Is there a relationship between epicardial adipose tissue, inflammatory markers and prognosis in COVID-19 in patients under 65 years?
Biomarkers in Medicine, vol.16, no.12, pp.925-933, 2022 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 16 Issue: 12
- Publication Date: 2022
- Doi Number: 10.2217/bmm-2022-0237
- Journal Name: Biomarkers in Medicine
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Chemical Abstracts Core, EMBASE, MEDLINE
- Page Numbers: pp.925-933
- Keywords: biomarkers, computed tomography, COVID-19, epicardial adipose tissue volume, intensive care unit, lymphocyte CRP ratio, mortality, neutrophil-lymphocyte ratio, obesity, young
- Eskisehir Osmangazi University Affiliated: No
Abstract
Aim: This study investigated the prognostic value of epicardial adipose tissue volume (EATV) attenuation (EATA) in patients admitted to the intensive care unit for COVID-19. Materials & methods: C-reactive protein (CRP), fasting blood glucose (FBG), neutrophil and lymphocyte counts, neutrophil-to-lymphocyte ratio (NLR) and lymphocyte-to-CRP ratio (LCR) were recorded. Receiver operator characteristic analysis was performed for EATV and EATA. Results: The study included 190 patients (65 deceased, 125 discharged, mean age 52.01 ± 9.6 years). The deceased group had significantly higher FBG and CRP values and significantly lower platelet count and LCR values. EATA (cut-off: -92.38 HU) and EATV (cut-off: 15.74 cm2) were significantly higher in the deceased group. EATV had a correlation with age, FBG, CRP, neutrophil, NLR and LCR, whereas EATA correlated with involvement on CT scan. Conclusion: EATV is associated with inflammatory parameters, whereas EATA is associated with CT scan involvement and can be used to predict mortality in young adult patients.