Prognostic value of C-reactive protein/albumin ratio in hypertensive COVID-19 patients

İbrahim Halil Özdemir1, Bülent Özlek2, Mehmet Burak Özen1

  • 1Department of Cardiology, Manisa City Hospital, Manisa, TURKEY.

Insights

The C-reactive protein/albumin ratio (CAR) is a strong predictor of mortality in hypertensive COVID-19 patients. Higher CAR levels indicate a worse prognosis and increased risk of death.

Area of Science:

  • Clinical Medicine
  • Infectious Diseases
  • Cardiology

Background:

  • Hypertension is a common comorbidity in COVID-19 patients.
  • Predictive markers for COVID-19 prognosis are crucial for patient management.

Purpose of the Study:

  • To investigate the prognostic value of the C-reactive protein/albumin ratio (CAR) in hypertensive COVID-19 patients.
  • To determine if CAR can predict mortality in this patient group.

Main Methods:

  • Single-center retrospective study of 281 hypertensive, ICU-admitted COVID-19 patients.
  • Comparison of CAR levels between survivor and non-survivor groups.
  • Logistic regression analysis to evaluate CAR's effect on mortality.

Main Results:

  • CAR was significantly higher in non-survivors (p<0.001).
  • CAR demonstrated an area under the ROC curve of 0.807 for mortality prediction.
  • A CAR cut-off value of 56.62 predicted a 4.9-fold increase in mortality risk.

Conclusions:

  • CAR is a powerful and independent prognostic marker for hypertensive COVID-19 patients.
  • CAR can effectively predict mortality and disease progression.
Abstract

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