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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 |
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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] <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] <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</description><identifier>ISSN: 2213-879X</identifier><identifier>EISSN: 2213-8803</identifier><identifier>DOI: 10.4103/jmau.jmau_59_22</identifier><language>eng</language><publisher>Medknow Publications and Media Pvt. Ltd</publisher><subject>China ; Coronaviruses ; Diagnosis ; Diseases ; Epidemics ; Health aspects ; India ; Lymphocytes ; Medical research ; Medical screening ; Medical tests ; Medicine, Experimental ; Prognosis ; Urea</subject><ispartof>The journal of microscopy & ultrastructure, 2024-10, Vol.12 (4), p.214-220</ispartof><rights>COPYRIGHT 2024 Medknow Publications and Media Pvt. Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1071-9075895bbbe1163fd36b7e617c6c45c9be106ae751aedb686707bc85655bc00c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Alam, Sana</creatorcontrib><creatorcontrib>Khan, Sabina</creatorcontrib><creatorcontrib>Jain, Vineet</creatorcontrib><creatorcontrib>Kashyap, Varun</creatorcontrib><creatorcontrib>Kapur, Prem</creatorcontrib><title>Utility of Hematological and Biochemical Parameters as a Screening Tool for Assessing Coronavirus Disease 2019 Infection and its Severity</title><title>The journal of microscopy & ultrastructure</title><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] <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] <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</description><subject>China</subject><subject>Coronaviruses</subject><subject>Diagnosis</subject><subject>Diseases</subject><subject>Epidemics</subject><subject>Health aspects</subject><subject>India</subject><subject>Lymphocytes</subject><subject>Medical research</subject><subject>Medical screening</subject><subject>Medical tests</subject><subject>Medicine, Experimental</subject><subject>Prognosis</subject><subject>Urea</subject><issn>2213-879X</issn><issn>2213-8803</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNptUU1rAjEQDaWFivXca6BnNdk1ye7R2g8FoQUVegvZ7MRGdpOSrII_of-6u9pSCmWG-Xi8GYZ5CN1SMppQko53tdqPuiBZLpPkAvWShKbDLCPp5U8t8rdrNIhxRwihWcL5hPbQ56axlW2O2Bs8h1o1vvJbq1WFlSvxvfX6HepT_6qCqqGBELFqHa90AHDWbfHa-wobH_A0Roixg2Y-eKcONuwjfrARVAScEJrjhTOgG-vdab9tIl7BAUJ7wQ26MqqKMPjOfbR5elzP5sPly_NiNl0ONSWCDnMiWJazoiiAUp6aMuWFAE6F5nrCdN7ChCsQjCooC55xQUShM8YZKzQhOu2ju_PerapAWmd8E5SubdRymiWk5RNOW9boH1ZrZfcO78DYFv8zMD4P6OBjDGDkR7C1CkdJiew0kid5fjVKvwCekYdU</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Alam, Sana</creator><creator>Khan, Sabina</creator><creator>Jain, Vineet</creator><creator>Kashyap, Varun</creator><creator>Kapur, Prem</creator><general>Medknow Publications and Media Pvt. Ltd</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20241001</creationdate><title>Utility of Hematological and Biochemical Parameters as a Screening Tool for Assessing Coronavirus Disease 2019 Infection and its Severity</title><author>Alam, Sana ; Khan, Sabina ; Jain, Vineet ; Kashyap, Varun ; Kapur, Prem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1071-9075895bbbe1163fd36b7e617c6c45c9be106ae751aedb686707bc85655bc00c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>China</topic><topic>Coronaviruses</topic><topic>Diagnosis</topic><topic>Diseases</topic><topic>Epidemics</topic><topic>Health aspects</topic><topic>India</topic><topic>Lymphocytes</topic><topic>Medical research</topic><topic>Medical screening</topic><topic>Medical tests</topic><topic>Medicine, Experimental</topic><topic>Prognosis</topic><topic>Urea</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alam, Sana</creatorcontrib><creatorcontrib>Khan, Sabina</creatorcontrib><creatorcontrib>Jain, Vineet</creatorcontrib><creatorcontrib>Kashyap, Varun</creatorcontrib><creatorcontrib>Kapur, Prem</creatorcontrib><collection>CrossRef</collection><jtitle>The journal of microscopy & ultrastructure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alam, Sana</au><au>Khan, Sabina</au><au>Jain, Vineet</au><au>Kashyap, Varun</au><au>Kapur, Prem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Utility of Hematological and Biochemical Parameters as a Screening Tool for Assessing Coronavirus Disease 2019 Infection and its Severity</atitle><jtitle>The journal of microscopy & ultrastructure</jtitle><date>2024-10-01</date><risdate>2024</risdate><volume>12</volume><issue>4</issue><spage>214</spage><epage>220</epage><pages>214-220</pages><issn>2213-879X</issn><eissn>2213-8803</eissn><abstract>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] <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] <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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