Quantitative Assessment of Interleukin-6 and Ferritin Levels and its Clinical Correlation among COVID-19 Patients
Correspondence Address :
Dr. MP Sujatha,
Associate Professor, Department of Anaesthesiology, Sri Devaraj Urs Academy of
Higher Education and Research, Tamaka, Kolar-563103, Karnataka, India.
E-mail: susanna020682@gmail.com
Introduction: COVID-19 pandemic has emerged as a global challenge threatening human life worldwide. Early recognition of severe forms of COVID-19 infection is critically essential for timely triaging of COVID-19 patients. Biochemical Parameters correlating clinically with the severity of COVID-19 infection amidst testing of Peripheral Oxygen Saturation (SpO2 ) levels can serve in timely management of severe COVID-19 infections.
Aim: To estimate the concentrations of proinflammatory cytokine serum Interleukin-6 (IL-6) and serum ferritin levels and to clinically correlate these markers with COVID-19 disease severity.
Materials and Methods: A cross-sectional single center study conducted in a tertiary care hospital and research center from July 2020 to September 2020, 113 COVID-19 positive patients confirmed by Real Time-Polymerase Chain Reaction (RT-PCR) were included, Serum IL-6 and Serum Ferritin levels were measured in the patient’s blood sample using standard Enzyme linked Immunosorbent Assay (ELISA) and Vitros ECi Immunodiagnostics respectively. Data obtained was statistically analyzed using Statistical Package for the Social Science (SPSS) Software version 22.0.
Results: Of the 113 COVID-19 infected patients, 53 were included in Group A, 27 patients in Group B and 33 patients in Group C. Mean±SD of Serum IL-6 levels were 10.92±2.65, 40.05±11.66 and 120.92±40.96 pg/mL (p<0.001) and Serum Ferritin levels 368.21±374.85, 309.15±291.58, and 433.45±376.13 ng/mL, respectively.
Conclusion: IL-6 correlated significantly with disease severity of COVID-19 infection and can be judiciously used for stratification and management of COVID-19 infected patients. Serum Ferritin concentration were found to be high in severe cases of COVID-19 infections and did not show any significant variation compared with mild to moderate COVID-19 infection.
Acute phase protein, Proinflammatory cytokine, Severe acute respiratory syndrome coronavirus-2
10.7860/JCDR/2021/48784.14855
Date of Submission: Jan 30, 2021
Date of Peer Review: Mar 04, 2021
Date of Acceptance: Apr 03, 2021
Date of Publishing: May 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. NA
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• Plagiarism X-checker: Feb 01, 2021
• Manual Googling: Mar 26, 2021
• iThenticate Software: Apr 12, 2021 (12%)
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