, Selen Acehan, Müge Gülen, Cem Isikber, Adem Kaya, Cagdas Ince, Basak Toptas Firat, Hilmi Erdem Sümbül, Salim Satar
Format: Article
Language:English
Published: Cukurova University 2021-12-01
Series:Cukurova Medical Journal
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/1902093
_version_ 1797920449454145536
author Gonca Koksaldı
Nurdan Unlu
Selen Acehan
Müge Gülen
Cem Isikber
Adem Kaya
Cagdas Ince
Basak Toptas Firat
Hilmi Erdem Sümbül
Salim Satar
author_facet Gonca Koksaldı
Nurdan Unlu
Selen Acehan
Müge Gülen
Cem Isikber
Adem Kaya
Cagdas Ince
Basak Toptas Firat
Hilmi Erdem Sümbül
Salim Satar
author_sort Gonca Koksaldı
collection DOAJ
description Purpose: The aim of this retrospective observational study is to compare C-reactive protein to albumin ratio and CURB-65 score in the emergency department in terms of predicting mortality in patients over the age of 18 who were hospitalized for COVID-19 pneumonia. Materials and Methods: The study includes 613 patients hospitalized between March 15 and April 30, 2020 due to COVID-19 pneumonia detected on thorax computed tomography at the emergency department pandemic area. Hospitalized patients were divided into groups according to positive and negative real-time polymerase chain reaction results. Results: While 73.1% (n: 448) of 613 patients included in the study were hospitalized in the ward, 26.9% (n: 165) were hospitalized in intensive care. 8.6% (n: 53) of the total patients died. In non-survivors patients the mean CURB 65 score was 4±1 (and C-Reactive Protein to Albumin Ratio was 5.6±4.2 Multivariate logistic regression analysis showed that CURB 65 and high C-Reactive Protein to Albumin Ratio are independent risk factors for COVID-19 pneumonia. Conclusion: The C-reactive protein to albumin ratio is as sensitive as CURB 65 and can guide the clinician in the early detection of patients with poor prognosis COVID-19 pneumonia.
first_indexed 2024-04-10T14:02:25Z
format Article
id doaj.art-b0934b0c54f34a5daa43b6759797b01d
institution Directory Open Access Journal
issn 2602-3040
language English
last_indexed 2024-04-10T14:02:25Z
publishDate 2021-12-01
publisher Cukurova University
record_format Article
series Cukurova Medical Journal
spelling doaj.art-b0934b0c54f34a5daa43b6759797b01d2023-02-15T16:10:13ZengCukurova UniversityCukurova Medical Journal2602-30402021-12-014641449145810.17826/cumj.97705048C-reactive protein to albumin ratio is associated with increased risk of mortality in COVID-19 pneumonia patientsGonca Koksaldı0Nurdan Unlu1Selen Acehan2Müge Gülen3Cem Isikber4Adem Kaya5Cagdas Ince6Basak Toptas Firat7Hilmi Erdem Sümbül8Salim Satar9Adana City Training and Research Hospital, Department of Emergency Medicine,Adana City Training and Research Hospital, Department of Anesthesiology and Intensive CareAdana City Training and Research Hospital, Department of Emergency Medicine,Adana City Training and Research Hospital, Department of Emergency MedicineAdana City Training and Research Hospital, Department of Emergency MedicineAdana City Training and Research Hospital, Department of Emergency MedicineAdana City Training and Research Hospital, Department of Emergency MedicineAdana City Training and Research Hospital, Department of Emergency MedicineAdana City Training and Research Hospital, Department of İnternal MedicineAdana City Training and Research Hospital, Department of Emergency MedicinePurpose: The aim of this retrospective observational study is to compare C-reactive protein to albumin ratio and CURB-65 score in the emergency department in terms of predicting mortality in patients over the age of 18 who were hospitalized for COVID-19 