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Several Laboratory Variables Indicate Severity and Prognosis of COVID-19

Overview
Journal J Int Med Res
Publisher Sage Publications
Specialty General Medicine
Date 2024 Jan 9
PMID 38194472
Authors
Affiliations
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Abstract

Objective: While several laboratory variables have been used to assess COVID-19 disease, to our knowledge, no attempt has previously been made to compare differences across different patient groups. We attempted to evaluate the relationship between laboratory variables and severity of the disease as well as on prognosis.

Method: We searched BioLINCC database and identified three studies which had separately included outpatients, inpatients, and ICU patients. For this re-analysis, we extracted data on general demography, laboratory variables and outcome.

Result: In total, 2454 participants (496 outpatients [Study 1], 478 inpatients [Study 2], and 1480 ICU patients [Study 3]) were included in the analysis. We found three laboratory variables (i.e., creatinine, aspartate transferase, and albumin) were not only prognostic factors for outcome of inpatients with COVID-19, but also reflected disease severity as they were significantly different between inpatients and ICU patients. These three laboratory variables are an indication of kidney function, liver function, and nutritional status.

Conclusion: For patients with COVID-19, in addition to monitoring infectious disease indicators, we need to pay attention to liver function, renal function, and take timely measures to correct them to improve prognosis.

References
1.
Wang C, Peng C, Ning L, Qiu X, Wu K, Yang N . Development and Validation of a Nomogram to Assist Monitoring Nosocomial SARS-CoV-2 Infection of Hospitalized Patients. J Inflamm Res. 2022; 15:1471-1481. PMC: 8896769. DOI: 10.2147/JIR.S351509. View

2.
Wu H, Dai R, Wu X, Li Q, Lu H, Yang J . Efficacy and Safety of Chinese Medicine for COVID-19: A Systematic Review and Meta-Analysis. Am J Chin Med. 2022; 50(2):333-349. DOI: 10.1142/S0192415X22500136. View

3.
Self W, Semler M, Leither L, Casey J, Angus D, Brower R . Effect of Hydroxychloroquine on Clinical Status at 14 Days in Hospitalized Patients With COVID-19: A Randomized Clinical Trial. JAMA. 2020; 324(21):2165-2176. PMC: 7653542. DOI: 10.1001/jama.2020.22240. View

4.
Peltan I, Caldwell E, Admon A, Attia E, Gundel S, Mathews K . Characteristics and Outcomes of US Patients Hospitalized With COVID-19. Am J Crit Care. 2021; 31(2):146-157. PMC: 8891038. DOI: 10.4037/ajcc2022549. View

5.
Mi J, Zhong W, Huang C, Zhang W, Tan L, Ding L . Gender, age and comorbidities as the main prognostic factors in patients with COVID-19 pneumonia. Am J Transl Res. 2020; 12(10):6537-6548. PMC: 7653634. View