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On-admission SARS-CoV-2 RNAemia as a single potent predictive marker of critical condition development and mortality in COVID-19

Author

Listed:
  • Shoji Miki
  • Hiroaki Sasaki
  • Hiroshi Horiuchi
  • Nobuyuki Miyata
  • Yukihiro Yoshimura
  • Kazuhito Miyazaki
  • Takayuki Matsumura
  • Yoshimasa Takahashi
  • Tadaki Suzuki
  • Tetsuro Matano
  • Ai Kawana-Tachikawa
  • Natsuo Tachikawa

Abstract

Background: This study aimed to clarify how SARS-CoV-2 RNAemia is related to COVID-19 critical condition development and mortality in comparison with other predictive markers and scoring systems. Methods: This is a retrospective cohort study conducted at Yokohama Municipal Citizen’s Hospital and National Institute of Infectious Diseases. We recruited adult patients with COVID-19 admitted between March 2020 and January 2021. We compared RNAemia with clinical status on admission including scoring systems such as the 4C Mortality, CURB-65, and A-DROP, as well as the Ct value of the nasopharyngeal PCR, in predicting COVID-19 mortality and critical condition development. Results: Of the 92 recruited patients (median age, 58; interquartile range, 45–71 years), 14 (14.9%) had RNAemia. These patients had an older age (median, 68 years vs. 55.5 years; p = 0.011), higher values of lactated dehydrogenase (median, 381 U/L vs. 256.5 U/L, p

Suggested Citation

  • Shoji Miki & Hiroaki Sasaki & Hiroshi Horiuchi & Nobuyuki Miyata & Yukihiro Yoshimura & Kazuhito Miyazaki & Takayuki Matsumura & Yoshimasa Takahashi & Tadaki Suzuki & Tetsuro Matano & Ai Kawana-Tachik, 2021. "On-admission SARS-CoV-2 RNAemia as a single potent predictive marker of critical condition development and mortality in COVID-19," PLOS ONE, Public Library of Science, vol. 16(7), pages 1-11, July.
  • Handle: RePEc:plo:pone00:0254640
    DOI: 10.1371/journal.pone.0254640
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