The impact of daily troponin I and D-dimer serum levels on mortality in COVID-19 pneumonia patients

Autor: Berna Stavileci, Emrah Ereren, Emrah Özdemir, Bahar Özdemir, Mahir Cengiz, Rasim Enar
Rok vydání: 2021
Předmět:
Zdroj: Cardiovascular journal of Africa. 33
ISSN: 1680-0745
Popis: Coronavirus disease 2019 (COVID-19) is an infection resulting in very high morbidity and mortality rates globally. Limited data are available on the cardiovascular manifestations in these patients. The aim of this study was to analyse the daily troponin I and D-dimer levels and their impact on the need for intensive care and on mortality rates of COVID-19-infected patients.Two-hundred and five patients who were hospitalised between 20 March and 5 May 2020, with a diagnosis of moderate-to-severe COVID-19 pneumonia, were analysed retrospectively. Serum troponin I and D-dimer levels were recorded for at least 10 days after admission.The average age was higher in the group of patients who died compared to the group who were discharged (67.79 ± 14.9 vs 56.87 ± 18.15 years, respectively,We showed that hospitalisations ≥ 9.5 days in duration were related to increased mortality rates. Troponin I and D-dimer follow-up values in the serum were more effective than other inflammatory markers in predicting mortality and the need for intensive care. A high troponin I value should alert the clinician in terms of clinical deterioration.
Databáze: OpenAIRE