A model based on PT-INR and age serves as a promising predictor for evaluating mortality risk in patients with SARS-CoV-2 infection
COVID-19 caused by the coronavirus SARS-CoV-2 has resulted in a global pandemic. Considering some patients with COVID-19 rapidly develop respiratory distress and hypoxemia, early assessment of the prognosis for COVID-19 patients is important, yet there is currently a lack of research on a comprehensive multi-marker approach for disease prognosis assessment. Here, we utilized a large sample of hospitalized individuals with COVID-19 to systematically compare the clinical characteristics at admission and developed a nomogram model that was used to predict prognosis. In all cases, those with pneumonia, older age, and higher PT-INR had a poor prognosis. Besides, pneumonia patients with older age and higher PT-INR also had a poor prognosis. A nomogram model incorporating presence of pneumonia, age and PT-INR could evaluate the prognosis in all patients with SARS-CoV-2 infections well, while a nomogram model incorporating age and PT-INR could evaluate the prognosis in those with pneumonia well. Together, our study establishes a prognostic prediction model that aids in the timely identification of patients with poor prognosis and helps facilitate the improvement of treatment strategies in clinical practice in the future.
Authors
- Minjie Tang (ORCID: https://orcid.org/0000-0002-9320-1367)
- Wei‐Cheng You (ORCID: https://orcid.org/0000-0003-2190-1812)
- Wei Cai (ORCID: https://orcid.org/0000-0001-5919-8734)
- Xiangdong Tang (ORCID: https://orcid.org/0000-0001-6876-3328)
- Yan Pan (ORCID: https://orcid.org/0000-0003-4307-3616)
- Zishun Li (ORCID: https://orcid.org/0000-0001-9222-5888)
- Yanping Lin
- Ferric C. Fang (ORCID: https://orcid.org/0000-0002-3243-110X)
- Lu Lai (ORCID: https://orcid.org/0000-0002-1254-7711)
- Lin Lin (ORCID: https://orcid.org/0000-0002-7546-4948)
- Liang Wang (ORCID: https://orcid.org/0000-0002-5826-1866)
- FU Ya
- Yue Shi (ORCID: https://orcid.org/0000-0002-4505-9159)
- Hongyan Guo (ORCID: https://orcid.org/0000-0002-6286-1741)
- Yongjie Xu (ORCID: https://orcid.org/0000-0002-2127-8154)
- Jialin Song (ORCID: https://orcid.org/0000-0002-2588-3554)
- Zhaopei Guo
Institutions
- Fujian Medical University (CN)
- First Affiliated Hospital of Fujian Medical University (CN)
- Fuzhou Maternity and Child Health Care Hospital (CN)
- Xiamen Chang Gung Hospital (CN)
- Third Hospital of Changsha (CN)
Publication Details
- Journal
- Frontiers in Cellular and Infection Microbiology
- Published
- 2025-04-03
- DOI
- https://doi.org/10.3389/fcimb.2025.1499154
- Primary Topic
- COVID-19 Clinical Research Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Natural Science Foundation of China
- Natural Science Foundation of Fujian Province