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"Современные проблемы здравоохранения
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Scientific journal «Current problems of health care and medical statistics»
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Диагностика и профилактика преждевременного старения

Геронтология и гериатрия

INTERLEUKIN-6 AND PROCALCITONIN AS PROGNOSTIC CLINICAL AND LABORATORY PARAMETERS IN COVID-19 IN PATIENTS OF OLDER AGE GROUPS

A.V. Voeykova1, S.A. Rukavishnikova1, N. L. Zhukova1, A. S. Pushkin1, T. A. Akhmedov1, U. R. Saginbaev1, E. V. Volchkova2
1. St. Petersburg Institute of Bioregulation and Gerontology, St. Petersburg
2. St. Petersburg State Pediatric Medical University, St. Petersburg
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Summary:
Introduction: Procalcitonin production is induced in response to exposure to microbial toxins and certain cytokines (IL-1β, TNO- α and IL-6), after which it enters the bloodstream where it can be quantified. In COVID-19, high levels of PCT during antimicrobial therapy, especially in the absence of a tendency to reduce them, are an important prognostic factor, especially in elderly patients and patients with severe chronic diseases. Purpose: to study the level of procalcitonin and interleukin-6 in elderly and senile patients with a confirmed diagnosis of COVID-19. Materials and methods: Blood was tested in 305 patients with a confirmed diagnosis of COVID-19. Criteria for not including patients in the study: history of systemic autoimmune, oncological diseases. All subjects were divided into three age groups: 1 group (persons under 59 years of age) - 54 people, 2 group (persons aged 60-74 years) - 126 people, 3 group (persons over 75 years of age) - 125 people. Diagnostic sensitivity and specificity were assessed by ROC-analysis, with maximum area estimated from the curve. Sets of quantitative indicators, the distribution of which was different from normal, were described using the median and lower and upper quartiles. Results: An age-related comparative assessment of IL-6 and procalcitonin levels among COVID-19 patients showed an upward trend: concentrations of both analytes increased with age. The increase in IL-6 level averaged 42.15 pg/mL, for procalcitonin the same indicator is 0.665 ng/mL. In addition, a significant association was found between the level of inflammatory markers studied and the outcome of a new coronavirus infection. With age, the adverse outcome of the disease is accompanied by higher levels of the analytes in question. Thus, among middle-aged people with an unfavorable outcome of COVID-19, the level of IL-6 was 1.65, and the PCT was 5.44 times higher compared to the group of patients with a favorable outcome. At the same time, for elderly people, similar changes were 2.68 and 7.75 times, respectively, and for people of senile age - 4.72 and 9.56 times, respectively. Conclusions: The findings demonstrate the prognostic value of interleukin-6 and procalcitonin in both middle-aged and older-aged individuals. The diagnostic value was determined through ROC-analysis: an acceptable level of informativity was determined for procalcitonin, for IL-6 - a weak level of informativity, this pattern is true for middle-aged and elderly patients.
Keywords COVID-19, elderly age, procalcitonin, interleukin 6.

Bibliographic reference:
A.V. Voeykova, S.A. Rukavishnikova, N. L. Zhukova, A. S. Pushkin, T. A. Akhmedov, U. R. Saginbaev, E. V. Volchkova, INTERLEUKIN-6 AND PROCALCITONIN AS PROGNOSTIC CLINICAL AND LABORATORY PARAMETERS IN COVID-19 IN PATIENTS OF OLDER AGE GROUPS // Scientific journal «Current problems of health care and medical statistics». - 2022. - №3;
URL: http://healthproblem.ru/magazines?textEn=811 (date of access: 15.05.2024).

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