Correlation Between Biomarkers and Age-Adjusted Charlson Comorbidity Index in Patients With COVID-19: A

Surupa S Kurien1, Regi David2, Ravi P Varma3

  • 1Pathology and Laboratory Medicine, Government Medical College & Hospital, Thiruvananthapuram, Thiruvananthapuram, IND.

Cureus
|April 12, 2023
PubMed

Insights

Older age and more comorbidities in COVID-19 patients correlate with altered laboratory markers. This meta-inflammation may explain increased mortality risk in these vulnerable populations.

Area of Science:

  • Infectious Diseases
  • Immunology
  • Geriatric Medicine

Background:

  • Coronaviruses have caused severe outbreaks, including the ongoing COVID-19 pandemic.
  • Comorbidities are linked to inflammation and can worsen COVID-19 severity.
  • Laboratory markers help prioritize COVID-19 patients for care.

Purpose of the Study:

  • To investigate the impact of age and comorbidities on laboratory markers in COVID-19 patients.
  • To understand the relationship between patient demographics and inflammatory markers.

Main Methods:

  • Single-center retrospective study of 387 COVID-19 patients (age >18).
  • Patients categorized by age-adjusted Charlson Comorbidity Index (ACCI) score.
  • Comparison of demographic, clinical, laboratory factors, and outcomes between groups.

Main Results:

  • Patients with higher ACCI scores (Group B) had increased ICU admission and mortality.
  • Group B showed significantly higher mean values for most laboratory markers.
  • A correlation was found between ACCI score and biomarker levels.

Conclusions:

  • Age and number of comorbidities correlate with laboratory markers in COVID-19.
  • Meta-inflammation from aging and comorbidities may drive COVID-19 hyperinflammation.
  • This explains the higher mortality risk in older patients and those with comorbidities.

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