﻿<?xml version="1.0" encoding="UTF-8"?>
<ArticleSet>
  <Article>
    <Journal>
      <PublisherName>Tabriz University of Medical Sciences</PublisherName>
      <JournalTitle>Journal of Research in Clinical Medicine</JournalTitle>
      <Issn>2717-0616</Issn>
      <Volume>10</Volume>
      <Issue>1</Issue>
      <PubDate PubStatus="ppublish">
        <Year>2022</Year>
        <Month>01</Month>
        <DAY>01</DAY>
      </PubDate>
    </Journal>
    <ArticleTitle>Role of biochemical and inflammatory markers in assessing COVID-19 severity among the Indian population: An observational study</ArticleTitle>
    <FirstPage>10</FirstPage>
    <LastPage>10</LastPage>
    <ELocationID EIdType="doi">10.34172/jrcm.2022.010</ELocationID>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Reema Kapoor</FirstName>
        <LastName>Mehra</LastName>
        <Identifier Source="ORCID">https://orcid.org/0000-0002-3479-8554</Identifier>
      </Author>
      <Author>
        <FirstName>Prakriti</FirstName>
        <LastName>Gupta</LastName>
        <Identifier Source="ORCID">https://orcid.org/0000-0002-6072-7952</Identifier>
      </Author>
      <Author>
        <FirstName>Navpreet</FirstName>
        <LastName>Singh</LastName>
        <Identifier Source="ORCID">https://orcid.org/0000-0003-0927-8888</Identifier>
      </Author>
    </AuthorList>
    <PublicationType>Journal Article</PublicationType>
    <ArticleIdList>
      <ArticleId IdType="doi">10.34172/jrcm.2022.010</ArticleId>
    </ArticleIdList>
    <History>
      <PubDate PubStatus="received">
        <Year>2021</Year>
        <Month>05</Month>
        <Day>19</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2021</Year>
        <Month>08</Month>
        <Day>04</Day>
      </PubDate>
    </History>
    <Abstract>Introduction: Different laboratory parameters get altered in coronavirus disease 2019 (COVID-19); therefore, the changes of these parameters could help recognize the patients with severe disease. This study was conducted to achieve a comprehensive biochemical and inflammatory profile of COVID-19 among the Indian population. Methods: The study consisted of 730 patients admitted to Jaya Arogya Hospital, Gwalior, with COVID-19 from August 2020 to December 2020. The patients were divided into mild disease group (MDG) (n=533) and severe disease group (SDG) (n=197) depending on certain criteria, and their biochemical and inflammatory markers were collected. Data were analyzed using SPSS version 25. Results: Statistically significant rise in blood urea (P=0.011), serum creatinine (P=0.008), serum bilirubin (P=0.012), interleukin 6 (IL-6) (P&lt;0.001), and troponin I (P&lt;0.001) was observed in SDG as compared to MDG. Serum electrolytes (sodium and potassium) and serum protein (total protein and albumin) showed a significant fall in SDG as compared to MDG (P&lt;0.001 for electrolytes and P=0.023 for proteins). The area under the receiver operating characteristic curve (AUROC) showed a high diagnostic value of IL-6. Conclusion: Patients with severe COVID-19 showed a high prevalence of hyperbilirubinemia, hypoproteinemia, electrolyte imbalance, and raised inflammatory markers (IL-6, troponin I, and procalcitonin). Results showed their effectiveness in assessing disease severity and predicting outcomes in patients with COVID-19.</Abstract>
    <ObjectList>
      <Object Type="keyword">
        <Param Name="value">Biochemical profile</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">COVID-19</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">India</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Inflammatory markers</Param>
      </Object>
    </ObjectList>
  </Article>
</ArticleSet>