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Assessment of some Physiological Biomarkers in COVID-19 Patients in Thi-Qar, Iraq
J Jouda1, E Abdul Kareem Jabbar2, F Salih Abdulhadi1
1Department of Biology, College of Sciences, Mustansiriyah University, Baghdad, Iraq.
Insights
Biomarkers like lactate dehydrogenase (LDH), D-Dimer, vitamin D, and ferritin are associated with COVID-19 prognosis. Age, BMI, employment, and residency also impact disease distribution and severity.
Area of Science:
- Biochemistry and Molecular Biology
- Epidemiology
- Clinical Medicine
Background:
- COVID-19 prognosis is influenced by various biomarkers and demographic factors.
- Understanding these associations is crucial for patient management and public health strategies.
Purpose of the Study:
- To evaluate the association of lactate dehydrogenase (LDH), D-Dimer, vitamin D, and ferritin levels with COVID-19 prognosis.
- To investigate the prevalence of COVID-19 risk factors including age, employment status, BMI, and residency in Iraqi patients.
Main Methods:
- A case-control study involving 200 COVID-19 patients and 100 controls in Thi-Qar, Iraq.
- Collection of demographic data (age, gender, residency, employment) and measurement of BMI.
- Analysis of blood samples for LDH, D-Dimer, vitamin D, ferritin, oxygen saturation, and pulse rate.
Main Results:
- COVID-19 patients exhibited significantly lower vitamin D levels and higher concentrations of LDH, serum ferritin, and D-Dimer compared to controls.
- Obesity and overweight were prevalent among patients (47% and 40%, respectively).
- Age over 40, rural residency, and employment status were noted in a significant proportion of patients.
Conclusions:
- LDH, D-Dimer, vitamin D, and ferritin are potential biomarkers for assessing COVID-19 severity.
- Demographic factors such as age, BMI, employment status, and place of residency may contribute to COVID-19 risk and distribution.
Abstract:
It is believed that many biomarkers and factors could be linked to the prognosis of coronavirus disease 2019 (COVID-19). Therefore, this study aimed to evaluate the association of lactate dehydrogenase (LDH), D-Dimer, vitamin D, and ferritin statuses with the prognosis of COVID-19; moreover, it was attempted to investigate its prevalence according to age, employment status, body mass index (BMI), and place of residency in a population sample of hospitalized patients in Thi-Qar, Iraq. This study evaluated 200 COVID-19 patients and 100 controls. The BMI of all individuals was calculated, and such demographic characteristics as age, gender, place of residency, and occupational status were collected from all participants. Blood samples were taken and used to estimate D-Dimer, LDH, vitamin D, ferritin, oxygen, and pulse rate. The mean age of the patients approached the fifth decade, and 72% of the cases were more than 40 years of age. In addition, 60% of the patients were living in the countryside, and 52% of the participants were employed, compared to only 8% of the cases who were students. The BMI of the patients was obtained at 31.44±10.2 kg/m2; accordingly, 47% and 40% of the cases were obese and overweight, respectively, compared to only 12% of the patients who had normal weight (P˂0.05). There were significantly lower vitamin D levels in the patients; however, the concentrations of LDH, serum ferritin, and D-Dimer were significantly higher in the patients, compared to the control group (P˂0.05). Not only age and body weight but also employment status and place of residency maybe also the important risk factors for COVID-19 distribution. LDH, D-dimer, vitamin D, and ferritin statuses could be used as good biomarkers for this disease and its severity.
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