Procalcitonin is a predictor of disseminated intravascular coagulation in patients with fatal COVID-19.
Eur Rev Med Pharmacol Sci
; 24(22): 11953-11959, 2020 11.
Article
in English
| MEDLINE | ID: covidwho-962030
ABSTRACT
OBJECTIVE:
The coagulopathies that present with COVID-19 are thrombotic microangiopathy and disseminated intravascular coagulopathy (DIC). Procalcitonin (PCT) levels have been shown to be significantly increased in COVID-19 patients in comparison with healthy subjects/asymptomatic coronavirus-positive patients. In this report, our aim was to assess the associations of the PCT level with DIC and the severity of COVID-19 infection. PATIENTS ANDMETHODS:
In this cross-sectional, retrospective study, 71 consecutive patients with severe COVID-19 (21 with DIC and 50 without DIC) were enrolled in the study. The PCT level was obtained from hospital records.RESULTS:
The PCT level was significantly higher in the patients with DIC than in those without DIC [1.9 (0.6-14.5) vs. 0.3 (0.2-0.4) (ng/mL), p<0.01]. The PCT level showed a positive and significant correlation with DIC (r=0.382, p=0.001) and was an independent predictor of DIC in patients with severe COVID-19 (OR 6.685, CI 1.857-24.063, p<0.01).CONCLUSIONS:
In summary, the PCT level was increased in severe COVID-19 patients with DIC compared with those without DIC. An increased PCT level might suggest the presence of DIC and may help in predicting COVID-19 severity.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Disseminated Intravascular Coagulation
/
Procalcitonin
/
COVID-19
/
Multiple Organ Failure
Type of study:
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Eur Rev Med Pharmacol Sci
Journal subject:
Pharmacology
/
Toxicology
Year:
2020
Document Type:
Article
Affiliation country:
Eurrev_202011_23856
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