medigraphic.com
SPANISH

Revista Cubana de Medicina Militar

ISSN 1561-3046 (Electronic)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2021, Number 2

<< Back Next >>

Rev Cub Med Mil 2021; 50 (2)

Clinical laboratory parameters in patients with COVID 19

Sánchez VN, Saavedra HD, Hidalgo MCJ, Aguila LM, Abreu GG, Herrera GV, Rodríguez GI
Full text How to cite this article

Language: Spanish
References: 15
Page:
PDF size: 336.35 Kb.


Key words:

laboratory parameters, COVID-19, SARS-CoV-2, biomarkers.

ABSTRACT

Introduction: Knowing the alterations in clinical laboratory tests is useful in the diagnosis and progress of patients with COVID-19.
Objective: To describe the clinical laboratory parameters in patients diagnosed with COVID-19.
Methods: Descriptive study in 82 hospitalized patients with COVID-19. The variables analyzed were age, sex, comorbidity, patient report, discharge status, hemoglobin, white blood cell count, absolute neutrophil count, absolute lymphocyte count, platelet count, erythrocyte sedimentation rate, D-dimer, creatinine, urea, alanine aminotransferase, aspartate aminotransferase, γ-glutamyl transpeptidase, alkaline phosphatase, lactate dehydrogenase, neutrophil / lymphocyte and platelet / lymphocyte ratio.
Results: The average age was 55.61 ± 22.04, the majority were female (57.3%), hypertensive (41.5%), 18.3% reported serious and 14.6% died. Advanced age and comorbidity were associated with the severity report. There was a significant decrease in hemoglobin, lymphocytes; elevated erythrocyte sedimentation rate, D-dimer, creatinine, γ-glutamyl transpeptidase, and lactate dehydrogenase, especially in severe patients. The neutrophil / lymphocyte and platelet / lymphocyte ratio warned about the worsening of the patient and the possibility of death.
Conclusions: The patients a mean age of 55.61, female, with arterial hypertension; they were discharged alive, reported as not serious. Mean hemoglobin values ​​decrease, global lymphocyte count, especially in severe patients; increases D-dimer, creatinine, ALT, AST, ALP, GGT, and LD. The neutrophil / lymphocyte and platelet / lymphocyte ratio show high mean values, especially in severely ill patients and in those who died.


REFERENCES

  1. Palacios Cruz M, Santos E, Velázquez Cervantes MA, León Juárez M. COVID-19, una emergencia de salud pública mundial. Rev Clín Esp. 2020 [acceso: 29/09/2020];20( 221- 1):55-61. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102523/

  2. Ferrari D, Motta A, Strollo M, Banfi G, Locatelli M. Routine blood tests as a potential diagnostic tool for COVID-19. Clin Chem Lab Med. 2020 [acceso: 04/06/2020];58(7):1095-9. Disponible en: Disponible en: https://www.degruyter.com/configurable/contentpage/journals$002fcclm$002f58$002f7$002farticle-p1095.xml

  3. Esquivel Sosa L, Martínez-Fortún Amador M, Águila Carbelo M. Pandemias de 1918 y 2020, similitudes y diferencias. Apuntes del Dr. José Andrés Martínez-Fortún. Acta Médica del Centro. 2020 [acceso: 30/09/2020];14(3):[aprox. 9 p.]. Disponible en: Disponible en: https://www.revactamedicacentro.sld.cu/index.php/amc/article/view/1309

  4. Espinosa Brito A. COVID-19: rápida revisión general. Anales de la Academia de Ciencias de Cuba. 2020 [acceso: 24/06/2020];10(2): [aprox. 6 p.]. Disponible en: Disponible en: http://www.revistaccuba.sld.cu/index.php/revacc/article/view/828

  5. Terpos E, Ntanasis-Stathopoulos I, Elalamy I, Kastritis E, Sergentanis T, Politou M, et al. Hematological findings and complications of COVID-19. Am J Hematol. 2020 [acceso: 24/06/2020]; 95(7)1-14. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1002/ajh.25829

  6. Liu Y, Sun W, Guo Y, Chen L, Zhang L, Zhao S, et al. Association between platelet parameters and mortality in coronavirus disease 2019: Retrospective cohort study. Platelets. 2020 [acceso: 24/06/2020];31(4): 490-6. Disponible en: https://doi.org/10.1080/09537104.2020.1754383

  7. Yang A, Liu J, Tao W, Lib H. The diagnostic and predictive role of NLR, d-NLR and PLR in COVID-19 patients. Int Immunopharmacol. 2020 [acceso: 08/11/2020];88(106504): [aprox. 10 p.]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152924/

  8. Acosta G, Escobar G, Bernaola G, Alfaro J, Taype W, Marcos C, et al. Description of patients with severe covid-19 treated in a national referral hospital in Peru. Rev Peru Med Exp Salud Publica. 2020 [acceso: 08/11/2020]; 37(2): 253-8. Disponible en: Disponible en: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/5437/3713

  9. Solís Cartas U, Martínez Larrarte JP. Opciones terapéuticas al síndrome de liberación de citocinas en pacientes con la COVID-19. Rev Cubana Med Milit. 2020 [acceso: 29/09/2020];49(3): e0200783. Disponible en: Disponible en: https://www.revmedmilitar.sld.cu/index.php/mil/article/view/783

  10. Ferrari D, Cabitza F, Carobene A, Locatelli M. Routine blood tests as an active surveillance to monitor COVID-19 prevalence. A retrospective study. Acta Bio Med. 2020 [acceso: 09/11/2020];91(3): e2020009. Disponible en: Disponible en: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/10218

  11. Pérez Fernández GA. ¿Es la comorbilidad cardiovascular la causante de la elevación de la proteína C reactiva en pacientes positivos a la COVID-19? Acta Médica del Centro . 2020[ acceso:30/09/2020];14(3): [aprox. 8 p.]. Disponible en: Disponible en: https://www.revactamedicacentro.sld.cu/index.php/amc/article/view/1294

  12. Parra Izquierdo V, Florez Sarmiento C, Romero Sanchez MC. Inducción de "tormenta de citocinas" en pacientes infectados con SARS- CoV-2 y desarrollo de COVID-19. ¿Tiene el tracto gastrointestinal alguna relación en la gravedad? Rev Colomb Gastroenterol. 2020 [acceso: 29/09/2020];35(1):21-9. Disponible en: https://doi.org/1022516/25007440.539

  13. Liu J, Liu Y, Xiang P, Pu L, Xiong H, Li C, et al. Neutrophil-to-Lymphocyte Ratio Predicts Severe Illness Patients with 2019 Novel Coronavirus in the Early Stage. J Transl Med. 2020 [acceso: 29/09/2020];18(206):2-12. Disponible en: Disponible en: https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC7237880&blobtype=pdf

  14. Basbus L, Lapidus MI, Martingano I, Puga MC, Pollán J. Índice neutrófilo-linfocito como factor pronóstico de COVID-19. Medicina. 2020 [acceso: 29/10/2020]; 80(III):1-6 Disponible en: Disponible en: https://www.medicinabuenosaires.com/indices-de-2020/volumen-80-ano-2020-s-3-indice/indice_covid/

  15. Ballesté R. El laboratorio en el diagnóstico de COVID-19 en Uruguay: resultados y desafíos. Rev. Méd. Urug. 2020 [acceso: 29/09/2020];36(3):1-8. Disponible en: Disponible en: https://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-03902020000300001&lng=es




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Cub Med Mil . 2021;50