• Ayşe Torun, ÇakırcaTuba DamarTDhttp://orcid.org/0000-0002-1706-230XŞanliurfa Education and Research Hospital, Department of Infectious Diseases and Clinical Microbiology - Şanliurfa, Turkey., Gökhan Çakırca, and Reyhan Derya Portakal.
• Şanliurfa Education and Research Hospital, Department of Infectious Diseases and Clinical Microbiology - Şanliurfa, Turkey.
• Rev Assoc Med Bras (1992). 2021 Mar 1; 67 (3): 431-436.

ObjectiveThis retrospective study aimed to determine the predictive values of the C-reactive protein (CRP)/albumin ratio (CAR), fibrinogen/albumin ratio (FAR), and neutrophil/lymphocyte ratio (NLR) parameters, which reflect the systemic inflammatory status, for the severity of COVID-19.MethodsA total of 188 patients diagnosed with COVID-19 were enrolled in this study. Among them, 118 were in the severe group, and 70 were in the non-severe group. Levels of albumin, CRP, D-dimer, procalcitonin, fibrinogen, and hemoglobin; leukocyte, neutrophil, lymphocyte, and monocyte counts; and the FAR, CAR, and NLR were compared between the two groups.ResultsThe CAR, FAR, and NLR values were significantly higher in the severe group compared to the non-severe group. CAR, FAR, and NLR were positively correlated with leukocyte and neutrophil counts and CRP, procalcitonin, and fibrinogen levels. On the other hand, they were inversely correlated with monocyte (except for NLR) and lymphocyte counts. Receiver operator characteristic analysis showed that the area under the curve (AUC) for CAR, FAR, and NLR was 0.841, 0.737, and 0.802, respectively.ConclusionsOur investigation revealed that the CAR, FAR, and NLR indices can be used to predict the severity of COVID-19, among which CAR was the best predictor of severe COVID-19.

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