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Ferreira RM, de Oliveira GS, da Rocha JR, Mc Ribeiro FD, Stern JJ, S Costa RD, Lemgruber RN, Ramalho JF, de Almeida AC, Sampaio PP, Filho JM, Lima RA. Biomarker evaluation for prognostic stratification of patients with COVID-19: the added value of quantitative chest CT. Biomark Med 2022; 16:291-301. [PMID: 35176874 PMCID: PMC8855956 DOI: 10.2217/bmm-2021-0536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aim: Pulmonary disease burden and biomarkers are possible predictors of outcomes in patients with COVID-19 and provide complementary information. In this study, the prognostic value of adding quantitative chest computed tomography (CT) to a multiple biomarker approach was evaluated among 148 hospitalized patients with confirmed COVID-19. Materials & methods: Patients admitted between March and July 2020 who were submitted to chest CT and biomarker measurement (troponin I, D-dimer and C-reactive protein) were retrospectively analyzed. Biomarker and tomographic data were compared and associated with death and intensive care unit admission. Results: The number of elevated biomarkers was significantly associated with greater opacification percentages, lower lung volumes and higher death and intensive care unit admission rates. Total lung volume <3.0 l provided further stratification for mortality when combined with biomarker evaluation. Conclusion: Adding automated CT data to a multiple biomarker approach may provide a simple strategy for enhancing risk stratification of patients with COVID-19.
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Affiliation(s)
- Roberto M Ferreira
- Samaritano Hospital, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ, 22251-050, Brazil.,Federal University of Rio de Janeiro, Edson Saad Heart Institute, Rua Rodolpho Paulo Rocco 255, Ilha do Fundão, Rio de Janeiro, RJ, 21941-913, Brazil
| | - Gabriel Ss de Oliveira
- Samaritano Hospital, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ, 22251-050, Brazil.,Federal University of Rio de Janeiro, Edson Saad Heart Institute, Rua Rodolpho Paulo Rocco 255, Ilha do Fundão, Rio de Janeiro, RJ, 21941-913, Brazil
| | - João Rf da Rocha
- Samaritano Hospital, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ, 22251-050, Brazil.,Federal University of Rio de Janeiro, Edson Saad Heart Institute, Rua Rodolpho Paulo Rocco 255, Ilha do Fundão, Rio de Janeiro, RJ, 21941-913, Brazil
| | - Felipe de Mc Ribeiro
- Felippe Mattoso Clinic, Fleury Group, Rua Bambina 98, Rio de Janeiro, RJ, 22251-060, Brazil
| | - João J Stern
- Felippe Mattoso Clinic, Fleury Group, Rua Bambina 98, Rio de Janeiro, RJ, 22251-060, Brazil
| | - Rangel de S Costa
- Felippe Mattoso Clinic, Fleury Group, Rua Bambina 98, Rio de Janeiro, RJ, 22251-060, Brazil
| | - Ricardo N Lemgruber
- Samaritano Hospital, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ, 22251-050, Brazil
| | - Júlia Fp Ramalho
- Samaritano Hospital, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ, 22251-050, Brazil
| | | | - Pedro Pn Sampaio
- Samaritano Hospital, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ, 22251-050, Brazil.,Federal University of Rio de Janeiro, Edson Saad Heart Institute, Rua Rodolpho Paulo Rocco 255, Ilha do Fundão, Rio de Janeiro, RJ, 21941-913, Brazil
| | - João Mansur Filho
- Samaritano Hospital, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ, 22251-050, Brazil
| | - Ricardo Ac Lima
- Samaritano Hospital, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ, 22251-050, Brazil.,Department of General Surgery, Federal University of The State of Rio de Janeiro, Rua Silva Ramos 32, Tijuca, Rio de Janeiro, RJ, 20270-330, Brazil
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