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Rev Assoc Med Bras (1992) . Comparison of C-reactive protein and C-reactive protein-to-albumin ratio in predicting mortality among geriatric corona

tetano

Editor, Senior Moderator
Rev Assoc Med Bras (1992)


. 2021 Dec 13;S0104-42302021005012204.
doi: 10.1590/1806-9282.20210811. Online ahead of print.
Comparison of C-reactive protein and C-reactive protein-to-albumin ratio in predicting mortality among geriatric coronavirus disease 2019 patients


Rohat Ak[SUP] 1 [/SUP], Fatih Doğanay[SUP] 2 [/SUP], Erdal Yilmaz[SUP] 1 [/SUP]



Affiliations

Abstract

Objective: The aim of this study was to evaluate and compare C-reactive protein and C-reactive protein-to-albumin ratio performances in predicting mortality of geriatric patients who visited the emergency department.
Methods: The data of patients with COVID-19 and aged 65 years and above, who visited emergency department during the study period, were retrospectively analyzed. The data were obtained from an electronic-based hospital information system. The area under the receiver operating characteristic curve and the area under the curve were used to assess each cutoff value discriminatory for predicting mortality.
Results: The mean age of the population included in this study was 76 (71-82) years, while 52.7% were males. The sensitivity, specificity, and area under the curve values for C-reactive protein in terms of mortality were calculated as 71.01, 52.34, and 0.635%, respectively, while the sensitivity, specificity, and area under the curve values for C-reactive protein-to-albumin ratio were calculated as 75.74, 47.66, and 0.645%, respectively (p<0.001). In the pairwise comparison for the receiver operating characteristic curves of C-reactive protein and C-reactive protein-to-albumin ratio, no statistically significant difference was found.
Conclusions: Geriatric patients are the "most vulnerable" patient group against the COVID-19. In this study, both C-reactive protein and C-reactive protein-to-albumin ratio were found to be successful in predicting mortality for geriatric COVID-19 patients.
 
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