Yıl: 2021 Cilt: 9 Sayı: 1 Sayfa Aralığı: 4 - 8 Metin Dili: İngilizce DOI: 10.14235/bas.galenos.2020.4884 İndeks Tarihi: 21-06-2021

Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19

Öz:
Objective: The purpose of this study is to examine the levels ofC-reactive protein (CRP) and D-dimer by age and gender in thepandemic caused by the new coronavirus.Methods: Coronavirus disease-19 (COVID-19) diagnoses weremade according to the results of real-time polymerase chainreaction and lung computed tomography (n=70). In the study,CRP and coagulation were examined as indicators of inflammation,and D-dimer was examined as an indicator of fibrinolytic systemactivity. Patients’ age, gender, and CRP and D-dimer values wereanalyzed with Spearman’s rho correlation, whereas the gender factorwas analyzed with the Mann-Whitney U test.Results: Although D-dimer levels were high in women, there wasno statistical significance. A correlation was identified between CRPand gender, and the levels in male patients were higher (p=0.049).A positive correlation was found between the patients’ age and CRPand D-dimer findings.Conclusion: There are two main findings in this study. First, ageand gender are essential parameters in disease findings due to theCOVID-19 pandemic. Their importance overlaps with the findingthat inflammation is severe in elderly males and that the mortality ishigher than in younger individuals. Second, the CRP and D-dimertest results can be used as practical and reliable biomarkers forCOVID-19. We propose that if these two tests, which are alreadyused routinely, are interpreted with consideration of age and gender,they can be used more efficiently in early diagnosis and isolation.
Anahtar Kelime:

