SSR Institute of International Journal of Life Sciences
ISSN (O): 2581-8740 | ISSN (P): 2581-8732
Bisen et al., 2024
DOI: 10.21276/SSR-IIJLS.2024.10.3.12
Copyright © 2024| SSR-IIJLS by Society for Scientific Research under a CC BY-NC 4.0 International License Volume 10 | Issue 03 | Page 5486
Biomarkers Analysis of COVID-19 Patients: Lessons Learnt from the
Deadly Pandemic
Varad Vardhan Bisen
1
, Shalini Upadhyay
2*
, Manisha Patel
3
, Aditi Singh
4
1
Associate Professor, Department of Pathology, A.S.J.S.A.T.D.S. Medical College, Fatehpur, Uttar Pradesh, India
2
Assistant Professor, Department of Microbiology, A.S.J.S.A.T.D.S. Medical College, Fatehpur, Uttar Pradesh, India
3
Tutor, Department of Microbiology, A.S.J.S.A.T.D.S. Medical College, Fatehpur, Uttar Pradesh, India
4
Associate Professor, Amity Institute of Biotechnology, Amity University, Lucknow, Uttar Pradesh, India
*Address for Correspondence: Dr. Shalini Upadhyay, Assistant Professor, Department of Microbiology, A.S.J.S.A.T.D.S.
Medical College, Allipur, Fatehpur, Uttar Pradesh-212601, India
E-mail: shalini.upd@gmail.com
Received: 06 Jan 2024/ Revised: 25 Mar 2024/ Accepted: 08 Apr 2024
ABSTRACT
Background: Coronavirus disease-2019 (COVID-19) manifests as inflammation, leading to a raised level of associated biomarkers,
which assists in risk stratification. We investigated the correlation between demography and biomarkers, namely, Interleukin-6
(IL-6), serum C-reactive protein (CRP), D-dimer, procalcitonin (PCT), and serum ferritin with prognosis among COVID-19 patients.
Method: This is a retrospective cohort study conducted on COVID-19 patients amidst the second wave of the pandemic. IL-6, PCT,
serum ferritin, CRP, and D-dimer levels were analyzed among patients diagnosed as COVID-positive by real-time polymerase chain
reaction.
Result: Out of 1663 patients included in this study, 65% were males, with the median age of the study population being 48 years.
The mean levels of IL-6, ferritin, CRP, and PCT were significantly raised in the older age group (47-95 years) than the younger
population (4-46 years), whereas D-dimer was found to be raised in all age groups. The mortality rate was 5% (median age- 59
years), with males showing high severity and a mortality rate 67.4%.
Conclusion: Evaluating and tracking the biomarkers at the outset of the disease has been proven to give a substantial edge in
assessing disease prognosis and preventing mortality. Henceforth, they become the guiding force for management strategies in
this era of precision medicine.
Key-words: Coronavirus, Immunosenescence, Inflammation, Precision medicine, Prognostic markers
INTRODUCTION
The pandemic of the coronavirus disease 2019 (COVID-
19) has brought myriad challenges to clinical and
diagnostic communities. Even though Severe acute
respiratory syndrome-coronavirus (SARS-CoV-2) is
transmitted through the respiratory route, it eventually
produces multisystem havoc, a cumulative outcome of
the coagulative, immunological, and inflammatory
cascades. The only constant with COVID-19 is change in
How to cite this article
Bisen VV, Upadhyay S, Patel M, Singh A. Biomarkers Analysis of
COVID-19 Patients: Lessons Learnt from the Deadly Pandemic. SSR
Inst Int J Life Sci., 2024; 10(3): 5486-5491.
Access this article online
https://iijls.com/
the form of mutations, variants, diagnostic approaches,
and management strategies.
[1,2]
Biomarkers have aided early suspicion, classification
based on severity, yardstick for hospitalization, risk
categorization, ICU admission criteria, rationalizing
pertinent therapies, response to therapies, prognosis,
and discharge.
[3-5]
Augmented inflammatory response of
the body reflected in the raised values of various
laboratory biomarkers has been relied upon for deciding
personalized management protocols.
[6-8]
During the pandemic, every wave presented the
healthcare system with newer challenges of rising
infection rates and varying severity. Despite the vast
literature database available, treating clinicians require
updated facts from time to time to offer the optimum
care at the bedside. This article aims to assess levels of
Research Article