Review Article

Cardiac Injury Biomarkers and the Risk of Death in Patients with COVID-19: A Systematic Review and Meta-Analysis

Table 3

Baseline differences between COVID-19 patients with elevated and normal cTn in terms of preexisting comorbidities and the mean values of other cardiac injury biomarkers.

ParameterCategoryModelI2 (%)Effect estimate (95% CI)

ComorbiditiesHypertensionF0OR = 5.43 (3.60, 8.19)<0.0001
DiabetesF35OR = 2.98 (1.84, 4.83)<0.0001
Coronary heart diseaseF44OR = 8.49 (4.85, 14.86)<0.0001
COPDF23OR = 6.50 (2.33, 18.09)0.0003
MalignancyR72OR = 5.58 (0.90, 34.70)0.07
Chronic kidney diseaseR54OR = 4.54 (0.80, 25.62)0.09

BiomarkersNT-proBNP (pg/mL)R98SMD = 5.59 (3.00, 8.17)<0.0001
hs-CRP (mg/L)R84SMD = 4.69 (3.82, 5.55)<0.0001
CK-MB (ng/mL)F0SMD = 6.32 (5.91, 6.73)<0.0001

Results are based on the analysis of 134 and 469 patients with elevated and normal cTn, respectively. CI, confidence interval; CK-MB, creatine kinase-myocardial bound; COPD, chronic obstructive pulmonary disease; F, fixed-effects model; hs-CRP, high-sensitivity C-reactive protein; OR, odds ratio; R, random-effects model; SMD, standardized mean difference.