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    標題: Association between Fibrinogen-to-Albumin Ratio and Prognosis of Hospitalized Patients with COVID-19: A Systematic Review and Meta-Analysis
    作者: Hung, Kuo-Chuan
    Huang, Yen-Ta
    Chang, Ying-Jen
    Yu, Chia-Hung
    Wang, Li-Kai
    Wu, Chung-Yi
    Liu, Ping-Hsin
    Chiu, Sheng-Fu
    Sun, Cheuk-Kwan
    貢獻者: Chi Mei Hospital
    Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy & Science
    National Cheng Kung University
    National Cheng Kung University Hospital
    Department of Recreation and Health-Care Management, Chia Nan University of Pharmacy & Science
    E-Da Hospital
    Chi Mei Hospital
    E-Da Hospital
    I Shou University
    關鍵字: disease severity
    markers
    predictors
    biomarker
    mortality
    length
    stay
    日期: 2022
    上傳時間: 2023-12-11 13:58:18 (UTC+8)
    出版者: MDPI
    摘要: Although the fibrinogen-to-albumin ratio (F/R ratio) has been used as an inflammation marker to predict clinical outcomes in patients with cardiovascular diseases, its association with the prognosis of patients with coronavirus disease 2019 (COVID-19) remains unclear. Electronic databases including EMBASE, MEDLINE, Google Scholar, and Cochrane Library were searched from inception to 20 June 2022. The associations of F/R ratio with poor prognosis (defined as the occurrence of mortality or severe disease) were investigated in patients with COVID-19. A total of 10 studies (seven from Turkey, two from China, one from Croatia) involving 3675 patients published between 2020 and 2022 were eligible for quantitative syntheses. Merged results revealed a higher F/R ratio in the poor prognosis group (standardized mean difference: 0.529, p < 0.001, I-2 = 84.8%, eight studies) than that in the good prognosis group. In addition, a high F/R ratio was associated with an increased risk of poor prognosis (odds ratio: 2.684, I-2 = 59.5%, five studies). Pooled analysis showed a sensitivity of 0.75, specificity of 0.66, and area under curve of 0.77 for poor prognosis prediction. In conclusion, this meta-analysis revealed a positive correlation between F/A ratio and poor prognostic outcomes of COVID-19. Because of the limited number of studies included, further investigations are warranted to support our findings.
    關聯: Diagnostics, v.12, n.7, 1678
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