Research Article

Role of Serum Amyloid A as a Biomarker for Predicting the Severity and Prognosis of COVID-19

Table 2

Analysis and comparison of various inflammatory and biochemical markers of all COVID-19 patients at time of admission.

Laboratory parametersModerate/severe group ()Critically ill group () value valueSurvivor group ()Nonsurvivor group () value value

Leukocyte count (109/L)5.95 (4.625–7.8025)8.68 (5.225–11.5125)-2.0880.0376.6 (4.675–9.295)8.455 (5.53–11.12)-0.9660.334
Neutrophil count (109/L)4.38 (3.03–5.6425)7.3 (3.775–10.05)-2.5250.0124.5 (3.16–7.53)7.365 (4.18–9.25)-1.4080.159
Lymphocyte count (109/L)0.91 (0.715–1.1225)0.75 (0.6375–0.991)-1.340.180.9 (0.7–1.1)0.665 (0.52–1.1)-1.6590.097
Monocyte count (109/L)0.41 (0.1875–0.6)0.385 (0.23–0.7975)-0.1650.8690.41 (0.26–0.6325)0.29 (0.2–0.972)-0.3750.708
Eosinophil count (109/L)0.03 (0.0025–0.0475)0.0005 (0–0.01)-2.7250.0060.02 (0.–0.04)0 (0–0.01)-2.3790.017
Platelet count (109/L)193 (145.25–252.25)220 (170.5–300.5)-0.8930.372210 (154.25–305)200 (171.25–255)-0.2390.811
SAA (mg/L)452.5 (105.525–950.5)411.5 (170.75–970.25)-0.5340.593452.5 (132.75–953.5)382 (210.75–891)-0.0340.973
CRP (mg/L)104 (72.3–139.5)107.45 (58.93–171.25)-0.330.741116 (76.9–150)96 (57.175–166)-0.3630.716
Erythrocyte sedimentation rate (mm/h)44 (29.75–70.75)48 (39.5–52)-0.0850.93243 (34.5–68.25)51 (49–72.5)-0.7530.451
Haemoglobin (g/L)0.1750.8620.230.821
Prothrombin time (s)1.1040.2761.4960.149
Activated partial thromboplastin time (s)0.5230.6030.5830.568
D-dimer (mg/L)0.603 (0.48–1.81)2.175 (1.05–8.8725)-2.9030.0041 (0.5–2.5)4.65 (1.8425–31.5125)-2.6650.008
Blood urea nitrogen (mg/dL)14.64 (10.325–18.475)27.275 (14.403–53.125)-2.8450.00415 (11.23–23.73)37.1 (27.2–75.1)-3.862<0.001
Creatinine (mg/dL)0.945 (0.71–1.2275)1.49 (0.99825–2.065)-2.9130.0041.005 (0.7175–1.3625)1.55 (1.445–1.8625)-3.0220.003
Uric acid (mg/dL)4.65 (3.875–6.85)6.5 (4.6625, 8.05)-2.1420.0324.75 (3.9–6.95)7.35 (5.625–8.15)-2.370.018
Albumin (g/L)-1.1020.2763.1321-0.6870.5
Total protein (g/L)0.2970.7696.53626.39750.5050.624
Aspartate aminotransferase (U/L)59.035 (31.5–76.75)51.95 (38.25–70.5)-0.1140.90959.035 (32-84.7)51.95 (44–59.25)-0.3930.694
Alanine aminotransferase (U/L)40 (25–66)36 (21–82.75)-0.260.79434 (22.565–68)42.5 (18–92.5)-0.1740.862
Total bilirubin0.5 (0.39–0.675)0.4765 (0.3–0.7225)-0.4390.6610.5 (0.3275–0.6675)0.5 (0.325–0.95)-0.6270.531
Creatine kinase (U/L)95 (43–212)307 (121.25–699)-2.8310.005146 (51.5–314)307 (179.5–804.5)-2.0410.041
LDH (U/L)413 (322–554)489 (409–857)-1.7910.073454 (383.5–566)448 (363–876)-0.3140.753
Glucose (mg/dL)123.15 (100.75–183.25)198 (130.5–305)-2.590.01132 (103.75–201)224 (162–420)-2.3960.017
CK-MB0.39 (0.09–0.68)0.885 (0.415–2.1175)-2.2150.0270.41 (0.1425–0.82)0.95 (0.95–0.95)-1.0230.307
Ferritin936.5 (296.5–1737.5)439.5 (145.75–686)-0.9610.337439.5 (318–1625.5)412.5 (145.25–700)-1.0190.308
Fibrinogen (g/L)5.395 (4.26–5.975)5.4 (4.31–6.4)-0.1350.8935.73 (4.75–6.5)5 (2.33–6.4)-1.2140.225

SAA: serum amyloid A; CRP: C-reactive protein; CK-MB: creatine kinase-MB; LDH: lactate dehydrogenase. Data are expressed as , median (25 to 75% percentile), value < 0.05 is significant.