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血液学参数作为诊断因素:与 COVID-19 严重程度的相关性。

Hematological Parameters as Diagnostic Factors: Correlation with Severity of COVID-19.

机构信息

Ardabil University of Medical Sciences.

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出版信息

Acta Biomed. 2022 May 11;93(2):e2022061. doi: 10.23750/abm.v93i2.12320.

Abstract

UNLABELLED

Bachground and aim: Coronavirus disease 2019(COVID-19), which is the pandemic of 21st century, is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Prognostic factors play an essential role in predicting the patients who need more care. Therefore, the current study aimed to investigate the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) ratio as discriminated indexes in prognosis of patients with COVID-19.

METHODS

Age, NLR, PLR, white blood cell (WBC), neutrophil count, lymphocyte count and platelet from 1007 hospitalized patients with COVID-19, who were admitted to two referring hospitals  in Ardabil, North Western Iran. All confirmed cases divided into non-severe and severe groups.

RESULTS

534 (53.4%) males and 473 (47.3 %) females with mean age of 52 years were enrolled in this study. Patients with severe COVID-19 have lower counts of lymphocyte, but have higher NLR, comparing to non-severe patients (P = 0.001).

CONCLUSION

Elevated NLR can be assumed as an independent biomarker, which could provide a crucial indicator in the monitoring patients with COVID-19 on admission. Increased NLR was correlated with the severity of COVID-19. Assessment of NLR could be proposed to identify high risk individuals with COVID-19.

摘要

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21 世纪的大流行病——新型冠状病毒病(COVID-19)由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起。预后因素在预测需要更多护理的患者方面起着至关重要的作用。因此,本研究旨在探讨中性粒细胞与淋巴细胞比值(NLR)和血小板与淋巴细胞比值(PLR)比值作为 COVID-19 患者预后的鉴别指标。

方法

对来自伊朗西北部阿尔达比勒的两家转诊医院 1007 名 COVID-19 住院患者的年龄、NLR、PLR、白细胞(WBC)、中性粒细胞计数、淋巴细胞计数和血小板进行分析。所有确诊病例分为非重症和重症两组。

结果

本研究纳入了 534 名(53.4%)男性和 473 名(47.3%)女性患者,平均年龄为 52 岁。与非重症患者相比,重症 COVID-19 患者的淋巴细胞计数较低,但 NLR 较高(P=0.001)。

结论

升高的 NLR 可被视为一个独立的生物标志物,可作为 COVID-19 患者入院时监测的关键指标。NLR 的增加与 COVID-19 的严重程度相关。评估 NLR 可用于识别 COVID-19 的高危个体。

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