Association of Blood Viscosity With Mortality Among Patients Hospitalized With COVID-19

Daein Choi1, Ori Waksman2, Aleesha Shaik2

  • 1Department of Medicine, Mount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, New York, New York, USA; Metabolism and Lipids Unit, Cardiovascular Institute, Marie-Josee and Henry R. Kravis Center for Cardiovascular Health, Mount Sinai Medical Center, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Insights

Increased whole blood viscosity (WBV) in COVID-19 patients is linked to higher mortality. This finding suggests WBV could be a prognostic tool for COVID-19 outcomes.

Area of Science:

  • Cardiovascular Science
  • Infectious Disease Epidemiology
  • Medical Physiology

Background:

  • COVID-19 is associated with immune dysfunction and abnormal blood rheology, leading to endothelial dysfunction and thrombosis.
  • Whole blood viscosity (WBV) is a validated measure of blood rheology and a predictor of cardiovascular risk.
  • The study investigates the link between WBV and mortality in hospitalized COVID-19 patients.

Purpose of the Study:

  • To determine the association between estimated blood viscosity (eBV) and mortality in hospitalized COVID-19 patients.
  • To assess if eBV can serve as a prognostic indicator for COVID-19 patient outcomes.

Main Methods:

  • Analysis of 5,621 hospitalized COVID-19 patients from February 2020 to November 2021.
  • Calculation of eBV using the Walburn-Schneck model.
  • Multivariate Cox proportional hazards models were employed, adjusting for clinical and demographic factors.

Main Results:

  • Both high-shear and low-shear eBV were significantly associated with increased in-hospital mortality.
  • A 1 centipoise increase in eHSBV correlated with a 36% increase in death risk.
  • Patients in the highest quartile of eHSBV exhibited significantly higher mortality compared to the lowest quartile.

Conclusions:

  • Elevated eBV is a significant predictor of mortality in hospitalized COVID-19 patients.
  • eBV shows potential as an early prognostic biomarker for COVID-19.
  • Therapeutic strategies targeting the reduction of WBV warrant further investigation for improving COVID-19 patient outcomes.
Abstract

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