Comparison Between Haematological Parameters and Clinical Disease Severity in Covid-19 Infection Patients at a Tertiary Care Diagnostic Centre in Pakistan
DOI:
https://doi.org/10.51253/pafmj.v74i3.9859Keywords:
COVID-19, Haematological parameters, Total WBC countAbstract
Objective: To determine the comparison between haematological parameters and clinical disease severity in patients with COVID-19 infection at a Tertiary Care Hospital in Pakistan.
Study Design: Cross-sectional study.
Place and Duration of Study: Pathology Department of the Armed Forces Institute of Pathology, Rawalpindi Pakistan, from Mar to Aug 2021.
Methodology: A total of 183 patients fulfilling the selection criteria were enrolled after taking written informed consent, and investigations to assess haematological parameters were carried out, such as the complete blood count, PT, APTT, and D-Dimers. The severity of the illness was determined according to the criteria set, and findings were recorded and subjected to statistical analysis.
Results: The mean age of the patients was 34.5410.12 years. Using blood tests, there was a strong link between the severity of the COVID-19 infection and the total WBC count (p=0.041), PCV (p=0.05), neutrophil count (p=0.02), lymphocyte count (p=0.001), eosinophil count (p=0.001), and D-Dimers (p=0.001).
Conclusion: Total WBC count, neutrophil, lymphocyte, eosinophil, and eosinophil count, as well as D-Dimers, were all strongly linked to how bad the condition was and can be used to predict how bad a COVID-19 infection will be early on.
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Ding X, Yu Y, Lu B, Huo J, Chen M. Dynamic profile and clinical implications of hematological parameters in hospitalized patients with coronavirus disease 2019. Clin Chem Lab Med 2020; 58(8): 1365-1371.https://doi.org/10.1515/cclm-2020-0411
Taj S, Kashif A, Arzinda Fatima S, Imran S, Lone A, Ahmed Q. Role of hematological parameters in the stratification of COVID-19 disease severity. Ann Med Surg 2021; 62: 68-72. https://doi.org/10.1016/j.amsu.2020.12.035
Fu J, Kong J, Wang W, Wu M, Yao L, Wang Z, et al. The clinical implication of dynamic neutrophil to lymphocyte ratio and D-dimer in COVID-19: A retrospective study in Suzhou China. Thromb Res 2020 ; 192: 3-8.
https://doi.org/10.1016/j.thromres.2020.05.006
Islam MS, Haque N, Ahmed S, Khanom R, Momtaz KR, Choudhury FR, et al. Dynamic Profile and Clinical Implications of Hematological Parameters in Pregnant Women with COVID-19. Sch J App Med Sci 2022; 4: 474-478.
Wang X, Li X, Shang Y, Wang J, Zhang X, Su D, et al. Ratios of neutrophil-to-lymphocyte and platelet-to-lymphocyte predict all-cause mortality in inpatients with coronavirus disease 2019 (COVID-19): a retrospective cohort study in a single medical centre. Epidemiol Infect 2020; 148: e211.
https://doi.org/10.1017/S0950268820002071
Usul E, Şan İ, Bekgöz B, Şahin A. Role of hematological parameters in COVID-19 patients in the emergency room. Biomark Med 2020 ; 14(13): 1207-1215.
https://doi.org/10.2217/bmm-2020-0317
Mondi A, Cimini E, Colavita F, Cicalini S, Pinnetti C, Matusali G, et al. COVID-19 in people living with HIV: Clinical implications of dynamics of the immune response to SARS-CoV-2. J Med Virol 2021; 93(3): 1796-1804.
https://doi.org/10.1002/jmv.26556
Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. J Am Med Assoc 2020; 323(11): 1061-1069.
https://doi.org/10.1001/jama.2020.1585
Saurabh A, Dey B, Raphael V, Barman B, Dev P, Tiewsoh I, et al. Evaluation of Hematological Parameters in Predicting Intensive Care Unit Admission in COVID-19 Patients. SN Compr Clin Med 2022; 4(1): 39. https://doi.org/10.1007/s42399-021-01115-8
Yao H, Lu X, Chen Q, Xu K. Patient-derived SARS-CoV-2 mutations impact viral replication dynamics and infectivity in vitro and with clinical implications in vivo. Cell Discover 2020; 6(1): 76. https://doi.org/10.1038/s41421-020-00226-1
Castro-Castro MJ, García-Tejada L, Arbiol-Roca A, Sánchez-Navarro L, Rapún-Mas L, Cachon-Suárez I, et al. Dynamic profiles and predictive values of some biochemical and haematological quantities in COVID-19 inpatients. Biochemia Med. 2022; 32(1): 010706.
https://doi.org/10.11613/bm.2022.010706
Xiurong D, Yanhua Y, Bichao L, Jianbo H, Ming C, Yanfang K. Dynamic profile and clinical implications of hematological parameters in hospitalized patients with coronavirus disease 2019. Clin Chem Lab Med. 2020; 58: 1365-1371.
https://doi.org/10.1515/cclm-2020-0411
Kumar A, Shetty A, Kumar P, Veena CN. Hematological profile of COVID-19 patients in Ramanagar district, Karnataka-A cross sectional study. Biomed 2022; 42(3): 539-542.
Balasubramanian J, Suman FR, Stephen IR, Shanmugam SG, Mani R, Mathan B, et al. Dynamic Profile of Prognostic Hematologic Indicators in Patient Under Intensive Care for COVID-19 Disease: A One-Year Study at a Tertiary Care Centre in South India. Cureus 2021; 13(11): e19585.
https://doi.org/10.7759/cureus.19585
Suhartono S, Wijaya I, Dalimoenthe NZ. The correlation of neutrophil-to-lymphocyte ratio (NLR) and monocytes-to-lymphocytes ratio (MLR) with disease severity in hospitalized patients with Coronavirus disease 2019 (COVID-19). Bali Med J 2021; 10(2): 653-658.
https://doi.org/10.15562/bmj.v10i2.2434
Aslaner Ak M, Sahip B, Çelebi G, Horuz E, Ertop Ş. Abnormalities of Peripheral Blood Parameters in Hospitalized Patients with COVID-19: A Temporal Change Analysis in Relation to Survival. Med J West Black Sea 2021; 5(3): 391-400. https://doi.org/10.29058/mjwbs.984490
Bal U, Albay B, Günaydın O. Correlation Between Hematological Parameters and Clinical Scoring Systems in Indicating the Severity of COVID-19 Disease. ACH Med J. 2022; 1(1): 1-10.
https://doi.org/10.5505/achmedj.2022.28291
Ahmed SS, Mohammed DA, Mohammed AA. Hematological Parameters in Adult Patients with COVID-19; A Case-Control Study. Int J Infect 2021; 8(4): e110359.
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Copyright (c) 2024 Intzar Ali, Helen Mary Robert, Komal Andleeb, Noman Anjum Rana, Sumaira Ilyas, Muhammad Shahid
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