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. 2021 Oct 11;9:20503121211050755. doi: 10.1177/20503121211050755

Table 3.

Summary of different studies showing levels of C-reactive protein (CRP) in patients with COVID-19, 2020.

Author Country Patient category CRP value (mg/L) comment
Li et al. China First test 52.9 In 85%–100% of dead patients, CRP was found increased before death indicating that there is a high inflammatory reaction in COVID-19 patients. CRP can be a good indicator of disease progression and the decline of lymphocytes counts
Last test 96.2
Han et al. China Mild 4.25 CRP level was increased among poor prognostic patients
Severe 33.4
Wang et al. China Mild 12.1 Patients with severe disease had increased levels of CRP compared with non-severe patients. CRP was highly associated with the aggravation of non-severe COVID-19 patients, which is evidenced from regression analysis
Severe 43.8
Wang Mild 1.52 Increased CRP levels were correlated with severe COVID-19 presentation
Severe 105
Kermali et al. United Kingdom Mild 33.2 Among others, CRP showed higher levels in patients with severe COVID-19 patients compared to their non-severe counterparts
Severe 57.9
Pan et al. China Discharge 53.5 CRP level was found significantly correlated with death than discharged improved patients.
Death 85.8
Velavana et al. Vietnam All cases Increased Clinicians must consider the serum levels of CRP, which may be applicable in risk stratification to predict severe and fatal COVID-19 in admitted patients
Severe cases Increased
Zhou et al. China Mild 0.46 CRP levels extremely varies between mild and severe COVID-19 patients
Severe 1.46
Luo et al. China Mild 9.65 Compared to survivors, non-survivors showed a significantly increased CRP level, and thereby identified as independent predictors of poor disease outcome.
Severe 100
Chen et al. China Mild manifestation on CT scan 11.47 Among others, increased CRP levels were all associated with the development of ARDS
Moderate manifestation on CT scan 22.94
Severe manifestation on CT scan 34.8
Chen et al. China Mild 12.47 Higher level of plasma CRP was linearly correlated to the severity of COVID-19 disease.
Severe 23
Potempa et al. United States Non-severe 28.7 CRP blood levels correspond with acute phase response activation, making them a straightforward, quick, and cost-effective tool to estimate the extent of tissue damage that is occurring in that patient
Severe 47.6
Sadeghi-Haddad-Zavareh et al. Iran Non-severe Slight increase In severe cases, CRP levels were substantially higher than in non-severe cases. CRP could be utilized as an independent predictor in predicting the severity of COVID-19, according to an analysis of the ROC curve.
Severe Increased
Pepys United Kingdom CRP has not yet been identified in COVID-19 lesions, but given the significant cell damage and amount of circulating CRP, it must be there.
Ali et al. Deceased (65%) >100 They discovered that CRP levels in deceased individuals were significantly increased, indicating hepatic impairment.
Recovered (6%)
Acar et al. Turkey Non-survivor They concluded that inflammatory parameters, such as CRP, among others were associated with disease severity and could be used as potentially important risk factors for COVID-19 progression.
Survivor
Stringer et al. United Kingdom Dead 115 The most accurate predictor of death was found to be IL-6, with CRP coming in second.
Survived 69
Yauhen et al. UAE Admitted to ICU High Because CRP levels indicate the activity of an inflammatory process, they have a strong predictive value.
Not admitted to ICU Low
Cui et al. United States Participants with Corticosteroid, low risk of death CRP responder Inpatient mortality may be predicted by a reduction in CRP of 50% or more within 72 h after starting corticosteroid medication. This could be used as an early indicator for COVID-19 patients’ responsiveness to corticosteroid therapy.
Participants with Corticosteroid, high risk of death CRP non-responder
Kazemi et al. Iran Dead 85.82 There’s an association between CRP and illness severity.
Improved 32.99

CRP: C-reactive protein; CT: computed tomography; ARDS: acute respiratory distress syndrome; ROC: receiver operating characteristic; ICU: intensive care unit; UAE: United Arab Emirates.