Dynamic changes in serum IL-6, IL-8, and IL-10 are associated with the outcome of patients with severe COVID-19 in ICU
J Li, L Rong, R Cui, J Feng, Y Jin, Y Yu, X Chen, R Xu - 2020 - researchsquare.com
J Li, L Rong, R Cui, J Feng, Y Jin, Y Yu, X Chen, R Xu
2020•researchsquare.comBackground: Biomarkers that would help prognosticate outcomes and guide treatment of
patients with severe coronavirus disease 2019 (COVID-19) are currently required. We aimed
to investigate whether the dynamic variation of cytokines was associated with the survival of
patients admitted to an intensive care unit (ICU). Methods: A retrospective study was
performed on 40 patients with COVID-19 admitted to an ICU in Wuhan, China.
Demographic, clinical, and laboratory variables were collected, and serum cytokines were …
patients with severe coronavirus disease 2019 (COVID-19) are currently required. We aimed
to investigate whether the dynamic variation of cytokines was associated with the survival of
patients admitted to an intensive care unit (ICU). Methods: A retrospective study was
performed on 40 patients with COVID-19 admitted to an ICU in Wuhan, China.
Demographic, clinical, and laboratory variables were collected, and serum cytokines were …
Abstract
Background: Biomarkers that would help prognosticate outcomes and guide treatment of patients with severe coronavirus disease 2019 (COVID-19) are currently required. We aimed to investigate whether the dynamic variation of cytokines was associated with the survival of patients admitted to an intensive care unit (ICU).
Methods: A retrospective study was performed on 40 patients with COVID-19 admitted to an ICU in Wuhan, China. Demographic, clinical, and laboratory variables were collected, and serum cytokines were kinetically assessed. A multivariable-adjusted generalized linear regression model was used to evaluate the differences in serum cytokine levels between survivor and non-survivors.
Results: Among the 40 patients included, a significant positive correlation was found between multiple cytokines. Serum levels of IL-6, IL-10, and tumor necrosis factor alpha in non-survivors were consistently elevated compared to that of the survivors. Kinetic variations of IL-6, IL-8, and IL-10 were associated with a fatal outcome in severe patients with COVID-19, independent of sex, age, absolute lymphocyte count, direct bilirubin, hypertension, chronic obstructive pulmonary disease, and cancer.
Conclusion: Dynamic changes in serum IL-6, IL-8, and IL-10 levels were associated with survival in ICU and could serve as a predictive biomarker in patients with severe COVID-19 to determine therapeutic options.
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