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Relationship Between Blood Lipid Levels and Mortality in Hospitalized COVID-19 Patients
Sidar Ş Aydın1, Emrah Aksakal2, Faruk Aydınyılmaz2
1Department of Cardiology, Doğubeyazıt State Hospital, Ağrı, Turkey.
Insights
Lipid levels, including LDL-C, HDL-C, and triglycerides, are associated with COVID-19 mortality risk. Specific levels of these lipids may predict survival outcomes in hospitalized coronavirus disease 2019 patients.
Area of Science:
- Cardiology
- Infectious Diseases
- Biochemistry
Background:
- Comorbidities increase risk for severe coronavirus disease 2019 (COVID-19).
- Understanding predictors of mortality in hospitalized COVID-19 patients is crucial.
Purpose of the Study:
- To investigate the relationship between blood lipid levels and mortality in patients hospitalized with COVID-19.
Main Methods:
- Retrospective study of 4118 hospitalized COVID-19 patients.
- Analysis of lipid profiles (LDL-C, HDL-C, TG) within 24 hours of admission.
- Multivariable Cox proportional hazards regression to assess mortality risk.
Main Results:
- Significant associations found between LDL-C, HDL-C, and TG levels and the risk of death (P =.002, <.001, and .035, respectively).
- Low and high LDL-C, low HDL-C, and high TG levels were negatively associated with COVID-19-related mortality.
Conclusions:
- Blood lipid levels may serve as useful predictors of mortality in COVID-19 patients.
- Further research into lipid metabolism and COVID-19 outcomes is warranted.
Abstract:
People with comorbid conditions are at increased risk of developing severe/fatal coronavirus disease 2019 (COVID-19). We aimed to investigate the relationship between lipid levels and mortality in patients hospitalized for COVID-19 infection. In this retrospective study, we collected the details of 5274 COVID-19 patients who were diagnosed using the polymerase chain reaction and/or computed tomography and were hospitalized between March and November 2020. Patients (n = 4118) whose blood lipid levels were checked within the first 24 h after hospitalization were included in the study. Multivariable cox proportional hazards regression was used to assess the relationship between lipid variables such as low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) and triglycerides (TG) and death. There was a statistically significant association between LDL-C, HDL-C, and TG levels and the risk of death (P =.002, <.001, and .035, respectively). Low and high LDL-C, low HDL-C, and high TG levels were negatively associated with COVID-19-related mortality. Blood lipid levels may be useful predictors of mortality in COVID-19 patients.
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