Unknown

Dataset Information

0

Prognostic value of circulating calprotectin levels on the clinical course of COVID-19 differs between serum, heparin, EDTA and citrate sample types.


ABSTRACT:

Introduction

During the recent SARS-CoV-2 pandemic, circulating calprotectin (cCLP) gained interest as biomarker to predict the severity of COVID-19. We aimed to investigate the prognostic value of cCLP measured in serum, heparin, EDTA and citrate plasma.

Materials and methods

COVID-19 patients were prospectively included, in parallel with two SARS-CoV-2 negative control populations. The prognostic value of cCLP was compared with IL-6, CRP, LDH, procalcitonin, and the 4C-mortality score by AUROC analysis.

Results

For the 136 COVID-19 patients, cCLP levels were higher compared to the respective control populations, with significantly higher cCLP levels in serum and heparin than in EDTA or citrate. Higher cCLP levels were obtained for COVID-19 patients with i) severe/critical illness (n = 70), ii) ICU admission (n = 66) and iii) need for mechanical ventilation/ECMO (n = 25), but iv) not in patients who deceased within 30 days (n = 41). The highest discriminatory power (AUC [95% CI]) for each defined outcome was i) CRP (0.835 [0.755-0.914]); ii) EDTA cCLP (0.780 [0.688-0.873]); iii) EDTA cCLP (0.842 [0.758-0.925]) and iv) the 4C-mortality score (0.713 [0.608-0.818]).

Conclusion

Measuring cCLP in COVID-19 patients helps the clinician to predict the clinical course of COVID-19. The discriminatory power of EDTA and citrate plasma cCLP levels often outperforms heparin plasma cCLP levels.

SUBMITTER: Nevejan L 

PROVIDER: S-EPMC8669946 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature

altmetric image

Publications

Prognostic value of circulating calprotectin levels on the clinical course of COVID-19 differs between serum, heparin, EDTA and citrate sample types.

Nevejan Louis L   Strypens Thomas T   Van Nieuwenhove Mathias M   Boel An A   Cattoir Lien L   Meeus Peter P   Bossuyt Xavier X   De Neve Nikolaas N   Van Hoovels Lieve L  

Clinica chimica acta; international journal of clinical chemistry 20211214


<h4>Introduction</h4>During the recent SARS-CoV-2 pandemic, circulating calprotectin (cCLP) gained interest as biomarker to predict the severity of COVID-19. We aimed to investigate the prognostic value of cCLP measured in serum, heparin, EDTA and citrate plasma.<h4>Materials and methods</h4>COVID-19 patients were prospectively included, in parallel with two SARS-CoV-2 negative control populations. The prognostic value of cCLP was compared with IL-6, CRP, LDH, procalcitonin, and the 4C-mortality  ...[more]

Similar Datasets

| S-EPMC5641132 | biostudies-literature
| S-EPMC10851001 | biostudies-literature
| S-EPMC11432049 | biostudies-literature
| S-EPMC10300364 | biostudies-literature
| S-EPMC3137059 | biostudies-literature
| S-EPMC3784691 | biostudies-literature
| S-EPMC8690133 | biostudies-literature
| S-EPMC10546778 | biostudies-literature
| S-EPMC6052352 | biostudies-literature
| S-EPMC9805517 | biostudies-literature