Biomarker Value in the Diagnosis of Community-Acquired Pneumonia with Concomitant Chronic Heart Failure - Archive ouverte HAL
Article Dans Une Revue Journal of Clinical Medicine Année : 2021

Biomarker Value in the Diagnosis of Community-Acquired Pneumonia with Concomitant Chronic Heart Failure

Svetlana Ratchina
  • Fonction : Auteur
  • PersonId : 1137845
Andrey Bobylev
  • Fonction : Auteur
  • PersonId : 1112670
Pavel Lazarev
  • Fonction : Auteur
Vladimir Mladov
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  • PersonId : 1112671
Florence Carrouel
Sergey Avdeev
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  • PersonId : 1137846
Roman Kozlov
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  • PersonId : 1112672
Denis Bourgeois
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  • PersonId : 1038755

Résumé

The diagnosis of community-acquired pneumonia (CAP) with chronic heart failure (CHF) is associated with objective difficulties. Our case-control study aims to establish whether established serum inflammatory biomarkers are relevant to the diagnosis of CAP in patients with CHF. Seventy inpatients with previously diagnosed CHF and suspected non-severe CAP were recruited and then stratified into two subgroups with confirmed and rejected diagnosis of CAP. Сreactive protein (CRP), procalcitonin (PCT), tumor necrosis factor α (TNFα), interleukin-6 (IL-6) and brain natriuretic peptide (BNP) were measured. The value of biomarkers was determined using logistic regression, and their discriminatory efficacy was assessed by analyzing receiver operating characteristic (ROC) curves. Significantly higher levels of CRP 50.0 (35.5-98.5) mg/L, PCT 0.10 (0.05-0.54) ng/mL and IL-6 46.1(21.4-150.3) pg/mL in cases were identified as compared to the control group-15.0 (9.5-25.0) mg/L, 0.05 (0.05-0.05) ng/mL and 13.6 (9.5; 25.0) pg/mL, respectively. The Area Under the ROC Curve (95% CI) was the highest for CRP-0.91 (0.83-0.98), followed by PCT-0.81 (0.72-0.90) and IL-6-0.81 (0.71-0.91). A CRP value of >28.5 mg/L had an optimal sensitivity and specificity ratio (85.7/91.4%). In conclusion, the measurement of serum CRP, PCT and IL-6 levels can be useful for the diagnosis of CAP in patients with CHF. CRP showed optimal diagnostic utility in this population.
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Dates et versions

hal-03370367 , version 1 (07-10-2021)

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Citer

Svetlana Ratchina, Andrey Bobylev, Pavel Lazarev, Vladimir Mladov, Florence Carrouel, et al.. Biomarker Value in the Diagnosis of Community-Acquired Pneumonia with Concomitant Chronic Heart Failure. Journal of Clinical Medicine, 2021, 10, ⟨10.3390/jcm10194570⟩. ⟨hal-03370367⟩

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