pneumonia. Materials and Methods: The study includes 613 patients hospitalized between March 15 and April 30, 2020 due to COVID-19 pneumonia detected on thorax computed tomography at the emergency department pandemic area. Hospitalized patients were divided into groups according to positive and negative real-time polymerase chain reaction results. Results: While 73.1% (n: 448) of 613 patients included in the study were hospitalized in the ward, 26.9% (n: 165) were hospitalized in intensive care. 8.6% (n: 53) of the total patients died. In non-survivors patients the mean CURB 65 score was 4±1 (and C-Reactive Protein to Albumin Ratio was 5.6±4.2 Multivariate logistic regression analysis showed that CURB 65 and high C-Reactive Protein to Albumin Ratio are independent risk factors for COVID-19 pneumonia. Conclusion: The C-reactive protein to albumin ratio is as sensitive as CURB 65 and can guide the clinician in the early detection of patients with poor prognosis COVID-19 pneumonia.https://dergipark.org.tr/tr/download/article-file/1902093crp/albumine ratiocovid-19curb 65emergency departmentpneumoniaacil serviscrp/albümin oranıcovid-19curb 65pnömoni
spellingShingle Gonca Koksaldı
Nurdan Unlu
Selen Acehan
Müge Gülen
Cem Isikber
Adem Kaya
Cagdas Ince
Basak Toptas Firat
Hilmi Erdem Sümbül
Salim Satar
C-reactive protein to albumin ratio is associated with increased risk of mortality in COVID-19 pneumonia patients
Cukurova Medical Journal
crp/albumine ratio
covid-19
curb 65
emergency department
pneumonia
acil servis
crp/albümin oranı
covid-19
curb 65
pnömoni
title C-reactive protein to albumin ratio is associated with increased risk of mortality in COVID-19 pneumonia patients
title_full C-reactive protein to albumin ratio is associated with increased risk of mortality in COVID-19 pneumonia patients
title_fullStr C-reactive protein to albumin ratio is associated with increased risk of mortality in COVID-19 pneumonia patients
title_full_unstemmed C-reactive protein to albumin ratio is associated with increased risk of mortality in COVID-19 pneumonia patients
title_short C-reactive protein to albumin ratio is associated with increased risk of mortality in COVID-19 pneumonia patients
title_sort c reactive protein to albumin ratio is associated with increased risk of mortality in covid 19 pneumonia patients
topic crp/albumine ratio
covid-19
curb 65
emergency department
pneumonia
acil servis
crp/albümin oranı
covid-19
curb 65
pnömoni
url https://dergipark.org.tr/tr/download/article-file/1902093
work_keys_str_mv AT goncakoksaldı creactiveproteintoalbuminratioisassociatedwithincreasedriskofmortalityincovid19pneumoniapatients
AT nurdanunlu creactiveproteintoalbuminratioisassociatedwithincreasedriskofmortalityincovid19pneumoniapatients
AT selenacehan creactiveproteintoalbuminratioisassociatedwithincreasedriskofmortalityincovid19pneumoniapatients
AT mugegulen creactiveproteintoalbuminratioisassociatedwithincreasedriskofmortalityincovid19pneumoniapatients
AT cemisikber creactiveproteintoalbuminratioisassociatedwithincreasedriskofmortalityincovid19pneumoniapatients
AT ademkaya creactiveproteintoalbuminratioisassociatedwithincreasedriskofmortalityincovid19pneumoniapatients
AT cagdasince creactiveproteintoalbuminratioisassociatedwithincreasedriskofmortalityincovid19pneumoniapatients
AT basaktoptasfirat creactiveproteintoalbuminratioisassociatedwithincreasedriskofmortalityincovid19pneumoniapatients
AT hilmierdemsumbul creactiveproteintoalbuminratioisassociatedwithincreasedriskofmortalityincovid19pneumoniapatients
AT salimsatar creactiveproteintoalbuminratioisassociatedwithincreasedriskofmortalityincovid19pneumoniapatients