Volume 14, Issue 3 (11-2022)
2022, 14(3): 1-9 |
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Ethics code: IR.NKUMS.REC.1400.015
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Ramezanzadeh R, Rouhani M, Mohammadifar M, Naderi Maivan F, Pezeshki R, Nezafat Firizi M, et al . Evaluation of the Relationship between Hematological Parameters and Clinical Outcomes in COVID-19 Patients Hospitalized in Imam Hassan Hospital of Bojnurd, Iran, April-August 2021. North Khorasan University of Medical Sciences 2022; 14 (3) :1-9
URL: http://journal.nkums.ac.ir/article-1-2654-en.html
URL: http://journal.nkums.ac.ir/article-1-2654-en.html
Reyhaneh Ramezanzadeh1 
, Mahbubeh Rouhani2 , Matin Mohammadifar3 , Faezeh Naderi Maivan3 , Reyhane Pezeshki3 , Maryam Nezafat Firizi4 , Hasan Namdar Ahmadabad *5 , Reza Salarinia6
, Mahbubeh Rouhani2 , Matin Mohammadifar3 , Faezeh Naderi Maivan3 , Reyhane Pezeshki3 , Maryam Nezafat Firizi4 , Hasan Namdar Ahmadabad *5 , Reza Salarinia6
1- Assistant Professor, Department of Anatomy and Pathology, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
2- Assistant Professor, Department of Internal Medicine, Imam Hassan Hospital, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
3- MD Student, Student Research Committee, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
4- MSc, Department of Pathobiology and Laboratory Sciences, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
5- Associate professor, Department of Pathobiology and Laboratory Sciences, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran ,namdar360@gmail.com
6- Phd, Department of Advanced Sciences and Technologies, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
2- Assistant Professor, Department of Internal Medicine, Imam Hassan Hospital, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
3- MD Student, Student Research Committee, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
4- MSc, Department of Pathobiology and Laboratory Sciences, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
5- Associate professor, Department of Pathobiology and Laboratory Sciences, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran ,
6- Phd, Department of Advanced Sciences and Technologies, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
Abstract: (1609 Views)
Introduction: The present study investigated the relationship between hematological parameters and clinical outcomes in COVID-19 patients.
Method: This cross-sectional study was carried out on 293 adult patients with COVID-19 hospitalized in Imam Hassan Hospital (Bojnurd, Iran), and less than three days had passed since the onset of COVID-19 symptoms. Patients information, including demographic information, clinical characteristics, and clinical outcomes, were obtained from electronic medical records. The results related to the complete blood count test for each patient were also recorded.
Results: The median age of patients was 53 years, and 147(50.17%) were female. Thirty-seven patients were admitted to the ICU, and 42 patients died. The mean of hematological parameters, except neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and erythrocyte sedimentation rate (ESR), in COVID-19 patients were within the normal range. We found that values of white blood count (WBC), NLR, and PLR in patients who died or were admitted to the ICU were significantly higher than in patients who were not admitted to ICU (P˂0.05). Moreover, our results indicated hemoglobin, hematocrit, and ESR levels were lower in patients who died than in patients who were not admitted to ICU (P˂0.05). No significant relationship was found between hematological parameters and the length of hospital stay in patients with COVID-19 (P˃0.05).
Conclusion: The obtained results suggest that increased values of some hematological parameters, including WBC, NLR, and PLR, at the time of admission might predict poor clinical outcomes in COVID-19 patients
Method: This cross-sectional study was carried out on 293 adult patients with COVID-19 hospitalized in Imam Hassan Hospital (Bojnurd, Iran), and less than three days had passed since the onset of COVID-19 symptoms. Patients information, including demographic information, clinical characteristics, and clinical outcomes, were obtained from electronic medical records. The results related to the complete blood count test for each patient were also recorded.
Results: The median age of patients was 53 years, and 147(50.17%) were female. Thirty-seven patients were admitted to the ICU, and 42 patients died. The mean of hematological parameters, except neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and erythrocyte sedimentation rate (ESR), in COVID-19 patients were within the normal range. We found that values of white blood count (WBC), NLR, and PLR in patients who died or were admitted to the ICU were significantly higher than in patients who were not admitted to ICU (P˂0.05). Moreover, our results indicated hemoglobin, hematocrit, and ESR levels were lower in patients who died than in patients who were not admitted to ICU (P˂0.05). No significant relationship was found between hematological parameters and the length of hospital stay in patients with COVID-19 (P˃0.05).
Conclusion: The obtained results suggest that increased values of some hematological parameters, including WBC, NLR, and PLR, at the time of admission might predict poor clinical outcomes in COVID-19 patients
Type of Study: Orginal Research |
Subject:
Basic Sciences
Received: 2022/07/17 | Accepted: 2022/09/28 | Published: 2022/11/21
Received: 2022/07/17 | Accepted: 2022/09/28 | Published: 2022/11/21
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