Is There Association Between Midkine Levels and Prognosis of Covid-19 Di̇sease?

Abstract

Aim: The aim of this study was to measure plasma midkine levels in patients with COVID-19 and to assess its clinical significance. Material and Method: 88 patients followed in our hospital with a diagnosis of COVID-19 were included in the study. Demographic characteristics, clinical and laboratory data of the patients were recorded, and the relationship between midkine level and prognosis and other parameters were investigated. Results: Of the 88 patients included in the study, 43 (48.9%) were female and 45 (51.1%) were male. 24 (27%) of our cases were died. The mean age of non-survivals was 70 ± 12.3 and the survivals were 61.9 ± 18.2 years. Mortality predictors due to COVID-19 in group 2 patients were significantly higher than those in group 2 (p <0.05). The median (IR) value of the MK level was 152.5±125 pg/ml in all patients, 143±149 pg/ml in survivors and 165.5±76 pg/ml in those who died (p= 0.546). The difference between these two groups compared according to mortality was not statistically significant The area under the ROC curve was found to be 0.542 (95% CI 0.423-0.661, p= 0.546). Conclusion: MK is not a biomarker that can reinforce known predictors of mortality in COVID-19 patients and can provide better predictions of mortality.