# A model based on PT-INR and age serves as a promising predictor for evaluating mortality risk in patients with SARS-CoV-2 infection

**Authors:** Yongjie Xu, Minjie Tang, Zhaopei Guo, Yanping Lin, Hongyan Guo, Fengling Fang, Lin Lin, Yue Shi, Lu Lai, Yan Pan, Xiangjun Tang, Weiquan You, Zishun Li, Jialin Song, Liang Wang, Weidong Cai, Ya Fu

PMC · DOI: 10.3389/fcimb.2025.1499154 · Frontiers in Cellular and Infection Microbiology · 2025-04-03

## TL;DR

A model using PT-INR and age helps predict mortality risk in SARS-CoV-2 patients, aiding in early prognosis assessment.

## Contribution

A novel nomogram model combining PT-INR and age is developed for predicting prognosis in SARS-CoV-2 patients.

## Key findings

- Patients with pneumonia, older age, and higher PT-INR had a poor prognosis.
- A nomogram model with pneumonia, age, and PT-INR effectively predicts prognosis in all SARS-CoV-2 patients.
- A model with age and PT-INR effectively predicts prognosis in pneumonia patients.

## Abstract

COVID-19 caused by the coronavirus SARS-CoV-2 has resulted in a global pandemic. Considering some patients with COVID-19 rapidly develop respiratory distress and hypoxemia, early assessment of the prognosis for COVID-19 patients is important, yet there is currently a lack of research on a comprehensive multi-marker approach for disease prognosis assessment. Here, we utilized a large sample of hospitalized individuals with COVID-19 to systematically compare the clinical characteristics at admission and developed a nomogram model that was used to predict prognosis. In all cases, those with pneumonia, older age, and higher PT-INR had a poor prognosis. Besides, pneumonia patients with older age and higher PT-INR also had a poor prognosis. A nomogram model incorporating presence of pneumonia, age and PT-INR could evaluate the prognosis in all patients with SARS-CoV-2 infections well, while a nomogram model incorporating age and PT-INR could evaluate the prognosis in those with pneumonia well. Together, our study establishes a prognostic prediction model that aids in the timely identification of patients with poor prognosis and helps facilitate the improvement of treatment strategies in clinical practice in the future.

## Linked entities

- **Diseases:** pneumonia (MONDO:0005249)

## Full-text entities

- **Diseases:** hypoxemia (MESH:D000860), COVID-19 (MESH:D000086382), pneumonia (MESH:D011014), respiratory distress (MESH:D012128)
- **Species:** Gammacoronavirus (genus) [taxon 694013], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12003402/full.md

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12003402/full.md

## References

20 references — full list in the complete paper: https://tomesphere.com/paper/PMC12003402/full.md

---
Source: https://tomesphere.com/paper/PMC12003402