Evidence map›Paper›PMID 41772481›Full record

Observational studyBMC infectious diseases2026

Serial blood serum measurements of calprotectin and deoxyribonuclease in COVID-19 patients during hospitalization and recovery until one year: a prospective, multicenter, observational study.

Anders Benjamin Kildal, Thor Ueland, Mohammad Reza Mirlashari, Lise Sofie Nissen-Meyer, Beathe Kiland Granerud, Anne Ma Dyrhol-Riise, Kristian Tonby, Aleksander Rygh Holten, Lars Heggelund, Karl Erik Müller and 6 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Anders Benjamin KildalAnesthesia and Critical Care Research Group, Department of Clinical Medicine, Faculty of Health Sciences, UIT - The Arctic University of Norway, Tromsø, 9019, Norway. anders.kildal@uit.no.ORCID http://orcid.org/0000-0002-1319-6511
Thor UelandResearch Institute of Internal Medicine, Oslo University Hospital, Oslo, 0424, Norway.
Mohammad Reza MirlashariDepartment of Immunology and Transfusion Medicine, Oslo University Hospital Ullevål, Oslo, 0450, Norway.
Lise Sofie Nissen-MeyerDepartment of Immunology and Transfusion Medicine, Oslo University Hospital Ullevål, Oslo, 0450, Norway.
Beathe Kiland GranerudInstitute of Clinical Medicine, University of Oslo, Oslo, 0315, Norway.
Anne Ma Dyrhol-RiiseInstitute of Clinical Medicine, University of Oslo, Oslo, 0315, Norway.
Kristian TonbyInstitute of Clinical Medicine, University of Oslo, Oslo, 0315, Norway.
Aleksander Rygh HoltenInstitute of Clinical Medicine, University of Oslo, Oslo, 0315, Norway.
Lars HeggelundDepartment of Internal Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, 3004, Norway.
Karl Erik MüllerDepartment of Internal Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, 3004, Norway.
Anders TveitaSection of Clinical Immunology and Infectious Diseases, Oslo University Hospital, Oslo, 0424, Norway.
Simen BøeDepartment of Anesthesiology and Intensive Care, Hammerfest County Hospital, Hammerfest, 9601, Norway.
Magne Kristoffer FagerholInstitute of Clinical Medicine, University of Oslo, Oslo, 0315, Norway.
Geir HetlandInstitute of Clinical Medicine, University of Oslo, Oslo, 0315, Norway.
Jan Cato HolterInstitute of Clinical Medicine, University of Oslo, Oslo, 0315, Norway.
Norwegian SARS-CoV-2 study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine circulating calprotectin and deoxyribonuclease (DNase) serum levels during hospitalization in COVID-19 patients, their continuity post-discharge and dynamics in relation to disease severity.

methodsSerum levels were measured in samples collected from 252 COVID-19 patients during hospitalization (admission, days 3-5 and 7-10), at 3 months and after 1 year, and related to admission to intensive care unit (ICU) or high dependency unit (HDU), and 60-day total mortality.

resultsDuring hospitalization, calprotectin and DNase levels were significantly elevated compared to healthy controls (HC). Calprotectin was increased in ICU/HDU patients compared to those at wards during hospitalization and in non-survivors compared to survivors during prolonged hospitalization. High calprotectin levels at admission were associated with male sex, PaO2/FiO2 ratio and national COVID-19 wave 2 and 3 compared to wave 1. High admission levels of both calprotectin and ferritin were associated with an approximately twofold higher odds ratio for ICU/HDU admission than either marker alone. DNase was lower at admission in non-survivors compared to survivors. Post-discharge, DNase but not calprotectin levels remained elevated extending to 1-year follow-up compared to HC.

conclusionsCOVID‑19 non‑survivors showed persistently higher calprotectin levels during prolonged hospitalization, and elevated admission calprotectin was associated with later pandemic waves and poorer oxygenation. Incorporating calprotectin with ferritin improved prediction of ICU/HDU admission. DNase levels were lower at admission in non‑survivors, while overall DNase remained elevated from hospitalization through 1‑year follow‑up compared with HC, suggesting a possible role in long‑term COVID‑19-related immune alterations.

Indexed as

COVID-19DeoxyribonucleasesLeukocyte L1 Antigen ComplexAdultAgedBiomarkersFemaleHospitalizationHumansIntensive Care UnitsMaleMiddle AgedProspective StudiesSARS-CoV-2Severity of Illness IndexBiomarkersDeoxyribonucleasesLeukocyte L1 Antigen ComplexCalprotectinCOVID-19DeoxyribonucleaseDNaseMyeloid-related protein 8/14S100A8/A9SARS-CoV-2

Identifiers

PMID41772481
PMCPMC13059574

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.