Lactate dehydrogenase levels predict coronavirus disease 2019 (COVID-19) severity and mortality: A pooled analysis - 11/10/20

Doi : 10.1016/j.ajem.2020.05.073

Brandon Michael Henry, MD ^a,^{^⁎} , Gaurav Aggarwal, MD ^b, Johnny Wong ^c, Stefanie Benoit, MD ^d,^e, Jens Vikse ^f, Mario Plebani ^g, Giuseppe Lippi, MD ^h
^a Cardiac Intensive Care Unit, The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
^b Department of Medicine, Jersey City Medical Center, Jersey City, NJ, USA
^c College of Medicine, SUNY Downstate Health Sciences University, New York, USA
^d Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, OH, USA
^e Department of Pediatrics, College of Medicine, University of Cincinnati, OH, USA
^f Department of Clinical immunology, Stavanger University Hospital, Stavanger, Norway
^g Department of Lab Medicine, University Hospital, Padova, Italy
^h Section of Clinical Biochemistry, Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy

^⁎Corresponding author at: Cardiac Intensive Care Unit, The Heart Institute, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.Cardiac Intensive Care UnitThe Heart InstituteCincinnati Children's Hospital Medical Center3333 Burnet AvenueCincinnatiOH45229USA

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Abstract

Coronavirus disease 2019 (COVID-19) infection has now reached a pandemic state, affecting more than a million patients worldwide. Predictors of disease outcomes in these patients need to be urgently assessed to decrease morbidity and societal burden. Lactate dehydrogenase (LDH) has been associated with worse outcomes in patients with viral infections. In this pooled analysis of 9 published studies (n = 1532 COVID-19 patients), we evaluated the association between elevated LDH levels measured at earliest time point in hospitalization and disease outcomes in patients with COVID-19. Elevated LDH levels were associated with a ~6-fold increase in odds of developing severe disease and a ~16-fold increase in odds of mortality in patients with COVID-19. Larger studies are needed to confirm these findings.

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Keywords : Lactate dehydrogenase, COVID-19, Coronavirus

Plan

Introduction

Methods

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Statistical analysis

Results

Study identification and characteristics of studies

Pooled analysis of disease severity

Pooled analysis of mortality

Discussion

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Vol 38 - N° 9

P. 1722-1726 - septembre 2020 Retour au numéro

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Lactate dehydrogenase levels predict coronavirus disease 2019 (COVID-19) severity and mortality: A pooled analysis - 11/10/20

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