Is Capillary Refill Time an Early Prognostic Factor in COVID-19 Patients?

AHMET ÇİZMECİOĞLU, BURCU YORMAZ, HİLAL AKAY ÇİZMECİOĞLU, MEVLÜT HAKAN GÖKTEPE, NİJAT AHMADLİ, DİLEK ERGUN, BAYKAL TÜLEK, FİKRET KANAT

  • Year : 2021
  • Vol : 37
  • Issue : 3
  •  Page : 224-230

Aim: Hypoxemia is a vital criterion used to determine prognosis in coronavirus disease (COVID-19)
cases. This study thus examined the effectiveness of capillary refill time (CRT) in defining hypoxiadependent
disease severity in COVID-19 patients.
Patients and Methods: This prospective study was conducted with COVID-19 patients and an agematched
healthy group. The optimum test ambiance was provided, and a stable smartphone platform
was used to record the measurements (in ms) to standardize our method. The captured videos were then
evaluated using a video processing program.
Results: In total, 39 patients with COVID-19 and 40 control groups participated in this study. The patients
were further divided into the moderate (n = 25) or severe group (n = 14) according to disease severity.
The mean oxygen saturation of both moderate/severe groups was above 94%. Per disease severity, the
CRT measurements were higher in the severe group than in the moderate group (p = 0.009). In patients
without lymphopenia (n = 18), CRT values were found to be increased in the severe group (p = 0.008).
The use of CRT in patients with Covid-19 was practicable (AUC: 0.91; 95% CI 0.848-0.978; P = 0.001).
Conclusions: Our results show that CRT prolongation can occur in patients with COVID-19. In patients
without lymphopenia and with normal O2 levels, detecting CRT prolongation may be a criterion for early
admission to ICU.

Cite this Article As : Cizmecioglu A, Yormaz B, Akay Cizmecioglu H, Goktepe MH, Ahmadli N, Ergun D, Tulek B, Kanat F. Is Capillary Refill Time an Early Prognostic Factor in COVID-19 Patients? Selcuk Med J 2021;37(3): 224-230

Download Citation: Endnote/Zotero/Mendeley (RIS) RIS File

Download Citation: BibTeX BibTeX File

Description : None of the authors, any product mentioned in this article, does not have a material interest in the device or drug. Research, not supported by any external organization. grant full access to the primary data and, if requested by the magazine they agree to allow the examination of data.
Is Capillary Refill Time an Early Prognostic Factor in COVID-19 Patients?
, Vol. 37 (3)
Received : 02.09.2021, Accepted : 02.09.2021, Published Online : 07.09.2021
Selçuk Tıp Dergisi
ISSN:1017-6616;
E-ISSN:2149-8059;