ASSOCIATION OF CRP AND D-DIMER WITH CT SEVERITY SCORING IN COVID-19 PATIENTS

Authors

  • Sunil Kumar Patel Pulmonary and Critical Care Unit, Department of Medicine,Chitwan Medical College and Teaching Hospital,Bharatpur, Nepal
  • Shital Adhikari Pulmonary and Critical Care Unit, Department of Medicine,Chitwan Medical College and Teaching Hospital,Bharatpur, Nepal
  • Basanta Gauli Pulmonary and Critical Care Unit, Department of Medicine,Chitwan Medical College and Teaching Hospital,Bharatpur, Nepal
  • Madhur Dev Bhattarai Pulmonary and Critical Care Unit, Department of Medicine,Chitwan Medical College and Teaching Hospital,Bharatpur, Nepal
  • Bigyan Paudel Department of Radiology, Chitwan Medical College and Teaching Hospital, Bharatpur, Nepal
  • Deepak Adhikari Department of Radiology, Chitwan Medical College and Teaching Hospital, Bharatpur, Nepal
  • Sailesh Gurung Pulmonary and Critical Care Unit, Department of Medicine,Chitwan Medical College and Teaching Hospital,Bharatpur, Nepal
  • Pratik Wagley Pulmonary and Critical Care Unit, Department of Medicine,Chitwan Medical College and Teaching Hospital,Bharatpur, Nepal
  • Niraj Puri Pulmonary and Critical Care Unit, Department of Medicine,Chitwan Medical College and Teaching Hospital,Bharatpur, Nepal
  • Bibek Regmi School of Medicine, Chitwan Medical College and Teaching Hospital, Bharatpur, Nepal https://orcid.org/0000-0002-6422-6485

DOI:

https://doi.org/10.54530/jcmc.538

Abstract

Background: Corona virus disease 2019 (COVID-19) has become a global public health issue with significant impacts upon the healthcare delivery systems. Previous studies have consistently found elevated levels of C-Reactive Protein and D-dimer with disease severity. In this study, we aimed to investigate the relationship between C-Reactive Protein, D-dimer level and Computed Tomography severity score in patients with SARS-COV-2 pneumonia.

Methods: Our study included 76 patients with COVID-19, admitted in COVID Unit of Chitwan Medical College and Teaching Hospital from June 2020 to December 2020. We included COVID-19 cases confirmed by a RT-PCR test and those undergoing High resolution Computed Tomography of chest and having C-Reactive Protein and D-dimer levels done on admission. A semi-quantitative CT score was calculated based on the extent of lobar involvement (0:0%; 1, < 5%; 2:5–25%; 3:26–50%; 4:51–75%; 5, > 75%; range 0–5; global score 0–25.

Results: Overall the median CTSS was 15. Mild, moderate and severe CT severity scoring was reported in 5.3%, 60.5% and 34.2% respectively and D-dimer progressively increased across the CTSS severity groups. The difference was significant for CRP, P = 0.007 but not for D-dimer, P = 0.42. Moreover, higher CTSS scores were significantly associated with higher ICU stay, lower recovery rate and higher O2 requirement at discharge.

Conclusions: Radiological severity of COVID-19 pneumonia has significant association with elevated C-Reactive Protein level but not with D-dimer level and other routine laboratory parameters.

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Published

2022-01-19

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Original Articles

How to Cite

1.
ASSOCIATION OF CRP AND D-DIMER WITH CT SEVERITY SCORING IN COVID-19 PATIENTS. JCMC [Internet]. 2022 Jan. 19 [cited 2024 Mar. 29];11(4):120-5. Available from: https://jcmc.com.np/jcmc/index.php/jcmc/article/view/538

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