Predictive value of hematologic indices in COVID-19 disease outcomes

Introduction: COVID-19 was declared a worldwide concern for public health in January 2020 by the World Health Organization. Most patients manifest mild symptoms. In more severe cases it can lead to sepsis, acute respiratory distress syndrome and other organ dysfunction. Lymphopenia, increased inflam...

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Main Authors: Fatemeh Nejatifar, Ali Alavi Foumani, Saman Maroufizadeh, Bardia Afsharian, Zahra Chegini, Amir Mohammad Ghanbari
Format: Article
Language:English
Published: Zabansaraye Parsian Novin Mehr Institute 2024-12-01
Series:Journal of Current Oncology and Medical Sciences
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Online Access:https://submission.journalofcoms.com/index.php/JCOMS/article/view/249
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author Fatemeh Nejatifar
Ali Alavi Foumani
Saman Maroufizadeh
Bardia Afsharian
Zahra Chegini
Amir Mohammad Ghanbari
author_facet Fatemeh Nejatifar
Ali Alavi Foumani
Saman Maroufizadeh
Bardia Afsharian
Zahra Chegini
Amir Mohammad Ghanbari
author_sort Fatemeh Nejatifar
collection DOAJ
description Introduction: COVID-19 was declared a worldwide concern for public health in January 2020 by the World Health Organization. Most patients manifest mild symptoms. In more severe cases it can lead to sepsis, acute respiratory distress syndrome and other organ dysfunction. Lymphopenia, increased inflammatory markers and dysregulated liver enzymes are observed in many patients and is related to higher mortality rates. Materials and Methods: We evaluated two hundred and sixty-eight patients in this study. All patients had dyspnea, and O2 saturation below 93% and were tested positive for COVID-19 through RT-PCR. Patients’ demographic, clinical and paraclinical information were obtained on admission and disease outcomes were assessed based on these data. The evaluated indices were previously shown to be altered in patients with different disease outcomes. Results: From a total of 268 included patients, 40% had severe disease, 29% were admitted to ICU, 22% required mechanical ventilation and 24% died during hospitalization. WBC counts, neutrophil counts, NLR, serum LDH activity and serum albumin levels were the most powerful factors in predicting disease outcomes. Conclusion: COVID-19 disease severity and outcomes were affected by hematologic indices and laboratory results.
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publisher Zabansaraye Parsian Novin Mehr Institute
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series Journal of Current Oncology and Medical Sciences
spelling doaj-art-7eb64b6be4e740dfa125233d4d8ac39f2025-01-15T06:31:02ZengZabansaraye Parsian Novin Mehr InstituteJournal of Current Oncology and Medical Sciences2783-31272024-12-0144945957Predictive value of hematologic indices in COVID-19 disease outcomesFatemeh Nejatifar0Ali Alavi Foumani1Saman Maroufizadeh2Bardia Afsharian3Zahra Chegini4Amir Mohammad Ghanbari5Hematology and Medical Oncology Department, Guilan University of Medical Sciences, Rasht, IranInflammatory Lung Diseases Research Center, Department of Pulmonology, Guilan University of Medical Sciences, Rasht, IranDepartment of Biostatistics and Epidemiology, School of Health, Guilan University of Medical Sciences, Rasht, IranStudent Research Committee, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, IranStudent Research Committee, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, IranStudent Research Committee, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, IranIntroduction: COVID-19 was declared a worldwide concern for public health in January 2020 by the World Health Organization. Most patients manifest mild symptoms. In more severe cases it can lead to sepsis, acute respiratory distress syndrome and other organ dysfunction. Lymphopenia, increased inflammatory markers and dysregulated liver enzymes are observed in many patients and is related to higher mortality rates. Materials and Methods: We evaluated two hundred and sixty-eight patients in this study. All patients had dyspnea, and O2 saturation below 93% and were tested positive for COVID-19 through RT-PCR. Patients’ demographic, clinical and paraclinical information were obtained on admission and disease outcomes were assessed based on these data. The evaluated indices were previously shown to be altered in patients with different disease outcomes. Results: From a total of 268 included patients, 40% had severe disease, 29% were admitted to ICU, 22% required mechanical ventilation and 24% died during hospitalization. WBC counts, neutrophil counts, NLR, serum LDH activity and serum albumin levels were the most powerful factors in predicting disease outcomes. Conclusion: COVID-19 disease severity and outcomes were affected by hematologic indices and laboratory results.https://submission.journalofcoms.com/index.php/JCOMS/article/view/249covid-19neutrophilwhite blood cellneutrophil lymphocyte ratio
spellingShingle Fatemeh Nejatifar
Ali Alavi Foumani
Saman Maroufizadeh
Bardia Afsharian
Zahra Chegini
Amir Mohammad Ghanbari
Predictive value of hematologic indices in COVID-19 disease outcomes
Journal of Current Oncology and Medical Sciences
covid-19
neutrophil
white blood cell
neutrophil lymphocyte ratio
title Predictive value of hematologic indices in COVID-19 disease outcomes
title_full Predictive value of hematologic indices in COVID-19 disease outcomes
title_fullStr Predictive value of hematologic indices in COVID-19 disease outcomes
title_full_unstemmed Predictive value of hematologic indices in COVID-19 disease outcomes
title_short Predictive value of hematologic indices in COVID-19 disease outcomes
title_sort predictive value of hematologic indices in covid 19 disease outcomes
topic covid-19
neutrophil
white blood cell
neutrophil lymphocyte ratio
url https://submission.journalofcoms.com/index.php/JCOMS/article/view/249
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AT bardiaafsharian predictivevalueofhematologicindicesincovid19diseaseoutcomes
AT zahrachegini predictivevalueofhematologicindicesincovid19diseaseoutcomes
AT amirmohammadghanbari predictivevalueofhematologicindicesincovid19diseaseoutcomes