1. Which hematological markers have predictive value as early indicators of severe COVID-19 cases in the emergency department?
- Author
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Şan İ, Gemcioğlu E, Davutoğlu M, Çatalbaş R, Karabuğa B, Kaptan E, Erden A, Küçükşahin O, Ateş İ, Karaahmetoğlu S, Hasanoğlu İ, İnan O, Ünal BN, Erdemir E, Kahraman FA, and Güner R
- Subjects
- Adult, Aged, Aged, 80 and over, COVID-19 blood, COVID-19 epidemiology, COVID-19 Testing, Female, Hemoglobins metabolism, Humans, Lymphocytes, Male, Middle Aged, Neutrophils, Predictive Value of Tests, Prognosis, Real-Time Polymerase Chain Reaction, Retrospective Studies, SARS-CoV-2 isolation & purification, Turkey epidemiology, Biomarkers blood, COVID-19 diagnosis, Emergency Service, Hospital statistics & numerical data, Hematologic Tests methods
- Abstract
Background/aim: Coronavirus 2019 disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a pandemic infectious disease that causes morbidity and mortality. As a result of high mortality rate among the severe COVID-19 patients, the early detection of the disease stage and early effective interventions are very important in reducing mortality. Hence, it is important to differentiate severe and nonsevere cases from each other. To date, there are no proven diagnostic or prognostic parameters that can be used in this manner. Due to the expensive and not easily accessible tests that are performed for COVID-19, researchers are investigating some parameters that can be easily used. In some recent studies, hematological parameters have been evaluated to see if they can be used as predictive parameters., Materials and Methods: In the current study, almost all hematological parameters were used, including the neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, monocyte/lymphocyte ratio, mean platelet volume to lymphocyte ratio, mean platelet volume to platelet ratio, plateletcrit, and D-dimer/fibrinogen ratio, neutrophil/lymphocyte/platelet scoring system, and systemic immune-inflammation index. A total of 750 patients, who were admitted to Ankara City Hospital due to COVID-19, were evaluated in this study. The patients were classified into 2 groups according to their diagnosis (confirmed or probable) and into 2 groups according to the stage of the disease (nonsevere or severe)., Results: The values of the combinations of inflammatory markers and other hematological parameters in all of the patients with severe COVID-19 were calculated, and the predicted values of these parameters were compared. According to results of the study, nearly all of the hematological parameters could be used as potential diagnostic biomarkers for subsequent analysis, because the area under the curve (AUC) was higher than 0.50, especially for the DFR and NLR, which had the highest AUC among the parameters., Conclusion: Our findings indicate that, the parameters those enhanced from complete blood count, which is a simple laboratory test, can help to identify and classify COVID-19 patients into non-severe to severe groups., Competing Interests: The authors have no conflict of interest to declare., (This work is licensed under a Creative Commons Attribution 4.0 International License.)
- Published
- 2021
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