tetano
Editor, Senior Moderator
Rom J Intern Med. 2020 May 11. pii: /j/rjim.ahead-of-print/rjim-2020-0013/rjim-2020-0013.xml. doi: 10.2478/rjim-2020-0013. [Epub ahead of print]
Clinical and laboratory findings from patients with COVID-19 pneumonia in Babol North of Iran: a retrospective cohort study.
Javanian M[SUP]1[/SUP], Bayani M[SUP]1[/SUP], Shokri M[SUP]1[/SUP], Sadeghi-Haddad-Zavareh M[SUP]1[/SUP], Babazadeh A[SUP]1[/SUP], Yeganeh B[SUP]1[/SUP], Mohseni S[SUP]1[/SUP], Mehraein R[SUP]2[/SUP], Sepidarkish M[SUP]3[/SUP], Bijani A[SUP]4[/SUP], Rostami A[SUP]1[/SUP], Shahbazi M[SUP]5[/SUP], Tabari AM[SUP]1[/SUP], Shabani A[SUP]6[/SUP], Masrour-Roudsari J[SUP]1[/SUP], Hasanpour AH[SUP]7[/SUP], Gholinejad HE[SUP]7[/SUP], Ghorbani H[SUP]8[/SUP], Ebrahimpour S[SUP]1[/SUP].
Author information
Abstract
BACKGROUND:
In December, 2019, China, has experienced an outbreak of novel coronavirus disease 2019 (COVID-19). Coronavirus has now spread to all of the continents. We aimed to consider clinical characteristics, laboratory data of COVID-19 that provided more information for the research of this novel virus.
METHODS:
We performed a retrospective cohort study on the clinical symptoms and laboratory findings of a series of the 100 confirmed patients with COVID-19. These patients were admitted to the hospitals affiliated to Babol University of Medical Sciences (Ayatollah Rohani, Shahid Beheshti and Yahyanejad hospitals) form 25 February 2020 to 12 March 2020.
RESULTS:
Nineteen patients died during hospitalization and 81 were discharged. Non-survivor patients had a significantly higher C-reactive protein (CRP) (MD: 46.37, 95% CI: 20.84, 71.90; P= 0.001), white blood cells (WBCs) (MD: 3.10, 95% CI: 1.53, 4.67; P< 0.001) and lower lymphocyte (MD: -8.75, 95% CI: -12.62, -4.87; P< 0.001) compared to survivor patients Data analysis showed that comorbid conditions (aRR: 2.99, 95%CI: 1.09, 8.21, P= 0.034), higher CRP levels (aRR: 1.02, 95%CI: 1.01, 1.03, P= 0.044), and lower lymphocyte (aRR: 0.82, 95%CI: 0.73, 0.93, P= 0.003) were associated with increased risk of death.
CONCLUSIONS:
Based on our findings, most non-survivors are elderly with comorbidities. Lymphopenia and increased levels of WBCs along with elevated CRP were associated with increased risk of death. Therefore, it is best to be regularly assessed these markers during treatment of COVID-19 patients.
KEYWORDS:
C-reactive protein; COVID-19; elderly; leukocyte count; lymphopenia; mortality; pneumonia
PMID:32396143DOI:10.2478/rjim-2020-0013
Clinical and laboratory findings from patients with COVID-19 pneumonia in Babol North of Iran: a retrospective cohort study.
Javanian M[SUP]1[/SUP], Bayani M[SUP]1[/SUP], Shokri M[SUP]1[/SUP], Sadeghi-Haddad-Zavareh M[SUP]1[/SUP], Babazadeh A[SUP]1[/SUP], Yeganeh B[SUP]1[/SUP], Mohseni S[SUP]1[/SUP], Mehraein R[SUP]2[/SUP], Sepidarkish M[SUP]3[/SUP], Bijani A[SUP]4[/SUP], Rostami A[SUP]1[/SUP], Shahbazi M[SUP]5[/SUP], Tabari AM[SUP]1[/SUP], Shabani A[SUP]6[/SUP], Masrour-Roudsari J[SUP]1[/SUP], Hasanpour AH[SUP]7[/SUP], Gholinejad HE[SUP]7[/SUP], Ghorbani H[SUP]8[/SUP], Ebrahimpour S[SUP]1[/SUP].
Author information
Abstract
BACKGROUND:
In December, 2019, China, has experienced an outbreak of novel coronavirus disease 2019 (COVID-19). Coronavirus has now spread to all of the continents. We aimed to consider clinical characteristics, laboratory data of COVID-19 that provided more information for the research of this novel virus.
METHODS:
We performed a retrospective cohort study on the clinical symptoms and laboratory findings of a series of the 100 confirmed patients with COVID-19. These patients were admitted to the hospitals affiliated to Babol University of Medical Sciences (Ayatollah Rohani, Shahid Beheshti and Yahyanejad hospitals) form 25 February 2020 to 12 March 2020.
RESULTS:
Nineteen patients died during hospitalization and 81 were discharged. Non-survivor patients had a significantly higher C-reactive protein (CRP) (MD: 46.37, 95% CI: 20.84, 71.90; P= 0.001), white blood cells (WBCs) (MD: 3.10, 95% CI: 1.53, 4.67; P< 0.001) and lower lymphocyte (MD: -8.75, 95% CI: -12.62, -4.87; P< 0.001) compared to survivor patients Data analysis showed that comorbid conditions (aRR: 2.99, 95%CI: 1.09, 8.21, P= 0.034), higher CRP levels (aRR: 1.02, 95%CI: 1.01, 1.03, P= 0.044), and lower lymphocyte (aRR: 0.82, 95%CI: 0.73, 0.93, P= 0.003) were associated with increased risk of death.
CONCLUSIONS:
Based on our findings, most non-survivors are elderly with comorbidities. Lymphopenia and increased levels of WBCs along with elevated CRP were associated with increased risk of death. Therefore, it is best to be regularly assessed these markers during treatment of COVID-19 patients.
KEYWORDS:
C-reactive protein; COVID-19; elderly; leukocyte count; lymphopenia; mortality; pneumonia
PMID:32396143DOI:10.2478/rjim-2020-0013