Correlation of C-Reactive Protein (CRP) Levels with D-Dimer Levels in COVID-19 Patients

Churiyyah Eka Choirunisa, Retno Martini Widhyasih, Rizana Fajrunni’mah
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Abstract

Coronavirus disease 2019 is caused by SARS-CoV-2 infection. COVID-19 causes increased levels of proinflammatory cytokines, so CRP and d-dimer levels in COVID-19 patients tend to increase. This study aimed to analyze the correlation between C-Reactive Protein (CRP) levels and D-dimer levels in COVID-19 patients. This research method is analytic observational by using cross-sectional secondary data. The population of this study were all COVID-19 inpatients at Budhi Asih Hospital, East Jakarta, with a sample of 338 patients and were taken by random sampling. The results of this study found that female and male COVID-19 patients had the same risk of being infected with female patients as much as 52,7% and male patients amounting to 47,3%. Most COVID-19 patients occurred at the age of ≥60 years, namely 32,2%. All patients, which is 100% patients had high CRP levels, with a mean of 76,06 mg/L. As for D-dimer levels, 47,9% of patients had normal D-dimer levels and 52,1% had high D-dimer levels with an average of 721,48 ng/mL. The results of the Spearman's correlation test obtained a p value = 0,000, so it can be seen that there is a correlation between C-Reactive Protein (CRP) levels and D-dimer levels in COVID-19 patients with a correlation strength of 0,300 (medium). An increase in CRP levels followed by an increase in D-dimer levels but evaluation of other laboratory examination parameters also needs to be considered.
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COVID-19患者c -反应蛋白(CRP)水平与d -二聚体水平的相关性
2019冠状病毒病是由SARS-CoV-2感染引起的。COVID-19导致促炎细胞因子水平升高,因此COVID-19患者的CRP和d-二聚体水平有升高的趋势。本研究旨在分析COVID-19患者c反应蛋白(CRP)水平与d -二聚体水平的相关性。本研究方法是利用横断面二次资料进行分析观察。本研究的人群均为东雅加达Budhi Asih医院的COVID-19住院患者,样本为338例,随机抽样。结果显示,女性患者和男性患者的感染风险相同,女性患者的感染风险为52.7%,男性患者的感染风险为47.3%。大多数新冠肺炎患者年龄≥60岁,占32.2%。所有的患者,也就是100%的患者都有高CRP水平,平均为76,06 mg/L。d -二聚体水平方面,47.9%的患者d -二聚体水平正常,52.1%的患者d -二聚体水平高,平均为721,48 ng/mL。Spearman相关检验结果p值= 0000,可见COVID-19患者c反应蛋白(CRP)水平与d -二聚体水平存在相关性,相关强度为0.300(中)。c反应蛋白水平升高后d -二聚体水平升高,但其他实验室检查参数的评估也需要考虑。
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