Correlation between Interleukin-6 with D-dimer and C-reactive protein Levels in Patients with Confirmed COVID-19 Severe Criteria

Authors

  • Ghea Setia Gemintang Fakultas Kedokteran dan Kesehatan Universitas Muhammadiyah Jakarta
  • Raden Mirsyam Ratri Wiratmoko Departemen Pulmonologi Fakultas Kedokteran dan Kesehatan Universitas Muhammadiyah Jakarta
  • Gladys Dwiani Tinovella Tubarad Faculty of Medicine and Health, University of Muhammadiyah Jakarta

DOI:

https://doi.org/10.24853/mmj.5.2.69-75

Keywords:

COVID-19 severe criteria, c-reactive protein, d-dimer, interleukin-6

Abstract

Background: In Coronavirus Disease 2019 (COVID-19) severe criteria, cytokine storm conditions are often found, and there will be an increase in Interleukin-6 as a cytokine and CRP as an acute phase protein induced by IL-6. In COVID-19 patients with severe criteria, coagulation disorders can also be found, characterized by an increase in the D-dimer value. Purpose: To determine the correlation between IL-6, D-dimer, and CRP levels in patients with confirmed COVID-19 severe criteria at Bunda Margonda General Hospital in 2021. Methods: This research was an analytical observation study with a cross-sectional approach, using secondary data from medical records of patients with confirmed COVID-19 severe criteria at Bunda Margonda General Hospital in 2021. Results: The number of patients with confirmed COVID-19 severe criteria was primarily male (59%), aged 46-55 years (33%), with degree of severity with severe criteria in 100 patients, increased IL-6 (91%), increased D-dimer levels (90%), increased CRP levels (95%). There was a correlation between increased IL-6 with D-dimer levels (p-value 0,005) and a correlation between increased IL-6 with CRP levels (p-value of 0,000). A simultaneous and significant relationship was found between IL-6, D-dimer, and CRP levels in severe COVID-19 criteria. COVID-19 patients with severe criteria were more commonly found in males in the 46-55-year age group with increased IL-6, D-dimer, and CRP values. Conclusion: There was a correlation between increased IL-6 and D-dimer and CRP levels in COVID-19 patients with severe criteria at Bunda Margonda General Hospital in 2021.

Author Biographies

Ghea Setia Gemintang, Fakultas Kedokteran dan Kesehatan Universitas Muhammadiyah Jakarta

Fakultas Kedokteran dan Kesehatan Universitas Muhammadiyah Jakarta

Raden Mirsyam Ratri Wiratmoko, Departemen Pulmonologi Fakultas Kedokteran dan Kesehatan Universitas Muhammadiyah Jakarta

Departemen Pulmonologi Fakultas Kedokteran dan Kesehatan Universitas Muhammadiyah Jakarta

Gladys Dwiani Tinovella Tubarad, Faculty of Medicine and Health, University of Muhammadiyah Jakarta

Faculty of Medicine and Health, University of Muhammadiyah Jakarta

References

Susilo A, Rumende CM, Pitoyo CW, Santoso WD, Yulianti M, Herikurniawan H, et al. Coronavirus Disease 2019: Tinjauan Literatur Terkini. J Penyakit Dalam Indones. 2020 Apr;7(1):45–67.

WHO. WHO Coronavirus (COVID-19) Dashboard | WHO Coronavirus (COVID-19) Dashboard With Vaccination Data. 2022.

Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020;109:102433.

Sabaka P, Koščálová A, Straka I, Hodosy J, Lipták R, Kmotorková B, et al. Role of interleukin 6 as a predictive factor for a severe course of Covid-19: retrospective data analysis of patients from a long-term care facility during Covid-19 outbreak. BMC Infect Dis. 2021;21(1):1–9.

Liu T, Zhang J, Yang Y, Ma H, Li Z, Zhang J, et al. The role of interleukin-6 in monitoring severe case of coronavirus disease 2019. EMBO Mol Med. 2020 Jul;12(7).

