The predictive value of hyaluronic acid for the severity and prognosis of COVID-19: a retrospective multicenter cohort study.

Publication date: Dec 01, 2025

The aim of this study was to elucidate the relationship between HA levels and clinical outcomes, including disease severity and prognosis. A retrospective multicenter cohort analysis was conducted across three medical centers in China from September 2022 to February 2023. Patients with positive nucleic acid for the novel coronavirus were included in the study. The primary endpoint is 28-day mortality. The severity was assessed by the ‘Diagnosis and Treatment Plan for Novel Coronavirus Pneumonia (Trial Version 9)’. Analyses assessed HA correlation with severity (Kendall), predictive value for mortality (logistic regression, ROC, Delong test), and survival differences (KM analysis using a Youden index-derived HA cutoff). A total of 862 patients (median age 72; 58. 47% male) were included in the study, of whom 108 died. Non-survivors were older, more men, lower BMI, and more complicatinos. The overall median HA level was 121. 65 ng/ml, significantly higher in non-survivors(p 

Concepts Keywords
China Aged
Coronavirus Aged, 80 and over
February biomarker
Mortality Biomarkers
Biomarkers
China
COVID-19
COVID-19
Female
Humans
Hyaluronic Acid
Hyaluronic Acid
Hyaluronic acid
Male
Middle Aged
Prognosis
prognosis
Retrospective Studies
SARS-CoV-2
severity

Semantics

Type Source Name
drug DRUGBANK Hyaluronic acid
disease MESH COVID-19
disease IDO nucleic acid
disease MESH Pneumonia
drug DRUGBANK Saquinavir

Original Article

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