Abstract
Objective: To investigate the prognostic value of serum amyloid A (SAA) in the patients with Corona Virus Disease 2019(COVID-19). Methods The medical data of 89 COVID-19 patients admitted to Renmin Hospital of Wuhan University from January 3, 2020 to February 26, 2020 were collected. 89 cases were divided into survival group (53 cases) and non-survival group (36 cases) according to the results of 28-day follow-up. The SAA levels of all patients were recorded and compared on 1day after admission (before treatment) and 3day, 5day, 7day after treatment. The ROC curve was drawn to analyze the prognosis of patients with COVID-19 by SAA. Results: The difference of comparison of SAA between survival group and non-survival group before treatment was not statistically significant, Z1 = -1.426, P = 0.154. The Z1 values of the two groups of patients at 3d, 5d, 7d after treatment were -5.569, -6.967, and -7.542, respectively. The P values were all less than 0.001, and the difference was statistically significant. The ROC curve results showed that SAA has higher sensitivity to prognostic value for death, the AUC area of 3d, 5d, 7d, which were 80.6%, 97.2%, 86.1%, and 96.1%, respectively. Conclusion: SAA can be used as a death predictor of the prognosis in patients with COVID-19.