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Rapid blood tests predict which Covid patients will develop serious illness

Rapid blood tests predict which Covid patients will develop serious illness

 


Which is hard for doctors to predict COVID-19 Patients continue to develop serious illnesses, including complications that require respiratory tract insertion, renal dialysis, or other intensive care. Knowledge of the patient’s age and underlying medical condition can help predict such outcomes, but as pointed out by Washington University in St. Louis’ School of Medicine (WUSTL), young and healthy-looking patients can die. There is still a surprise when suffering from serious sexual complications.

WUSTL scientists now publish a paper showing that relatively simple and rapid blood tests can predict that Covid-19 patients are at greatest risk of severe complications and death within a day of admission. Did. This study was published in the journal JCI Insight last week.

Blood tests measure the level of mitochondrial DNA, a unique type of DNA molecule that usually resides within a cell’s energy plant. Mitochondrial DNA, which spills from cells into the bloodstream, indicates that certain types of severe cell death are occurring in the body.

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The researchers evaluated 97 patients with Covid-19 at Burns Jewish Hospital and measured mitochondrial DNA levels on the first day of admission. They found that mitochondrial DNA levels were much higher in patients who were eventually admitted to the ICU, intubated, or died. Researchers have found that the association is held independently of the patient’s age, gender, and underlying health status.

On average, mitochondrial DNA levels were about 10-fold higher in Covid patients who developed severe pulmonary dysfunction or eventually died. High-level individuals were almost six times more likely to be intubated, three times more likely to be hospitalized in the ICU, and nearly twice as likely to die than those with lower levels.

In addition, this test predicted results equal to or better than the existing markers of inflammation currently measured in Covid patients. According to researchers, most other inflammatory markers measured in patients with Covid-19 are common markers of systemic inflammation rather than cell death-specific inflammation.

Researchers may find this test useful not only as a way to predict the severity of the disease, but also as a tool for better designing clinical trials, for example, benefiting from specific clinical trial treatments. He said he could identify potential patients. They also said they would like to assess whether the test can serve as a way to monitor the effectiveness of new treatments. Perhaps effective treatment will lower mitochondrial DNA levels.

Source: University of Washington, St. Louis

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