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Utility of Hematological and Biochemical Parameters as a Screening Tool for Assessing Coronavirus Disease 2019 Infection and its Severity

Background: The rapidly evolving pandemic of Coronavirus disease 2019 (COVID-19) has presented with clinical severity, which varies from asymptomatic cases to being fatal in others. The need of the hour is to find meaningful and cost-effective COVID-19 biomarkers out of conventional hematological an...

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Published in:The journal of microscopy & ultrastructure 2024-10, Vol.12 (4), p.214-220
Main Authors: Alam, Sana, Khan, Sabina, Jain, Vineet, Kashyap, Varun, Kapur, Prem
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container_title The journal of microscopy & ultrastructure
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creator Alam, Sana
Khan, Sabina
Jain, Vineet
Kashyap, Varun
Kapur, Prem
description Background: The rapidly evolving pandemic of Coronavirus disease 2019 (COVID-19) has presented with clinical severity, which varies from asymptomatic cases to being fatal in others. The need of the hour is to find meaningful and cost-effective COVID-19 biomarkers out of conventional hematological and biochemical parameters, which will help in the early identification of patients with a poor prognosis, leading to timely intervention. Aim: The aim was to analyze different biochemical and hematological parameters in COVID-19 patients and also to study the association of these parameters with disease severity. Materials and Methods: Cross-sectional observational study was carried out on 100 COVID-19 patients from a hospital from July to October 2020. Based on saturation of oxygen (SpO[sub.2]), admitted patients were grouped into mild-moderate (SpO[sub.2] ≥90) and severe groups (SpO[sub.2]
doi_str_mv 10.4103/jmau.jmau_59_22
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The need of the hour is to find meaningful and cost-effective COVID-19 biomarkers out of conventional hematological and biochemical parameters, which will help in the early identification of patients with a poor prognosis, leading to timely intervention. Aim: The aim was to analyze different biochemical and hematological parameters in COVID-19 patients and also to study the association of these parameters with disease severity. Materials and Methods: Cross-sectional observational study was carried out on 100 COVID-19 patients from a hospital from July to October 2020. Based on saturation of oxygen (SpO[sub.2]), admitted patients were grouped into mild-moderate (SpO[sub.2] ≥90) and severe groups (SpO[sub.2] &lt;90). Hematological and biochemical parameters were studied in both groups, and association with disease severity was analyzed. Results: Out of 100 patients, 57 patients were seen in the mild-moderate group (SpO[sub.2] ≥90), while 43 patients (SpO[sub.2] &lt;90) belonged to the severe category. Males were predominant in both mild-moderate and severe groups. Among the hematological parameters, statistically significant higher values of absolute neutrophil count (P = 0.046) and significantly lower absolute lymphocyte count (P = 0.003) values were observed. With regard to biochemical parameters, increased urea and decreased total protein were found in the severe category and this association was statistically significant. Conclusion: To conclude, early identification and monitoring of hematological and biochemical parameters, especially those associated with higher disease severity, may contribute toward improving disease outcomes. 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The need of the hour is to find meaningful and cost-effective COVID-19 biomarkers out of conventional hematological and biochemical parameters, which will help in the early identification of patients with a poor prognosis, leading to timely intervention. Aim: The aim was to analyze different biochemical and hematological parameters in COVID-19 patients and also to study the association of these parameters with disease severity. Materials and Methods: Cross-sectional observational study was carried out on 100 COVID-19 patients from a hospital from July to October 2020. Based on saturation of oxygen (SpO[sub.2]), admitted patients were grouped into mild-moderate (SpO[sub.2] ≥90) and severe groups (SpO[sub.2] &lt;90). Hematological and biochemical parameters were studied in both groups, and association with disease severity was analyzed. Results: Out of 100 patients, 57 patients were seen in the mild-moderate group (SpO[sub.2] ≥90), while 43 patients (SpO[sub.2] &lt;90) belonged to the severe category. Males were predominant in both mild-moderate and severe groups. Among the hematological parameters, statistically significant higher values of absolute neutrophil count (P = 0.046) and significantly lower absolute lymphocyte count (P = 0.003) values were observed. With regard to biochemical parameters, increased urea and decreased total protein were found in the severe category and this association was statistically significant. Conclusion: To conclude, early identification and monitoring of hematological and biochemical parameters, especially those associated with higher disease severity, may contribute toward improving disease outcomes. 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The need of the hour is to find meaningful and cost-effective COVID-19 biomarkers out of conventional hematological and biochemical parameters, which will help in the early identification of patients with a poor prognosis, leading to timely intervention. Aim: The aim was to analyze different biochemical and hematological parameters in COVID-19 patients and also to study the association of these parameters with disease severity. Materials and Methods: Cross-sectional observational study was carried out on 100 COVID-19 patients from a hospital from July to October 2020. Based on saturation of oxygen (SpO[sub.2]), admitted patients were grouped into mild-moderate (SpO[sub.2] ≥90) and severe groups (SpO[sub.2] &lt;90). Hematological and biochemical parameters were studied in both groups, and association with disease severity was analyzed. Results: Out of 100 patients, 57 patients were seen in the mild-moderate group (SpO[sub.2] ≥90), while 43 patients (SpO[sub.2] &lt;90) belonged to the severe category. Males were predominant in both mild-moderate and severe groups. Among the hematological parameters, statistically significant higher values of absolute neutrophil count (P = 0.046) and significantly lower absolute lymphocyte count (P = 0.003) values were observed. With regard to biochemical parameters, increased urea and decreased total protein were found in the severe category and this association was statistically significant. Conclusion: To conclude, early identification and monitoring of hematological and biochemical parameters, especially those associated with higher disease severity, may contribute toward improving disease outcomes. Keywords: Coronavirus disease 2019, disease severity, laboratory parameters</abstract><pub>Medknow Publications and Media Pvt. Ltd</pub><doi>10.4103/jmau.jmau_59_22</doi><tpages>7</tpages></addata></record>
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subjects China
Coronaviruses
Diagnosis
Diseases
Epidemics
Health aspects
India
Lymphocytes
Medical research
Medical screening
Medical tests
Medicine, Experimental
Prognosis
Urea
title Utility of Hematological and Biochemical Parameters as a Screening Tool for Assessing Coronavirus Disease 2019 Infection and its Severity
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