Evaluation of oxidative stress level: reactive oxygen species, reduced glutathione, and D-dimer in patients hospitalized due to COVID-19
Claudionei Roessler,
Karen Cristine Silva de Oliveira,
Auricélia Xavier de Oliveira Portella,
Paulo Cezar Nunes Fortes,
Franciéle Romero Machado,
Stífani Machado Araujo,
Marina Prigol,
Léia Carolina Lucio,
Dalila Moter Benvegnú,
Lirane Elize Defante Ferreto
Affiliations
Claudionei Roessler
Postgraduate Program in Applied Health Sciences and Multidisciplinary Laboratory of Biosciences and Health, State University of Western Paraná - UNIOESTE, Francisco Beltrão, Brazil
Karen Cristine Silva de Oliveira
Graduated in Nutrition, Federal University of Fronteira Sul (UFFS), Realeza, Brazil
Auricélia Xavier de Oliveira Portella
State Health Office, Hospital Regional Walter Alberto Pecoits (HRS), Francisco Beltrão, Brazil
Paulo Cezar Nunes Fortes
Health Sciences Center, State University of Western Paraná (UNIOESTE), Francisco Beltrão, Brazil
Franciéle Romero Machado
Postgraduate Program in Biochemistry, Federal University of Pampa (UNIPAMPA), Itaqui, Brazil
Stífani Machado Araujo
Federal University of Fronteira Sul (UFFS), Realeza, Brazil
Marina Prigol
Postgraduate Program in Biochemistry, Federal University of Pampa (UNIPAMPA), Itaqui, Brazil
Léia Carolina Lucio
Postgraduate Program in Applied Health Sciences and Multidisciplinary Laboratory of Biosciences and Health, State University of Western Paraná - UNIOESTE, Francisco Beltrão, Brazil
Dalila Moter Benvegnú
Federal University of Fronteira Sul (UFFS), Realeza, Brazil
Lirane Elize Defante Ferreto
Postgraduate Program in Applied Health Sciences and Multidisciplinary Laboratory of Biosciences and Health, State University of Western Paraná - UNIOESTE, Francisco Beltrão, Brazil
ABSTRACTElevated D-dimer levels at hospital admission may also indicate a higher likelihood of progressing to a severe or critical state. This study aimed to assess reactive oxygen species (ROS), non-enzymatic antioxidant reduced glutathione (GSH), and D-dimer levels in COVID-19 patients upon admission, examining their association with mortality outcomes. Data was collected from the medical records of 170 patients hospitalized in a referral hospital unit between March 2020 and December 2021. Patients were divided into two groups: the ward bed group (n = 87), comprising 51% with moderate clinical conditions, and the intensive care unit (ICU) group (n = 83), comprising 49% with severe conditions. The mean age was 59.4 years, with a male predominance of 52.4%. The overall death rate was 43%, with 30.6% in the moderate group and 69.4% in the severe group. The average time from symptom onset to hospitalization was 6.42 days. Results showed that non-survivors had high D-dimer and ROS counts, longer ICU stays, and worse saturation levels at admission. In conclusion, elevated ROS and D-dimer levels may contribute to worse outcomes in critically ill patients, potentially serving as specific and sensitive predictors of poor outcomes upon admission.
