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Clinical and hematological characteristics of 88 patients with COVID-19.


ABSTRACT:

Introduction

To retrospectively analyze epidemiological, clinical and hematological characteristics of COVID-19 patients.

Methods

The demographic, symptoms, and physiological parameters of 88 patients were collected and analyzed. The performance of complete blood count (CBC) indexes for monitoring and predicting the severity of COVID-19 in patients was evaluated by analyzing and comparing CBC results among different COVID-19 patient groups.

Results

White blood cells (WBCs), the neutrophil percentage (Neu%), absolute neutrophil count (Neu#), and neutrophil-to-lymphocyte ratio (NLR) were significantly higher in the critical group than in the other three groups (P < .05), while the lymphocyte percentage (Lym%), monocyte percentage (Mon%), lymphocyte count (Lym#), and lymphocyte-to-monocyte ratio (LMR) were significantly lower in the critical group than in the other three groups (P < .05). WBCs, the Neu%, Neu#, NLR, and neutrophil-to-monocyte ratio (NMR) were significantly higher in the severe group than in the mild and moderate groups (P < .05), while the Lym% was significantly lower in the severe group than in the mild and moderate groups (P < .05). The Mon%, Lym#, and LMR were significantly lower in the severe group than in the moderate group (P < .05). Using receiver operating characteristic (ROC) curve analysis to differentiate severe and nonsevere patients, the areas under the curve (AUCs) for the NLR, Neu%, and Lym% were 0.733, 0.732, and 0.730, respectively. When differentiating critical patients from noncritical patients, the AUCs for the NLR, Neu%, and Lym% were 0.832, 0.831, and 0.831.

Conclusions

The NLR is valuable for differentiating and predicting patients who will become critical within 4 weeks after the onset of COVID-19.

SUBMITTER: Zhang H 

PROVIDER: S-EPMC7405137 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Publications

Clinical and hematological characteristics of 88 patients with COVID-19.

Zhang Hongmei H   Cao Xiaocui X   Kong Man M   Mao Xiaoli X   Huang Lifeng L   He Panwen P   Pan Shiyao S   Li Jin J   Lu Zhongxin Z  

International journal of laboratory hematology 20200723 6


<h4>Introduction</h4>To retrospectively analyze epidemiological, clinical and hematological characteristics of COVID-19 patients.<h4>Methods</h4>The demographic, symptoms, and physiological parameters of 88 patients were collected and analyzed. The performance of complete blood count (CBC) indexes for monitoring and predicting the severity of COVID-19 in patients was evaluated by analyzing and comparing CBC results among different COVID-19 patient groups.<h4>Results</h4>White blood cells (WBCs),  ...[more]

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