EVALUATION OF THE RELATIONSHIP BETWEEN HIGH-DENSITY LIPOPROTEIN CHOLESTEROL LEVELS AND COMMUNITY-ACQUIRED PNEUMONIA SEVERITY IN ADULT PATIENTS
Ankara Medical Journal, cilt.22, sa.1, ss.118-128, 2022 (TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 22 Sayı: 1
- Basım Tarihi: 2022
- Doi Numarası: 10.5505/amj.2022.98957
- Dergi Adı: Ankara Medical Journal
- Derginin Tarandığı İndeksler: TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.118-128
- Anahtar Kelimeler: biomarker, Community-acquired pneumonia, high-density lipoprotein cholesterol
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet
Özet
© 2022 Academic Publishing House. All rights reserved.Objectives: Inflammation and acute phase reactions lead to altered high-density lipoprotein cholesterol (HDL-C) concentrations. This study aimed to evaluate HDL-C levels in community-acquired pneumonia (CAP) and to determine the predictive value of disease severity in CAP. Materials and Methods: This prospective study was conducted in the Department of Pulmonary Diseases. One hundred twenty-five adult patients with CAP were included in the study. Patients were classified into three groups as follows: Group 1; outpatients, Group 2; hospitalized patients and Group 3; patients admitted to the intensive care unit. C-reactive protein (CRP), procalcitonin (PCT) and HDL-C levels were evaluated at baseline, 7th and 30th days in all CAP patients. The relationship between CRP, PCT and HDL-C levels was investigated. Diagnostic performance of baseline HDL-C levels was assessed using receiver-operating characteristic (ROC) curve analyses. Results: HDL-C levels were found to be decreased in all groups compared to their normal ranges. There was a significantly negative correlation between HDL-C and CRP and PCT (Spearman's r=-0.557, r=-0.841, respectively; p< 0.001). The sensitivity and specificity of HDL-C cut-off value were 0.738 (95% CI=0.580-0.861) and 0.875 (95% CI=0.732-0.958), with an overall accuracy of 0.861 (95% CI=0.728-0.935). Conclusion: HDL-C levels can be used as an acute phase reactant in patients with CAP.