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Peer-Reviewed Publication
Crit Care Med2023;51(12):1697-1705.December 1, 2023Multicenter Study

Analysis of Protein Biomarkers From Hospitalized COVID-19 Patients Reveals Severity-Specific Signatures and Two Distinct Latent Profiles With Differential Responses to Corticosteroids.

Philip A Verhoef1,2, Alexandra B Spicer3, Carlos Lopez-Espina4, Akhil Bhargava4, Lee Schmalz4, Matthew D Sims5, Ashok V Palagiri6, Karthik V Iyer7, Matthew J Crisp7, Alexandra Halalau5, Nicholas Maddens5, Falgun Gosai8, Anwaruddin Syed8, Saleem Azad7, Aimee Espinosa5, Francisco Davila5, Hugo Davila5, Neil R Evans8, Scott Smith5, Bobby Reddy4, Pratik Sinha9, Matthew M Churpek3
1Hawaii Permanente Medical Group, Honolulu, HI.
2Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI.
3Department of Medicine, University of Wisconsin-Madison, Madison, WI.
4Prenosis Inc., Chicago, IL.
5Beaumont Health System, Royal Oak, MI.
6Mercy Hospital, St. Louis, MO.
7Mercy Hospital, Jefferson, MO.
8OSF Saint Francis Medical Center, Peoria, IL.
9Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO.

Abstract

OBJECTIVES: To identify and validate novel COVID-19 subphenotypes with potential heterogenous treatment effects (HTEs) using electronic health record (EHR) data and 33 unique biomarkers. DESIGN: Retrospective cohort study of adults presenting for acute care, with analysis of biomarkers from residual blood collected during routine clinical care. Latent profile analysis (LPA) of biomarker and EHR d…

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