Wardika IK, Sikesa IGPH. Pengukuran Interleukin-6 (IL-6), C-Reactive Protein (CRP) dan D-Dimer sebagai prediktor prognosis pada pasien COVID-19 gejala berat: sebuah tinjauan pustaka. Intisari Sains Medis. 2021;12(3):901.

Zhang L, Yan X, Fan Q, Liu H, Liu X, Liu Z, et al. D-dimer levels on admission to predict in-hospital mortality in patients with Covid-19. 2020;

Chen W, Zheng KI, Liu S, Yan Z, Xu C, Qiao Z. Plasma CRP level is positively associated with the severity of COVID-19. Ann Clin Microbiol Antimicrob. 2020;19(1).

Guan W, Ni Z, Hu Y, Liang W, Ou C, He J, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020 Apr;382(18):1708–20.

Biswas M, Rahaman S, Kumar Biswas T, Haque Z, Ibrahim B. Association of Sex, Age, and Comorbidities with Mortality in COVID-19 Patients: A Systematic Review and Meta-Analysis. Meta-Analysis Intervirology. 2019;64:36–47.

Tursina A. COVID-19 dan Lansia. Kopidpedia Bunga Rampai Artikel Penyakit Virus Corona. 2020;143–51.

Biswas M, Rahaman S, Biswas TK, Haque Z, Ibrahim B. Association of Sex, Age, and Comorbidities with Mortality in COVID-19 Patients: A Systematic Review and Meta-Analysis. Intervirology. Switzerland; 2020. p. 1–12.

Putri, Putra, Mariko. Hubungan Usia, Jenis Kelamin dan Gejala Dengan Kejadian COVID-19 di Sumatera Barat. Hub Usia, Jenis Kelamin Dan Gejala Dengan Kejadian COVID-19 di Sumatera barat. 2021;44(2):104–11.

Hoffmann M, Kleine-Weber H, Schroeder S, Krüger N, Herrler T, Erichsen S, et al. SARS-CoV-2 Cell Entry Depends on ACE2 and TMPRSS2 and Is Blocked by a Clinically Proven Protease Inhibitor. Cell [Internet]. 2020/03/05. 2020 Apr 16;181(2):271-280.e8. Available from: https://pubmed.ncbi.nlm.nih.gov/32142651

Sugitha KSL. COVID-19: Respon imunologis, ketahanan pada permukaaan benda dan pilihan terapi klinis. Intisari Sains Medis. 2020;11(2):791.

Yin J-X, Agbana YL, Sun Z-S, Fei S-W, Zhao H-Q, Zhou X-N, et al. Increased interleukin-6 is associated with long COVID-19: a systematic review and meta-analysis. Infect Dis Poverty [Internet]. 2023;12(1):43. Available from: https://doi.org/10.1186/ s40249-023-01086-z

Nikkhoo B, Mohammadi M, Hasani S, Sigari N, Borhani A, Ramezani C, et al. Elevated interleukin (IL)-6 as a predictor of disease severity among Covid-19 patients: a prospective cohort study. BMC Infect Dis. 2023 May;23(1):311.

Li J, Liu Z, Wu G, Yi M, Chen Y, Li K, et al. D-Dimer as a Prognostic Indicator in Critically Ill Patients Hospitalized With COVID-19 in Leishenshan Hospital, Wuhan, China. Front Pharmacol. 2020 Dec;11.

Uciechowski P, Dempke WCM. Interleukin-6: A Masterplayer in the Cytokine Network. Oncology. 2020;98(3):131–7.

Moreno G, Carbonell R, Bodí M, Rodríguez A. Systematic review of the prognostic utility of D-dimer, disseminated intravascular coagulation, and anticoagulant therapy in COVID-19 critically ill patients. Med Intensiva. 2021 Jan;45(1):42–55.

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Published

2024-10-29