COVİD-19 Hastalarında C-reaktif Protein ve D-dimer Bulgularının İncelenmesi

Öz:
Amaç: Bu çalışmanın amacı, yeni koronavirüsün neden olduğu pandemide ilk tanı konulduğu anda C-reaktif protein (CRP) ve D-dimer düzeylerinin yaş ve cinsiyete göre incelenmesidir. Yöntemler: Gerçek zamanlı polimeraz zincir reaksiyonu ve akciğer bilgisayarlı tomografi (n=70) sonuçlarına göre COVİD-19 tanıları konuldu. CRP inflamasyonun göstergeleri olarak, D-dimer ise fibrinolitik sistem aktivitesinin bir göstergesi olarak incelendi. Hastaların yaşı, cinsiyeti, CRP ve D-dimer değerleri Spearman'ın rho korelasyonu ile analiz edilirken cinsiyet faktörü Mann-Whitney U testi ile analiz edildi. Bulgular: Kadınlarda D-dimer düzeyleri yüksek bulundu, ancak istatistiksel olarak anlamlılık tespit edilmedi. Erkek hastalarda ise CRP düzeyleri anlamlı olarak yüksek bulundu (p=0,049). Hasta yaşı ile CRP ve D-dimer arasında pozitif korelasyon bulundu. Sonuç: Çalışmada iki ana sonuç ortaya çıktı. Birincisi, yaş ve cinsiyetin COVİD-19 salgını nedeniyle gerçekleşen hastalıkta önemli bir parametre olduğudur. Bu bulgu, yaşlı erkeklerde inflamasyonun şiddetli olduğu ve gençlere göre ölüm oranının daha yüksek olması bulgusuyla örtüşmektedir. İkinci sonuç ise, CRP ve D-dimer testlerinin COVİD-19 için pratik ve güvenilir bir belirteç olabileceğidir. Zaten rutin olarak kullanılan bu iki testin yaş ve cinsiyet dikkate alınarak yorumlanması halinde erken teşhis ve izolasyonda daha verimli kullanılabileceğini öneriyoruz.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Li Y, Guo F, Cao Y, Li L, Guo Y. Insight into COVID-2019 for pediatricians. Pediatr Pulmonol 2020;55:1-4.
  • 2. Kritas SK, Ronconi G, Caraffa A, Gallenga CE, Ross R, Conti P. Mast cells contribute to coronavirus-induced inflammation: new anti-inflammatory strategy. J Biol Regul Homeost Agents 2020;34:9- 14.
  • 3. Wang L. C-reactive protein levels in the early stage of COVID-19. Med Mal Infect 2020;50:332-4.
  • 4. Kushner I, Samols D. Oswald Avery and the pneumococcus. Pharos Alpha Omega Alpha Honor Med Soc 2011;74:14-8.
  • 5. Kushner I. The phenomenon of the acute phase response. Ann N Y Acad Sci 1982;389:39-48.
  • 6. Gabay C, Kushner I. Acute-phase proteins and other systemic responses to inflammation. N Engl J Med 1999;340:448-54.
  • 7. Yazar H, Özdemir F, Köse E. Effect of centrifuge temperature on routine coagulation tests. Acta Haematol 2018;139:158-63.
  • 8. Saghazadeh A, Rezaei N. Immune-epidemiological parameters of the novel coronavirus - a perspective. Expert Rev Clin Immunol 2020;16:465-70.
  • 9. Tolia VM, Chan TC, Castillo EM. Preliminary results of initial testing for coronavirus (COVID-19) in the emergency department. West J Emerg Med 2020;21:503-6.
  • 10. Zhang JJ, Dong X, Cao YY, Yuan YD, Yang YB, Yan YQ, et al. Clinical characteristics of 140 patients infected with SARS-CoV-2 in Wuhan, China. Allergy 2020;75:1730-41.
  • 11. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020;382:1708-20.
  • 12. Mi B, Chen L, Xiong Y, Xue H, Zhou W, Liu G. Characteristics and early prognosis of COVID-19 infection in fracture patients. J Bone Joint Surg Am 2020;102:750-8.
  • 13. Chen G, Wu D, Guo W, Cao Y, Huang D, Wang H, et al. Clinical and immunological features of severe and moderate coronavirus disease 2019. J Clin Invest 2020;130:2620-9.
  • 14. Tang N, Bai H, Chen X, Gong J, Li D, Sun Z. Anticoagulant treatment is associated with decreased mortality in severe coronavirus disease 2019 patients with coagulopathy. J Thromb Haemost 2020;18:1094-9.
  • 15. Yu X, Yang R. COVID-19 transmission through asymptomatic carriers is a challenge to containment. Influenza Other Respir Viruses 2020;14:474-5.
APA yazar h, Kayacan Y, Özdin M (2021). Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19. , 4 - 8. 10.14235/bas.galenos.2020.4884
Chicago yazar hayrullah,Kayacan Yildirim,Özdin Mehmet Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19. (2021): 4 - 8. 10.14235/bas.galenos.2020.4884
MLA yazar hayrullah,Kayacan Yildirim,Özdin Mehmet Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19. , 2021, ss.4 - 8. 10.14235/bas.galenos.2020.4884
AMA yazar h,Kayacan Y,Özdin M Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19. . 2021; 4 - 8. 10.14235/bas.galenos.2020.4884
Vancouver yazar h,Kayacan Y,Özdin M Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19. . 2021; 4 - 8. 10.14235/bas.galenos.2020.4884
IEEE yazar h,Kayacan Y,Özdin M "Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19." , ss.4 - 8, 2021. 10.14235/bas.galenos.2020.4884
ISNAD yazar, hayrullah vd. "Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19". (2021), 4-8. https://doi.org/10.14235/bas.galenos.2020.4884
APA yazar h, Kayacan Y, Özdin M (2021). Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19. Bezmiâlem Science, 9(1), 4 - 8. 10.14235/bas.galenos.2020.4884
Chicago yazar hayrullah,Kayacan Yildirim,Özdin Mehmet Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19. Bezmiâlem Science 9, no.1 (2021): 4 - 8. 10.14235/bas.galenos.2020.4884
MLA yazar hayrullah,Kayacan Yildirim,Özdin Mehmet Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19. Bezmiâlem Science, vol.9, no.1, 2021, ss.4 - 8. 10.14235/bas.galenos.2020.4884
AMA yazar h,Kayacan Y,Özdin M Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19. Bezmiâlem Science. 2021; 9(1): 4 - 8. 10.14235/bas.galenos.2020.4884
Vancouver yazar h,Kayacan Y,Özdin M Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19. Bezmiâlem Science. 2021; 9(1): 4 - 8. 10.14235/bas.galenos.2020.4884
IEEE yazar h,Kayacan Y,Özdin M "Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19." Bezmiâlem Science, 9, ss.4 - 8, 2021. 10.14235/bas.galenos.2020.4884
ISNAD yazar, hayrullah vd. "Investigation of C-reactive Protein and D-dimer Findings in Patients with COVID-19". Bezmiâlem Science 9/1 (2021), 4-8. https://doi.org/10.14235/bas.galenos.2020.4884