Research Article

Association between NT-proBNP Level and the Severity of COVID-19 Pneumonia

Table 1

Characteristics of patients at baseline.

CharacteristicsAll patients (n = 91)NT-proBNP <300 pg/ml (n = 68)NT-proBNP ≥300 pg/ml (n = 23) value

Age, years61.0 (47.0–69.0)54.5 (41.5–67.0)68.0 (66.0–75.0)<0.001
Male, n (%)39 (43.011)27 (39.7)12 (52.2)0.296

Coexisting illnesses
 Hypertension, n (%)19 (20.9)8 (11.8)11 (47.8)<0.001
 Diabetes, n (%)4 (4.4)3 (4.4)1 (4.3)1.000
 Ischemic heart disease, n (%)1 (1.0)1 (1.5)0 (0.0)1.000
 Chronic obstructive pulmonary disease, n (%)7 (7.7)3 (4.4)4 (17.4)0.043
 Cancer3 (3.3)1 (1.5)2 (8.7)0.156

Vital signs
 Temperature, °C36.5 (36.4–36.7)36.5 (36.4–36.7)36.6 (36.4–36.7)0.712
 Respiratory rate, per min20.0 (18.0–21.3)20.0 (18.0–21.0)20.0 (18.0–22.0)0.323
 Heart rate, beats per min86.5 (78.0–98.0)88.0 (78.0–98.0)82.0 (76.0–98.0)0.289
 Systolic blood pressure, mmHg128.5 (120.0–140.0)125.0 (119.0–135.0)135.0 (125.0–47.0)0.034
 Diastolic blood pressure, mmHg78.0 (73.5–84.5)77.0 (73.0–83.0)80.0 (75.0–90.0)0.211

Laboratory findings
 White cell count, per mm35300 (4000–6700)4945 (3773–6180)6200 (5280–7390)0.003
 Hemoglobin, g/liter125.0 (114.0–137.0)124.5 (114.0–35.5)128.0 (114.0–137.0)0.654
 Hematocrit0.36 (0.33–0.39)0.36 (0.32–0.39)0.37 (0.33–0.39)0.638
 Platelet count, per mm3222,000 (122,000–282,000)227,000 (170,000–284,500)199,000 (132,000–273,000)0.300
 D-dimer0.70 (0.35–1.83)0.47 (0.37–1.45)1.79 (0.83–8.88)<0.001
 CD4+ cell444 (258–586)468 (303–610)275 (143–521)0.018
 CD8+ cell244 (156–378)252 (167–405)216 (93–340)0.149
 Creatinine, μmol/liter59.0 (48.0–71.0)57.0 (48.0–69.8)66.0 (49.0–76.0)0.113
 Alanine aminotransferase, U/liter22.0 (15.0–39.0)20.0 (14.3–35.8)27.0 (18.0–44.0)0.038
 Aspartate aminotransferase, U/liter24.0 (18.0–34.0)22.0 (17.0–30.8)33.0 (24.0–44.0)0.004
 Albumin, g/liter37.8 (34.4–41.3)38.3 (36.0–41.6)35.7 (31.9–37.5)0.005
 Sodium, mEq/L142 (138–145)142.0 (139.0–145.0)143.0 (37.0–145.0)0.916
 Procalcitonin, ng/mL0.04 (0.03–0.07)0.04 (0.03–0.06)0.07 (0.03–0.14)0.074
 C-reactive protein, mg/liter11.2 (5.0–46.8)8.1 (5.0–38.8)55.0 (5.6–169.5)0.005
 Creative kinase MB, U/liter1.0 (0.6–1.5)0.92 (0.58–1.35)1.16 (0.94–1.98)0.002
 hs-cTnI > 99th percentile URL10 (11.1)3 (4.4)7 (30.4)0.002
 NT-proBNP, pg/ml91.2 (30.0–305.4)49.8 (23.1–28.1)437.7 (346.7–808.1)<0.001

Radiographic finding
 More than two lobes involvement76 (98.7)56 (98.2)20 (100.0)1.00
 Pleural effusion3 (3.9)0 (0.0)3 (15.0)0.016
 Ground-glass opacity74 (96.1)55 (96.5)19 (95.0)1.00
 Consolidation56 (72.7)40 (70.2)16 (80.0)0.396
 Fibrosis48 (62.3)30 (52.6)18 (90.0)0.003
 CT score8.0 (6.0–13.0)7.0 (5.0–10.5)14.0 (8.3–19.0)<0.001

Pneumonia severity index (PSI)
 Class I26 (28.6)26 (38.2)0 (0.0)<0.001
 Class II43 (47.3)33 (48.5)10 (43.5)
 Classes III–V22 (24.2)9 (13.2)13 (56.5)

Total point score for PSI class > I66.0 (56.0–77.5)61.0 (54.0–70.0)73.0 (63.0–87.0)0.005

Note. Data are expressed as median (interquartile range) or counts and percentage, as appropriate. hs-cTnI: high-sensitivity cardiac troponin I; URL: upper reference limit; NT-proBNP: N-terminal pro-B-type natriuretic peptide; CT: computed tomography.