Fibrinogen-to-albumin ratio predicts mortality in COVID-19 patients admitted to the intensive care unit

INTRODUCTION: Coronavirus disease 2019 (COVID-19) is an inflammatory disease, and serum albumin and fibrinogen are two important factors in systemic inflammation. We aimed to investigate the relationship between the fibrinogen-to-albumin ratio (FAR) and in-hospital mortality in COVID-19 patients admitted to the intensive care unit (ICU).

MATERIAL AND METHODS: Patients diagnosed with COVID-19 admitted to the Adiyaman Training and Research Hospital from August to November 2020 were enrolled in this retrospective cohort study. They were divided into 2 groups based on in-hospital mortality: a survivor group (n = 188) and a non-survivor group (n = 198). FAR was calculated by dividing the fibrinogen value by the albumin value. Mortality outcomes were followed up until December 15, 2020.

RESULTS: The average age of the patients was 71.2 ± 12.9 years, and 54% were male. On multivariate logistic analysis, diabetes mellitus (OR: 1.806; 95% CI: 1.142-2.856; p = 0.011), troponin I levels (OR: 1.776; 95% CI: 1.031-3.061; p = 0.038), and FAR (OR: 1.004; 95% CI: 1.004-1.007; p = 0.010) at ICU admission were independent predictors of in-hospital mortality in patients with COVID-19.

CONCLUSIONS: The FAR at admission was associated with mortality in patients infected with SARS-CoV-2 in the ICU.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - year:2021

Enthalten in:

Advances in respiratory medicine - (2021) vom: 09. Dez.

Sprache:

Englisch

Beteiligte Personen:

Afşin, Abdulmecit [VerfasserIn]
Tibilli, Hakan [VerfasserIn]
Hoşoğlu, Yusuf [VerfasserIn]
Asoğlu, Ramazan [VerfasserIn]
Süsenbük, Ahmet [VerfasserIn]
Markirt, Sezer [VerfasserIn]
Tuna, Verda Dinar [VerfasserIn]

Links:

Volltext

Themen:

Coronavirus disease 2019
Fibrinogen-to-albumin ratio
Intensive care unit
Journal Article
Mortality

Anmerkungen:

Date Revised 20.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.5603/ARM.a2021.0098

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM334183707